Process of Enrollment Clause Samples

Process of Enrollment. GROUP's application to contract with Oscar Health Plan of California for coverage of one or more of its Employees will be reviewed by the SHOP for completeness and eligibility. Oscar Health Plan of California 's receipt of transmitted application data of GROUP from the SHOP will constitute the filing of that application with Oscar Health Plan of California. The SHOP will notify GROUP and its employees of its acceptance and the effective date of coverage for its employees. The GROUP shall specify the waiting period for coverage in the Employer’s Employee Benefit Plan documents, which shall be equally applicable to all Employees and dependents. The waiting period shall not exceed 90 days.

Process of Enrollment. GROUP's application to contract with Oscar Health Plan of California for coverage of one or more of its Employees will be reviewed by the SHOP for completeness and eligibility. Oscar Health Plan of California 's receipt of transmitted application data of GROUP from the SHOP will constitute the filing of that application with Oscar Health Plan of California. The SHOP will notify GROUP and its employees of its acceptance and the effective date of coverage for its employees. The GROUP shall specify the waiting period for coverage in the Employer’s Employee Benefit Plan documents, which shall be equally applicable to all Employees and dependents. The waiting period shall not exceed 90 days. The Evidence of Coverage describes the separate plan(s) of covered services and benefits, as well as excluded benefits, which Oscar Health Plan of California agrees to provide to GROUP's Enrollees, pursuant to GROUP’s choice through SHOP. GROUP understands that one Employee and his or her designated dependents may select one of these plans, and other GROUP Employees and their respective designated dependents may select the same or another of the described benefit plans, but an Employee and his or her designated dependents must all select the same benefit plan, although they may select different medical groups and primary care physicians. The SHOP plans offered pursuant to the terms of the Agreement and this Supplement are the only benefits which are covered benefits offered by Oscar Health Plan of California to GROUP through SHOP. Oscar Health Plan of California itself shall make all benefit and coverage determinations. All such determinations shall be subject to Oscar Health Plan of California's grievance procedures.