Common use of NEWBORN COVERAGE Clause in Contracts

NEWBORN COVERAGE. (a) If born from a Covered Preg- ▇▇▇▇▇: i. Provisional coverage: If born from a covered preg- ▇▇▇▇▇, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsurance. ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effec- tive as of the date of birth, coverage with applicable deductible and coinsurance will then be up to the policy limits. Policy limits for complica- tions of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i. The premium for the addi- tion is due at the time of the notification of birth. If such notification is not received within 90 days of birth, then an application for insurance is required on the addition and will be subject to under- writing. iii. Well baby Care: Only covered as stated in the “Maternity Care” provision of this policy. (b) If NOT born from a Covered Pregnancy, there is no provi- sional coverage for the newborn. To add a newborn to the policy, payment of the premium and submission of a completed application for insurance which is subject to underwriting by the Insurer, are required.

Appears in 2 contracts

Sources: Insurance Agreement, Membership Agreement

NEWBORN COVERAGE. (a) If born from a Covered Preg- ▇▇▇▇▇: i. Provisional coverage: If born from a covered preg- ▇▇▇▇▇pregnancy, each newborn will automatically auto- matically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five ten thousand dollars ($25,00010,000) with no deductible or coinsurancecoin- surance. ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effec- tive Effective as of the date of birth, coverage with applicable deductible and coinsurance will then be up to the policy limits. Policy limits for complica- tions compli- cations of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i. The premium for the addi- tion is due at the time of the notification of birth. If such notification is not received within 90 days of birth, then an application for insurance is required on the addition and will be subject to under- writing. iii. Well baby Carecare: Only covered as stated in the “Maternity Care” provision of this policy. (b) If NOT born from a Covered Pregnancy, there is no provi- sional provisional coverage for the newborn. To add a newborn to the policy, payment of the premium and submission of a completed application for insurance which is subject to underwriting by the Insurer, are required.

Appears in 1 contract

Sources: Insurance Policy

NEWBORN COVERAGE. (a) If born from a Covered Preg- ▇▇▇▇▇: i. Provisional coverage: If born from a covered preg- ▇▇▇▇▇pregnancy, each newborn will automatically auto- matically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five ten thousand dollars ($25,00010,000) with no deductible or coinsurancecoin- surance. ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effec- tive Effective as of the date of birth, coverage with applicable deductible and coinsurance will then be up to the policy limits. Policy limits for complica- tions compli- cations of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i. The premium for the addi- tion is due at the time of the notification of birth. If such notification is not received within 90 days of birth, then an application for insurance is required on the addition and will be subject to under- writing. iii. Well baby Carecare: Only covered as stated in the “Maternity Care” provision of this policy. (b) If NOT born from a Covered Pregnancy, there is no provi- sional coverage for the newborn. To add a newborn to the policy, payment of the premium and submission of a completed application for insurance which is subject to underwriting by the Insurer, are required.

Appears in 1 contract

Sources: Insurance Policy