Common use of Coverage for an Adopted Child Clause in Contracts

Coverage for an Adopted Child. Coverage for children under this contract will be provided for the adopted child of a member who has family coverage. Coverage is provided from the moment of placement to a child the member proposes to adopt who is placed in the member’s residence in compliance with Chapter 63, Florida Statues. A newborn infant who is adopted by the member is covered from the moment of birth if a written agreement to adopt such child has been entered into prior to the birth of the child, whether or not such agreement is enforceable. However, coverage will not be provided in the event the child is not ultimately placed in the member’s residence in compliance with chapter 63, Florida Statutes. The member’s adopted child is covered from the moment of placement in the residence, or if a newborn, from the moment of birth, if the child is enrolled timely as specified in the Special and Limited Enrollment Period provision. Additional premium will be required to continue coverage beyond the 31st day following placement of the child and we have received notification from the Marketplace. The required premium will be calculated from the date of placement for adoption. Coverage of the child will terminate on the 31st day following placement, unless we have received both: (A) Notification of the addition of the child from the Marketplace within 60 days of the birth or placement and (B) any additional premium required for the addition of the child within 90 days of the date of placement

Appears in 2 contracts

Samples: ambetter.sunshinehealth.com, api.centene.com

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Coverage for an Adopted Child. Coverage for children under this contract will be provided for the adopted child of a member who has family coveragecoverage in force. Coverage is provided from the moment of placement to a child the member proposes to adopt who is placed in the member’s residence in compliance with Chapter 63, Florida StatuesStatutes. A newborn infant who is adopted by the member is covered from the moment of birth if a written agreement to adopt such child has been entered into prior to the birth of the child, whether or not such agreement is enforceable. However, coverage will not be provided in the event the child is not ultimately placed in the member’s residence in compliance with chapter 63, Florida Statutes. The member’s adopted child is covered from the moment of placement in the residence, or if a newborn, from the moment of birth, if the child is enrolled timely as specified in the Special and Limited Enrollment Period provision. Additional premium will be required to continue coverage beyond the 31st day following placement of the child and we have received notification from the Marketplace. The required premium will be calculated from the date of placement for adoption. Coverage of the child will terminate on the 31st day following placement, unless we have received both: (A) Notification of the addition of the child from the Marketplace within 60 days of the birth or placement and (B) any additional premium required for the addition of the child within 90 days of the date of placement

Appears in 2 contracts

Samples: api.centene.com, ambetter.sunshinehealth.com

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