Xxxxxx Children. The effective date of coverage for a child placed in your home for xxxxxx care, and properly enrolled, will be the date of placement in your home.
Xxxxxx Children. Xxxxxx children are children whose natural parental rights have been terminated by the state and who have been placed in an alternative living situation by the state. A child does not become a xxxxxx child when the parents voluntarily relinquish parental power to a third party. In order for a xxxxxx child to have coverage, a Member must provide confirmation of a valid xxxxxx parent relationship to Alliant. Such confirmation must be furnished at the Member’s expense. Xxxxxx Children are not automatically added to Your policy. For Coverage to begin, an application form to add the child as a Dependent and a payment of any applicable Premium must be received by Us within thirty-one (31) days from the date of legal assumption. The Premium shall include the first thirty-one (31) days of coverage. If the application and Premium are not received by Us within thirty-one (31) days from the date of legal assumption, Coverage will terminate at the end of the thirty-one (31) day period. If the application and Premium are received by Us after the thirty-one (31) day period, but within sixty (60) days from the date of legal assumption, Coverage will be reinstated retroactively with no break in Coverage. If You purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. CHANGING YOUR COVERAGE (removing a dependent) When any of the following events occur: • Divorce; • Death of an enrolled family member (a different type of coverage may be necessary); • Dependent child reaches age 26 (see “When Your Coverage Terminates”); • Enrolled Dependent child becomes totally or permanently disabled. If You purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. If You purchased outside the Health Insurance Marketplace, notify Customer Service at (000) 000-0000 and ask for the appropriate forms to complete. CHANGING YOUR COVERAGE (removing a dependent) When any of the following events occur: • Divorce; • Death of an enrolled family member (a different type of coverage may be necessary); • Dependent child reaches age 26 (see “When Your Coverage Terminates”); • Enrolled Dependent child becomes totally or permanently disabled. If You purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. If You purchased outside the Health Insurance Marketplace, notify Customer Service at (000) 000-0000 and ask for the appropriate forms to complete. HOW YOUR BENEFITS WORK ...
Xxxxxx Children. For members who are in xxxxxx care, assignment will be based on where the xxxxxx child’s DCBS case is located (which is usually the region where the child’s family of origin resides). It is the responsibility of the DCBS to notify the Contractor of a xxxxxx child’s change in placement.
Xxxxxx Children. If your status as a xxxxxx parent is terminated, coverage will end for any Xxxxxx Child. As the Contractholder, you are solely responsible for notifying us and the Marketplace in writing that the Xxxxxx Child is no longer in your care. Upon receipt of notification from the Marketplace, we will terminate the coverage of the child on the first billing date following receipt of the written notice. Other Dependents -– If other Eligible Dependents were not named on the application for this Contract (such as a new spouse or a new court order to provide coverage for a minor child), you may still apply for coverage for such dependents during a Special Enrollment Period. An Eligible Dependent can become covered when you submit the required Enrollment Forms to the Marketplace and pay the required Premiums. The Effective Date of coverage for such dependents will be determined by the Marketplace.
Xxxxxx Children. For members who are in xxxxxx care, assignment will be based on where the xxxxxx child’s DCBS case is located (which is usually the region where the child’s family of origin resides). When a xxxxxx child is placed outside the Contractor’s Region but DCBS continues to maintain the child’s case within the Contractor’s Region, the Contractor’s Region shall remain as the child’s official residence and Contractor shall be responsible for arranging medical care for the Member. It is the responsibility of the DCBS to notify the Contractor of a xxxxxx child’s change in placement. Within ten (10) Days of notification, the Contractor must assign a PCP based on the DCBS selection.
Xxxxxx Children. Children whose care and placement is the responsibility of the State or have been placed by a court with a caretaker are eligible for free meal benefits without completing an IEF. You must provide appropriate documentation for verification. Supplemental Nutrition Assistance Program (SNAP) or TANF households: If you currently receive benefits from SNAP or TANF please indicate the appropriate case number in the spaces provided and sign and date the form. You do not need to complete Part 3.
Xxxxxx Children. Xxxxxx care placement agreement between the employee and the Texas Department of Family & Protective Services or its subcontractor. Coverage is available up to age 18. Coverage ends on the last day of the month in which the dependent turns 18. C H O O S I N G Y O U R P L A N Choosing the best plan should be based on several things such as your personal medical condition and usage of services, financial situation, and your level of comfort with coinsurance vs. copayments. The following may assist you in the decision-making process. Copayment: predetermined dollar amount you will pay for a service (ex: physician visits, convenience care clinics, urgent care centers, physical therapy, counseling). Coinsurance: percentage you are responsible for paying up to a specific dollar amount per calendar year. Covered services are paid from 50%-100% depending on the plan selected, service rendered, and place of service. Deductible: initial out-of-pocket costs that must be paid before the plan begins to pay benefits. The Base plan has set copayments for some in-network services, but require coinsurance for ambulance services, durable medical equipment, hearing aids, complex imaging, home health care, hospice, inpatient hospitalization, outpatient surgery, physician hospital services, private-duty nursing, and skilled nursing facility. The Base plan has a $600 per individual in-network deductible with an individual maximum out-of-pocket limit of $7,350 per calendar year. The deductible and coinsurance only apply where services are not indicated as set copayments. Copayments do not apply to the annual deductible. The Plus plan has a $0 in-network deductible, set copayments for most in-network services, and an individual maximum out-of-pocket limit of $6,350 per calendar year. However, this plan has a higher monthly premium contribution. Your Cigna Open Access Plus Plan does not require you to select a network primary care physician (PCP), although selecting a PCP is encouraged. These plans also allow you to self-refer to a specialist. Your choice of provider dictates the amount you will pay in copayments, coinsurance and/or deductibles. O U T - O F - N E T W O R K C O V E R A G E Xxxxxx County has limits on authorized costs associated with Out-of-Network facilities and providers. In an effort to maximize the highest level of benefit coverage, advise your participating physician to refer you only to in-network facilities and providers within Cigna. This will result in savi...
