Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.
Appears in 12 contracts
Samples: www.avmed.org, www.avmed.org, www.avmed.org
Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The Effective Date effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.dependent.
Appears in 9 contracts
Samples: www.avmed.org, www.avmed.org, www.avmed.org
Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due. The Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.dependent.
Appears in 6 contracts
Samples: www.avmed.org, www.avmed.org, www.avmed.org
Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The Effective Date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.
Appears in 4 contracts
Samples: www.avmed.org, www.avmed.org, www.avmed.org
Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependentEligible Dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The Effective Date of coverage for the eligible dependent properly enrolled Eligible Dependent will be the date of the order. You must pay the additional Premium for coverage to be provided for to the eligible dependent.Eligible Dependent.
Appears in 2 contracts
Samples: Individual and Family Engage, www.avmed.org
Qualified Medical Child Support Order (QMCSO). If a court has ordered coverage to be provided by you for a minor child who is an eligible dependent, you must submit to us any required application or enrollment forms including a copy of the court order, along with any additional Premium due, within 60 days after the date of the order. The Effective Date effective date of coverage for the eligible dependent properly enrolled will be the date of the order. You must pay the additional Premium for coverage to be provided for the eligible dependent.dependent.
Appears in 1 contract
Samples: Avmed Engage