Common use of Who is Eligible for Coverage Clause in Contracts

Who is Eligible for Coverage. Dependent Children Children are covered until the first day of the month following their 19th birthday. SUMMARY OF BENEFITS This is a summary of your dental benefit coverage levels under this agreement. It includes information about coinsurance, deductibles, and visit limits. This summary is intended to give you a general understanding of the dental coverage available under this agreement. For more detailed information, please read Section 3.0 for the description of coverage for each particular covered service along with the related exclusions, and Section 4.0 for a list of general exclusions. Words or phrases used throughout this agreement that are in italics are defined in Section 8.0 - Glossary. The level of coverage and benefit limits are based on the age of the enrolled member. For members under the age of 19: In accordance with PPACA, this agreement provides coverage for the dentally necessary and medically necessary services listed in the columns of the Summary of Benefits labeled “MEMBERS UNDER THE AGE OF 19”. If an enrolled member turns 19 years old during the benefit year and continues to be a member under this agreement, this plan will not cover services in excess of the annual maximum benefit or benefit limits listed for “MEMBERS 19 YEARS OLD AND OLDER”. Services previously provided, during the benefit year, are counted in determining whether the annual maximum benefit or benefit limits have been met. For members age 19 and older:

Who is Eligible for Coverage. Dependent Children Children are covered until the first day of the month following their 19th 26th birthday. SUMMARY OF BENEFITS This is a summary of your dental benefit coverage levels under this agreement. It includes information about coinsurance, deductibles, and visit limits. This summary is intended to give you a general understanding of the dental coverage available under this agreement. For more detailed information, please read Section 3.0 for the description of coverage for each particular covered service along with the related exclusions, and Section 4.0 for a list of general exclusions. Words or phrases used throughout this agreement that are in italics are defined in Section 8.0 - Glossary. The level of coverage and benefit limits are based on the age of the enrolled member. For members under the age of 19: In accordance with PPACA, this agreement provides coverage for the dentally necessary and medically necessary services listed in the columns of the Summary of Benefits labeled “MEMBERS UNDER THE AGE OF 19”. If an enrolled member turns 19 years old during the benefit year and continues to be a member under this agreement, this plan will not cover services in excess of the annual maximum benefit or benefit limits listed for “MEMBERS 19 YEARS OLD AND OLDER”. Services previously provided, during the benefit year, are counted in determining whether the annual maximum benefit or benefit limits have been met. For members age 19 and older:

Who is Eligible for Coverage. Dependent Children Children are covered until the first day of the month following their 19th 26th birthday. SUMMARY OF BENEFITS This is a summary of your dental benefit coverage levels under this agreement. It includes information about coinsurance, deductibles, and visit limits. This summary is intended to give you a general understanding of the dental coverage available under this agreement. For more detailed information, please read Section 3.0 for the description of coverage for each particular covered service along with the related exclusions, and Section 4.0 for a list of general exclusions. Words or phrases used throughout this agreement that are in italics are defined in Section 8.0 - Glossary. The level of coverage and benefit limits are based on the age of the enrolled member. For members under the age of 19: In accordance with PPACA, this agreement provides coverage for the dentally necessary and medically necessary services listed in the columns of the Summary of Benefits labeled “MEMBERS UNDER THE AGE OF 19”. If an enrolled member turns 19 years old during the benefit calendar year and continues to be a member under this agreement, this plan will not cover services in excess of the annual maximum benefit or benefit limits listed for “MEMBERS 19 YEARS OLD AND OLDER”. Services previously provided, during the benefit calendar year, are counted in determining whether the annual maximum benefit or benefit limits have been met. For members age 19 and older:

Who is Eligible for Coverage. Dependent Children Children are covered until the first day of the month following their 19th 26th birthday. SUMMARY OF BENEFITS This is a summary of your dental benefit coverage levels under this agreement. It includes information about coinsurance, deductibles, and visit limits. This summary is intended to give you a general understanding of the dental coverage available under this agreement. For more detailed information, please read Section 3.0 for the description of coverage for each particular covered service along with the related exclusions, and Section 4.0 for a list of general exclusions. Words or phrases used throughout this agreement that are in italics are defined in Section 8.0 - Glossary. The level of coverage and benefit limits are based on the age of the enrolled member. For members under the age of 19: In accordance with PPACA, this agreement provides coverage for the dentally necessary and medically necessary services listed in the columns of the Summary of Benefits labeled “MEMBERS UNDER THE AGE OF 19”. The coverage for dental care services rendered to an enrolled child will end for the child on the first day of the month following their 19th birthday, unless otherwise specified in the Summary of Benefits. If an enrolled member turns 19 years old during the benefit year and continues to be a member under this agreement, this plan will not cover services in excess of the annual maximum benefit or benefit limits listed for “MEMBERS 19 YEARS OLD AND OLDER”. Services previously provided, during the benefit year, are counted in determining whether the annual maximum benefit or benefit limits have been met. For members age 19 and older: