Reso 2010-1529 - Laserfiche WebLink

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a written agreement to adopt such child has been entered into (prior to the birth of the child) from the moment of birth (as provided in Part IX, Section 9.18). In the case of the newborn adopted child, however, coverage shall not be effective ifthe child is not ultimately placed in the Subscriber's residence in compliance with Florida law. Coverage for the newborn child of a covered Dependent of the Subscriber (other than the spouse of the Subscriber) shall terminate 18 months after the birth of the newborn child. In the event the Subscriber has a child, extended coverage may be available for that child until the end of the calendar year in which the child reaches age 30, if the child meets the following requirements: a) The child is unmarried and does not have a Dependent of his or her own; b) The child is a resident of Florida or a Full-Time or Part-Time Student; and c) The child is not provided coverage as a named Subscriber, insured, enrollee or covered person under any other group, blanket, or franchise health insurance policy or individual health benefits plan, or is not entitled to benefits under Title XVIIl of the Social Security Act. d) The child is not eligible to be covered unless the child was continuously covered by other creditable coverage without a gap in coverage of more than 63 days. No person is eligible to enroll hereunder who has had his coverage previously terminated under Subsection 8.01.05, except with the written approval of AvMed. Attainment of the limiting age by a Dependent child shall not operate to exclude from or terminate the coverage of such child, while such child is and continues to be both: 3.04.01 Incapable of self-sustaining employment by reason of mental retardation or physical handicap; and f) ) 3.02.07 3.02.08 o 3.03 3.04 ) Chiefly dependent upon the Subscriber for support and maintenance, provided proof of such incapacity and dependency is furnished to AvMed by Subscriber within 31 days of the child's attainment of the limiting age and subsequently as may be required by AvMed, bnt not more frequently than annually after the two-year period following the child's attainment of the limiting age. 3.05 During the term of this Contract, no changes in the Subscribing Group eligibility or requirements of participation shall be permitted to effect eligibility or enrollment under this Contract unless such change is agreed to by AvMed. 3.04.02 3.06 Eligible persons must reside within the continental United States, excluding Alaska and Hawaii. , IV. ENROLLMENT 4.0 I Prior to the effective date of this Contract and at a proper time prior to each armiversary thereof, AvMed may allow an open enrollment period of 31 days, in which any eligible employee on behalf of himself and his Dependents may elect to enroll in the Plan. 4.02 Except as provided for newborns, eligible employees and Dependents who meet the requirements of Sections 3.01 and 3.02 must enroll within 31 days after becoming eligible by submitting application forms acceptable to or provided by AvMed; otherwise, the eligible employees and Dependents may not enroll until the next open enrollment period of the Subscribing Group. 4.03 Special Enrollment Periods A V-CHOICE-2009 MP-5320 (10/09) 10