Common use of Employee and Dependent Effective Dates Clause in Contracts

Employee and Dependent Effective Dates. 1. A new employee and his/her eligible dependent(s), or an employee rehired after his/her coverage terminates, and his/her ▇▇▇- gible dependent(s) are eligible to participate in the plan on the first day of the month fol- lowing the employee’s eligibility date as determined by the employer. 2. Except at initial employment, an employee and his/her eligible dependents’ effective date of coverage is the first of the month coinciding with, or after the eligibility date and applicable waiting period. The effective date of coverage cannot be prior to the date of receipt of the enrollment by MCHCP, except for newborns. 3. The effective date of coverage for a life event shall be as follows: A. If enrollment by an employee is made before a wedding date, spouse’s cover- age becomes effective on the wedding date. The monthly premium is not prorated; B. If enrollment by an employee is made within thirty-one (31) days of a wed- ding date, spouse’s coverage becomes effec- tive the first of the month coinciding with or after receipt of the enrollment form and proof of eligibility; C. If enrollment by a subscriber is made for a newborn of a member, the effec- tive date for the newborn is the birth date. If enrollment is made by an employee due to the birth of a newborn of the employee, the effec- tive date for the employee and newborn is the first of the month coinciding with or after enrollment is received; D. If enrollment by an employee is made prior to the eligibility date for an adop- tion or placement of children, coverage becomes effective on the eligibility date; E. If enrollment by an employee is made within thirty-one (31) days after the eligibility date, for an adoption, or placement of children, coverage becomes effective on the first day of the calendar month coinciding with or after the date the enrollment is received; F. Legal guardianship and legal cus- tody. If enrollment by an employee is made due to legal guardianship or legal custody of a dependent within thirty-one (31) days of guardianship or custody effective date, the effective date for coverage is the first day of the calendar month coinciding with or after the date the enrollment is received; or

Appears in 2 contracts

Sources: Health Care Plan Rules, Health Care Plan Rules