Common use of Written Statement Clause in Contracts

Written Statement. The Group or CareFirst BlueChoice may require an employee declining coverage (for the employee or any Dependent of the employee) to state in writing whether the coverage is being declined due to other health coverage only if, at or before the time the employee declines coverage, the employee is provided with notice of the requirement to provide the statement (and the consequences of the employee’s failure to provide the statement). If the Group or CareFirst BlueChoice requires such a statement and an employee does not provide it, the Group and CareFirst BlueChoice are not required to provide special enrollment to the employee or any Dependent of the employee under paragraph 2.6A.3.d). The Group and CareFirst BlueChoice must treat an employee as having satisfied the requirement permitted under paragraph 2.6A.3.d) if the employee provides a written statement that coverage was being declined because the employee or Dependent had other coverage; the Group and CareFirst BlueChoice cannot require anything more for the employee to satisfy this requirement than to provide a written statement. (For example, the Group and CareFirst BlueChoice cannot require that the statement be notarized.)

Appears in 3 contracts

Samples: www.hhs.gov, insurance.maryland.gov, insurance.maryland.gov

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Written Statement. The Group or CareFirst BlueChoice may require an employee declining coverage (for the employee or any Dependent of the employee) to state in writing whether the coverage is being declined due to other health coverage only if, at or before the time the employee declines coverage, the employee is provided with notice of the requirement to provide the statement (and the consequences of the employee’s 's failure to provide the statement). If the Group or CareFirst BlueChoice requires such a statement statement, and an employee does not provide it, the Group and CareFirst BlueChoice are not required to provide special enrollment to the employee or any Dependent of the employee under paragraph 2.6A.3.d)this paragraph. The Group and CareFirst BlueChoice must treat an employee as having satisfied the requirement permitted under this paragraph 2.6A.3.d) if the employee provides a written statement that coverage was being declined because the employee or Dependent had other coverage; the Group and CareFirst BlueChoice cannot require anything more for the employee to satisfy this requirement than to provide a written statement. (For example, the Group and CareFirst BlueChoice cannot require that the statement be notarized.)

Appears in 1 contract

Samples: www.gradymgt.com

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