Pre-Existing Conditions Clause Samples

Pre-Existing Conditions. An employee shall not be entitled to Long Term Disability benefits from this Plan if his/her total disability resulted from an accident, sickness or mental or nervous disorder with respect to which medical treatment, services or supplies were received in the ninety (90) day period prior to the date of hire unless he/she has completed twelve (12) consecutive months of service after the date of hire during which time he/she has not been absent from work due to the aforementioned accident, sickness or mental or nervous disorder with respect to which medical treatment, services or supplies were received. This clause does not apply to present employees who have been continuously employed since April 1, 1977.

Pre-Existing Conditions. A disability that results from an accident, illness, mental or nervous disorder for which the employee received treatment or medical supplies within the ninety (90) day period prior to joining the plan will not be covered unless the employee has completed twelve (12) consecutive months of employment during which he was not absent from work from the aforementioned accident, sickness or mental disorder.

Pre-Existing Conditions. Pre-existing conditions fall into two (2) categories: (a) Disclosed at the time of the application: i. Free of symptoms, signs, and treatment during the five (5) year period prior to the effective date of the policy, pre-existing conditions are covered upon expiration of the sixty-day (60-day) waiting period, unless specifically excluded by an amendment to the policy. ii. With symptoms, signs, or treatment any time during the five (5) year period prior to the effective date of the policy, pre-existing conditions will be covered after two (2) years from the effective date of the policy, unless specifically excluded by an amendment to the policy. (b) Not disclosed at the time of application: Pre-existing conditions not disclosed at the time of the application will NEVER be covered during the lifetime of the policy. Furthermore, the insurer retains the right to rescind, cancel or modify the policy based on the insured’s failure to disclose any such conditions.

Pre-Existing Conditions. Any charges in connection with pre-existing conditions, except as defined and addressed in this policy.

Pre-Existing Conditions. For a period of 12 months from the enrollment date, We do not Cover any conditions for which medical advice was given, treatment was recommended by or received from a physician within six (6) months before the effective date of Your coverage. We will not treat genetic information as a pre-existing condition in the absence of a diagnosis of the condition related to such information. The pre-existing condition exclusion does not apply to the pediatric dental essential health benefit.

Pre-Existing Conditions. An employee shall not be entitled to long-term disability benefits from this plan if their total disability resulted from an accident or sickness with respect to which medical treatment, services or supplies were received in the ninety (90) day period prior to the date of hire unless they have completed twelve (12) consecutive months of service after the date of hire during which time they have not been absent from work due to the aforementioned accident or sickness with respect to which medical treatment, services or supplies were received. This section does not apply to present employees who have been continuously employed since April 1, 1977.

Pre-Existing Conditions. Purchaser shall, and shall cause its Affiliates to, (i) waive limitations on benefits relating to any pre-existing conditions of the Transferred Employees and their eligible dependents to the extent that such limitations were waived under the applicable employee benefit or welfare plan in which such Transferred Employee participated prior to the Transfer Date, and (ii) use reasonable best efforts to recognize for purposes of annual deductible and out-of-pocket limits under their health plans applicable to Transferred Employees, deductible and out-of-pocket expenses paid by Transferred Employees and their respective dependents under Seller’s or any of its Affiliates’ health or welfare plans in the calendar year in which the Transfer Date occurs.

Pre-Existing Conditions. This policy does not cover death due to Pre-existing conditions within the first 12 months from the Policy issue date. When this happens, We will refund the Premiums paid without interest, less any amounts owing to Us from this policy.

Pre-Existing Conditions. A Pre-Existing Condition exclusion applies to the Trip Cancellation and Trip Interruption benefits. Please see Limitations and Exclusions under sections 6 through 8 for details. If You have any questions regarding Pre-Existing Conditions and/or want to confirm coverage, please contact Our Administrator at ▇-▇▇▇-▇▇▇-▇▇▇▇ or at (▇▇▇) ▇▇▇-▇▇▇▇. If You need to cancel or interrupt a trip: If a Covered Cause for Cancellation or Interruption occurs, You or, if applicable, an Insured Person, must phone the Administrator immediately. Please see section 11 for contact information.