Enrolled Dependent definition

Enrolled Dependent. [or “Enrollee”] – a Dependent who is enrolled for Coverage under this Contract.
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Enrolled Dependent means an Enrolled Employee's eligible dependent who is listed on the Enrolled Employee's application, has completed an enrollment form and is enrolled under this Contract. The term "Member" refers to an Enrolled Employee or an Enrolled Dependent. Other terms are defined where they are first used or in the definitions section in the back of the Booklet.
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Enrolled Dependent means an Enrolled Employee's eligible dependent who is listed on the Enrolled Employee's application, has completed an enrollment form and is enrolled under this Contract. The term "Member" refers to an Enrolled Employee or an Enrolled Dependent. Other terms are defined where they are first used or in the definitions section of the Group Policy. ARCHES HEALTH PLAN ▇▇▇▇ ▇. ▇▇▇▇▇ Chief Executive Officer This Contract, including the Group's application, Plan Summary and Summary of Benefits and Coverage (SBC) (Exhibit A): Rates, Plans, and Coverage Periods (Exhibit B), the Group Policy (Exhibit C) and any amendments, endorsements or riders and any subsequent renewals thereof constitute and is the entire agreement between City of ▇▇▇▇▇ (Group) and Arches Health Plan concerning the subject matter of this Contract. It states all the terms of the coverage and supersedes and cancels all and any prior contracts issued to the Group by Us. No modifications of or additions to this Contract will be binding upon Us unless set forth in an amendment, endorsement or rider issued by Us and signed by one of Our authorized officers. The Group must continuously satisfy the requirements of this section, this Contract and the Group's application in order to become enrolled and remain enrolled under this Contract. In order to qualify as an employer and to maintain eligibility for this employer health insurance Contract, the Group must be a bona fide person (including sole proprietors or self-employed individuals), firm, corporation (including Limited Liability Corporations, or LLCs), partnership (including Limited Liability Partnerships (LLPs)), labor union or political subdivision. In order to be eligible, a Group must: accept billing on a consolidated basis and collect any required employee contributions via payroll deductions; be actively engaged in legal business activity; be licensed to conduct business in the state and obtain other business licenses as required by law; employ at least two employees on the first day of the plan year with a normal work week of the number of hours indicated in the Group's application, the majority (75 percent or more) of whom are employed within Our service area and with which a bona fide employer-employee relationship exists; and have a status as a legal entity with authority to contract for health insurance coverage and not be formed primarily for purposes of buying health insurance.
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Examples of Enrolled Dependent in a sentence

  • When a Dependent enrolls, we refer to that person as an Enrolled Dependent.

  • Coverage will continue as long as the Enrolled Dependent child is medically certified as disabled and dependent unless coverage otherwise ends in accordance with the terms of this Policy.

  • Coverage for an unmarried Enrolled Dependent child who is disabled will not end just because the child has reached a certain age.

  • Coverage for an unmarried Enrolled Dependent child who is incapacitated will not end just because the child has reached a certain age.

  • Coverage will continue as long as the Enrolled Dependent child is medically certified as incapacitated and dependent unless coverage otherwise ends in accordance with the terms of this Policy.

  • We will extend the coverage for that child beyond this age if both of the following are true: • The Enrolled Dependent child is not able to support him/herself because of mental, developmental, or physical disability.

  • We will extend the coverage for that child beyond this age if both of the following are true: • The Enrolled Dependent child is not able to support him/herself because of mental, developmental, or physical incapacity that originated before the Enrolled Dependent child attained the limiting age.

  • Please refer to Section 8: Defined Terms for definitions of the terms “Eligible Person,” “Policyholder,” "Dependent" and "Enrolled Dependent." If the Maryland Health Benefit Exchange determines you are no longer eligible for coverage through the exchange, you may continue coverage with us outside of the exchange.

  • 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 are the custodial parent of an Enrolled Dependent child, you must select a Network Primary Care Physician who is located in the Network Area, for that child.


More Definitions of Enrolled Dependent

Enrolled Dependent means each of the Dependents whom a Participant has elected to cover under the Plan as his or her Dependent.
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