2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 9
If your Dependents are already enrolled in a benefit option available under the Health Care Plan and your
Dependent lost his or her other health coverage, that Dependent will be enrolled in the same benefit option
as your other Dependents under the Health Care Plan due to the special enrollment event of your Dependent.
You must submit the appropriate election and enrollment forms to the Employer within 31 days after the date
the other health coverage was lost. Coverage under the Health Care Plan will become effective on the day
following loss of coverage. Failure to enroll in the Health Care Plan within this 31-day period will result in no
coverage under the Health Care Plan.
(2)
Loss of Coverage under Medicaid or SCHIP or Eligibility for a State Premium Assistance Subsidy. If
your Dependents did not enroll in the Health Care Plan when initially eligible because your Dependents were
covered under Medicaid or a State sponsored Children’s Health Insurance Program (SCHIP) and coverage
terminates because your Dependents are no longer eligible for Medicaid or SCHIP or your Dependents
become eligible for a State premium assistance subsidy under Medicaid or SCHIP, you may enroll for
coverage under this Health Care Plan for your Dependents after Medicaid or SCHIP coverage terminates or
after your Dependents’ eligibility for a State assistance subsidy under Medicaid or SCHIP is determined.
You must submit the appropriate election and enrollment forms to the Employer within 60 days after coverage
under Medicaid or SCHIP terminates or within 60 days after eligibility for a State premium assistance subsidy
under Medicaid or SCHIP is determined. Coverage under the Health Care Plan will become effective on the
day following loss of coverage. Failure to enroll in the Health Care Plan within this 31-day period will result in
no coverage under the Health Care Plan.
(3)
Acquisition of a New Dependent. If you acquire a new Dependent as a result of marriage, birth, adoption or
placement for adoption, you may be able to enroll your Dependents for coverage under this Health Care Plan.
Your Dependents will be enrolled in the same benefit option as you are enrolled currently. You must submit
the appropriate election and enrollment forms to the Employer within 31 days after the date you acquire such
Dependent.
(a)
Coverage becomes effective for a Dependent Child who is born after the date your coverage becomes
effective as of such child’s date of birth provided you complete and submit the required election and
enrollment forms (including a payroll deduction authorization, if applicable) within 31 days after the
child’s birth. Failure to enroll in the Health Care Plan within this 31-day period will result in no coverage
under the Health Care Plan.
(b)
Coverage for a newly acquired Dependent due to marriage will be effective on the date of marriage
provided you complete and submit the required election and enrollment forms (including a payroll
deduction authorization, if applicable) within 31 days after your date of marriage. Failure to enroll in the
Health Care Plan within the 31-day period described above will result in no coverage under the Health
Care Plan.
(c)
Coverage for a newly acquired Dependent due to adoption (or placement with you in anticipation of
adoption) will be effective as of the date of adoption (or placement in anticipation of adoption) provided
you complete and submit the required election and enrollment forms (including a payroll deduction
authorization, if applicable) within 31 days after adoption or placement in anticipation of adoption, as
applicable. Failure to enroll in the Health Care Plan within the 31-day period described above will result
in no coverage under the Health Care Plan.
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