Examples of Certificate of Creditable Coverage in a sentence
Certificate of Creditable Coverage When your coverage under this plan terminates, you will receive a Certificate of Creditable Coverage.
When you receive your Certificate of Creditable Coverage, make sure the information is correct.
You may request a Certificate of Creditable Coverage within 24 months of termination of your or your dependent's coverage under this Certificate.
Additionally, the CONTRACTOR is responsible for ensuring that all terms, conditions, assurances and certifications set forth in this CONTRACT are carried forward to any subcontracts.
Upon termination of your coverage under this Certificate, you will be issued a Certificate of Creditable Coverage.
The Certificate of Creditable Coverage will be based upon the coverage that the Covered Person had under the benefits plan administered pursuant to the Agreement and the information that Employer or GHP provides to Florida Blue regarding the Covered Person’s coverage eligibility and coverage termination under that benefits plan.
New / Current Employees: New employees (or a current employee who is transferring health care coverage to the CoreSource plan) with prior coverage must be issued a Certificate of Creditable Coverage under federal law.
Upon termination of a Member’s coverage, the PPO will automatically issue a Certificate of Creditable Coverage.
Not Eligible Add Spouse Marriage If last name is different Marriage Certificate 1040 Form Add Dependent Birth Adoption If last name is different Birth Certificate Formal Adoption Papers Court Approved Guardianship Papers Add Spouse Add Dependent Loss of Coverage Certificate of Creditable Coverage Add Domestic Partner Domestic Partnership Declaration of Cohabitation & Financial Interdependence form Not Eligible Not Eligible Note: No Retroactive Enrollments will be allowed.
A Member may request a Certificate of Creditable Coverage by contacting the Customer Service Team at the telephone number on the Member Identification Card.