Enrollment Exceptions Clause Samples
The Enrollment Exceptions clause defines the circumstances under which standard enrollment requirements or deadlines may be waived or modified. Typically, this clause outlines specific situations—such as medical emergencies, administrative errors, or other qualifying events—where an individual can enroll outside the usual periods or without meeting all standard criteria. Its core practical function is to provide flexibility and fairness in the enrollment process, ensuring that individuals are not unduly penalized for circumstances beyond their control.
Enrollment Exceptions. For purposes of this subsection, the term “spouse” shall be synonymous with legal civil union partner or bona fide domestic partner. Except in the case of new hire, marriage, legal civil union, bona fide domestic partnership, childbirth or adoption, divorce, dissolution of a legal civil union or a bona fide domestic partnership, death of a spouse, or spouse's job loss, enrollment will not be permitted outside the open enrollment period. An employee covered by one of the Plans shall not be allowed to change Plans outside the open enrollment period except in case of a permanent change of residence of such employee to a service area not covered by the managed care plan in which the employee is enrolled.
Enrollment Exceptions. For purposes of this subsection, the term “spouse” shall be synonymous with legal civil union partner or bona f ide domestic partner. Except in the case of new hire, marriage, legal civil union, bona fide domestic partnership, childbirth or adoption, divorce, dissolution of ▇ ▇ ▇▇▇▇ civil union or a bona fide domestic partnership, death of a sp ouse, or spouse's job loss, enrollment will not be permitted outside the open enrollment period. An employee covered by one of the Plans shall not be al lowed t o ch ange P lans outside t he open enr ollment per iod ex cept i n ca se of a per manent change of residence of such employee to a service area not covered by the managed care plan in which the employee is enrolled.