CHANGING FAMILY MEMBERS ON THE MEMBER’S PLAN Clause Samples

CHANGING FAMILY MEMBERS ON THE MEMBER’S PLAN. The Schedule of Eligibility lets the You know when You may add additional family members to the Your policy. Please read the Schedule of Eligibility and this section as they contain important information for the Member. If Your coverage was purchased On-Exchange: You will need to make all policy changes directly through the Exchange. If Your coverage was purchased Off-Exchange through an agent or through Blue Cross and Blue Shield of Louisiana: You will need to make all policy changes through the agent or through Blue Cross and Blue Shield of Louisiana. An Employee / Enrollment Change Form is the document that We must receive in order to enroll family members not listed on the Member’s original application/enrollment form. Because the Member is covered under a Group insurance contract, it is extremely important that the Member follow the timing rules in the Schedule of Eligibility for making these changes to the Member’s policy. If the Member does not complete and return a required an Employee / Enrollment Change Form to Us so We receive it within the timeframes set out in the Schedule of Eligibility, it is possible that the Member’s insurance coverage will not be expanded to include the additional family members. Completing and returning an Employee / Enrollment Change Form is especially important when the Member’s first Dependent becomes eligible for coverage or when the Member no longer has any eligible Dependents.