Common use of Effective Date of Enrollment Clause in Contracts

Effective Date of Enrollment. 2.7.1 Except for newborns, enrollment with the Contractor shall be effective on the later of the following dates: 2.7.1.1 If the enrollment is processed on or before the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the month following the month in which the enrollment is processed; or 2.7.1.2 If the enrollment is processed after the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the second month following the month in which the enrollment is processed. 2.7.2 Newborns whose mothers are enrollees shall be deemed enrollees and enrolled beginning from the newborn’s date of birth or the mother’s date of enrollment, whichever is later. If the mother is disenrolled before the newborn receives a separate client identifier from DSHS, the newborn’s coverage shall end when the mother’s coverage ends, except as provided in Section 11.11, Enrollee Hospitalized at Disenrollment. If the newborn does not receive a separate client identifier by the sixtieth (60th) day of life, supplemental premiums and coverage shall only be available through the end of the month in which the sixtieth (60th) day of life falls in accord with Healthy Options Licensed Health Carrier Billing Instructions, published by DSHS (see Attachment A for website link). 2.7.3 Adopted children shall be covered consistent with the provisions of Title 48 RCW. 2.7.4 No retroactive coverage is provided under this Contract, except as described in this Section.

Effective Date of Enrollment. 2.7.1 Except for newbornsnewborns whose mother is enrolled in a Healthy Options/SCHIP plan, enrollment with the Contractor shall be effective on the later of the following dates: 2.7.1.1 If the enrollment is processed on or before the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the month following the month in which the enrollment is processed; or 2.7.1.2 If the enrollment is processed after the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the second month following the month in which the enrollment is processed. 2.7.2 Newborns whose mothers are enrollees shall be deemed enrollees and enrolled beginning from the newborn’s date of birth or the mother’s date of enrollment, whichever is later. If the mother is disenrolled before the newborn receives a separate client identifier from DSHS, the newborn’s coverage shall end when the mother’s coverage ends, except as provided in Section 11.1111.12, Enrollee Hospitalized at Disenrollment. If the newborn does not receive a separate client identifier by the sixtieth (60th) day of life, supplemental premiums and coverage shall only be available through the end of the month in which the sixtieth (60th) day of life falls in accord with Healthy Options Licensed Health Carrier Billing Instructions, published by DSHS (see Attachment See Exhibit A for website link). 2.7.3 Adopted children shall be covered consistent with the provisions of Title 48 RCW. 2.7.4 No retroactive coverage is provided under this Contract, except as described in this Section.

Effective Date of Enrollment. 2.7.1 4.7.1. Except for newbornsa newborn whose mother is enrolled in a Healthy Options/SCHIP plan, enrollment with the Contractor shall be effective on the later of the following dates: 2.7.1.1 4.7.1.1. If the enrollment is processed on or before the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the month following the month in which the enrollment is processed; or 2.7.1.2 4.7.1.2. If the enrollment is processed after the DSHS cut-off date for enrollment, enrollment shall be effective the first day of the second month following the month in which the enrollment is processed. 2.7.2 4.7.2. Newborns whose mothers are enrollees shall be deemed enrollees and enrolled beginning from the newborn’s date of birth or the mother’s date of enrollment, whichever is later. If the mother mother’s enrollment is disenrolled ended before the newborn receives a separate client identifier from DSHS, the newborn’s coverage enrollment shall end when the mother’s coverage enrollment ends, except as provided in Section 11.11, the provisions of the Enrollee Hospitalized at DisenrollmentTermination of Enrollment of the Benefits Section of this Contract. If the newborn does not receive a separate client identifier by the sixtieth (60th) day of life, supplemental premiums and coverage enrollment shall only be available through the end of the month in which the sixtieth (60th) day of life falls in accord with Healthy Options Licensed Health Carrier Billing Instructions, published by DSHS and incorporated by reference (see Attachment A for website link). 2.7.3 4.7.3. Adopted children shall be covered consistent with the provisions of Title 48 RCW. 2.7.4 4.7.4. No retroactive coverage is provided under this Contract, except as described in this SectionSection or by mutual agreement by both parties to this Contract.