Reso 2010-1529 - Laserfiche WebLink

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) stating that the Dependent is suffering from a serious illness or injury and that the leave of absence is Medically Necessary. f) The child is age 19 or over and is wholly dependent on the Subscriber due to mental retardation or physical handicap. See Section 4.04. g) In the event an eligible Dependent child does not reside with the Subscriber, coverage will be extended when the Subscriber is obligated to provide medical care by a Qualified Medical Child Support Order. You (or your beneficiaries) may obtain, without charge, copies of the Plan's procedures governing Qualified Medical Child Support Orders and a sample Qualified Medical Child Support Order by contacting the Plan Administrator. h) In the case of a newborn child, AvMed should be notified in writing prior to the scheduled delivery date of the Subscriber's intention to enroll the newborn child, but such notice shall not be later than 31 days after the birth. If timely notice is provided, no additional premium will be charged for the additional coverage of the newborn during the 31-day period following the birth of the child. If timely notice is not provided, the additional premium for the additional coverage of the newborn child will be charged from the child's date of birth. If notice is not provided within 60 days of the birth, the child may not be enrolled until the next open enrollrnent period of the Subscribing Group. i) All services applicahle for covered Dependent children under this Contract shall be provided to an enrolled newborn child of the Subscriber or to the enrolled newborn child of a covered Dependent of the Subscriber or to the newborn adopted child of the Subscriber provided that 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 X, Section 10.18). In the case of the newborn adopted child, however, coverage shall not be effective if the child is not ultimately placed in the Subscriber's residence in cornpliance with Florida law. ') 1 ) j) 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 inay 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 XVIII 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. 4.03 No person is eligible to enroll hereunder who has had his coverage previously terminated under Part IX, Subsection 9.01.05, except with the written approval of AvMed. 4.02.03 4.04 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: 9 A V-G 1 00-2009 MP-5319 (10/09)