Changes During a Plan Year Sample Clauses

Changes During a Plan Year. If an employee, an employee's spouse or a dependent joins as a member of a health plan contract wh timely or qualified family status change, or at a time other than the initial eligibility for newly hired emplo (late enrollee) will be subject to an eighteen (18) month preexisting condition(s) waiting period. determine, subject to federal law, whether the preexisting condition(s) waiting period shall apply. Under certain circumstances, employees enrolled in a State health plan may change from single to fam may add dependents during the year without the eighteen (18) month preexisting condition(s) waiting that timely application is made and that only dependents directly affected by the event are added to cov may be made if a new application is submitted within thirty (30) calendar days of any of the following ev Marriage; Death of a spouse or dependent; Adoption of a child, addition of step children or xxxxxx children to the family; Employee or spouse reaches age 65; Spouse or dependents who through no election of their own, have lost coverage. Proof of loss shall be Loss of Coverage Statement signed and dated by the previous employer (which all employers are req law to provide upon request); Employee, spouse or dependent becomes eligible for Medicare; Divorce, annulment, legal separation, or dissolution of marriage; Dependent no longer eligible (age 19 or over and no longer a full-time student, or dependent marries). At the time of the birth of a biological child, the Plan 3 Plus and Iowa Select the redesigned PPO car newborn to the existing family health contract when information becomes available from any valid sour occurred, e.g., hospital or professional claims submission, or an enrollment form. The effective date of e the date of birth. Note: HMOs and ODSs require an enrollment form to be completed by the subscri