ELIGIBILITY AND ELECTION OF COVERAGE Sample Clauses

ELIGIBILITY AND ELECTION OF COVERAGE. ELIGIBILITY Every Employee within the classification(s) set forth on the Master Group Application by the Employer who is Actively-at-Work and his or her Dependents are eligible for coverage on or after the Contract Effective Date provided the Employee has completed the period of continuous employment commonly referred to as the Waiting Period with the Employer, if applicable. The Waiting Period will never exceed 90 days. Neither an Employee nor the Employee’s Dependents shall be covered until the Employee is Actively-at-Work. An Employee or Dependent cannot be denied coverage simply because of a Health Status Related Factor. The Employee must be permanently working an average of 30 hours per week, including paid leave, unless 1) the Employee is on an Employer approved leave of absence equal to or less than 90 days, or 2) the Employee’s absence is otherwise protected by applicable law beyond the 90 day noted in subsection 1 above or FMLA, if applicable. An Employee’s receipt of a federal premium subsidy, taking any action to enforce his/her rights under applicable law, Health Status Related Factors, race, color, national origin, disability, sex, gender identity or sexual orientation will not affect eligibility or premiums for this coverage. ELECTION OF COVERAGE Any Employee eligible for coverage may elect coverage for himself or herself and any eligible Dependents by completing and filing with the Employer a Membership Application during the Employer’s applicable annual open enrollment period. In addition, new Employees may enroll within 31 days of the date they first become Employees or after satisfaction of the Waiting Period, if one exists, whichever is later. Dependents may be enrolled within 31 days of the date on which they first become Dependents. Note: Persons also may enroll if eligible under terms of Special Enrollment. The Employer shall furnish to the Administrator a list of eligible Employees and Dependents to be covered, together with such data, and in such timeframe, as may be required by the Administrator as a prerequisite to coverage under this Contract.
Sample 1
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Related to ELIGIBILITY AND ELECTION OF COVERAGE

  • Eligibility and Enrollment 2.3.1 The State of Georgia has the sole authority for determining eligibility for the Medicaid program and whether Medicaid beneficiaries are eligible for Enrollment in GF. DCH or its Agent will determine eligibility for PeachCare for Kids® and will collect applicable premiums. DCH or its agent will continue responsibility for the electronic eligibility verification system (EVS).

  • ELIGIBILITY and COVERAGE 3.1.0 The following ETFO represented employees are eligible to receive benefits through this Trust:

  • Certification of Coverage Engineer shall furnish County with a certification of coverage issued by the insurer. Engineer shall not cause any insurance to be canceled nor permit any insurance to lapse. In addition to any other notification requires set forth hereunder, Engineer shall also notify County, within twenty-four (24) hours of receipt, of any notices of expiration, cancellation, non-renewal, or material change in coverage it receives from its insurer.

  • Duration of Coverage All required insurance shall be maintained during the entire term of the Agreement. In addition, Insurance policies and coverage(s) written on a claims-made basis shall be maintained during the entire term of the Agreement and until 3 years following the later of termination of the Agreement and acceptance of all work provided under the Agreement, with the retroactive date of said insurance (as may be applicable) concurrent with the commencement of activities pursuant to this Agreement. 3.

  • Continuation of Coverage If your coverage is terminated, you may be eligible to continue your coverage in accordance with state or federal law. Continuation of Coverage According to State Law In accordance with R.I. General Laws §. 27-19.1, if your employment is terminated due to one of the following reason, your healthcare coverage may be continued, provided that you continue to pay the applicable premiums. • Involuntary layoff or death; • The workplace ceasing to exist; or • Permanent reduction in size of the workforce. The period of this continuation will be for up to eighteen (18) months from your termination date, but not to exceed the period of continuous employment preceding termination with your employer. The continuation period will end for any person covered under your policy on the date the person becomes employed by another group and is eligible for benefits under that group’s plan.

  • Termination of Coverage This Contract may be terminated as follows:

  • Verification of Coverage Prior to beginning any work under this Agreement, Consultant shall furnish City with certificates of insurance and with original endorsements effecting coverage required herein. The certificates and endorsements for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The City reserves the right to require complete, certified copies of all required insurance policies at any time.

  • Eligibility and Contributions a. All employees of the District are eligible to contribute to the Bank.

  • Insurance Eligibility Unclassified supervisors who receive an employer contribution to health/dental insurance and whose position/appointment ends for reasons other than work performance shall remain eligible for the same employer contributions for six (6) months from the date the position/appointment ends.

  • Spousal Eligibility a. For employees hired on or after August 1, 2003: If the spouse of an employee is covered by any PEBTF health care plan, and he/she is eligible for coverage under another employer’s plan(s), the spouse shall be required to enroll in each such plan, which shall be the spouse’s primary coverage, as a condition of the spouse’s eligibility for coverage by the PEBTF plan(s), without regard to whether the spouse’s plan requires cost sharing or to whether the spouse’s employer offers an incentive to the spouse not to enroll.

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