Common use of Requirements for Coverage Clause in Contracts

Requirements for Coverage. A. The individual must be eligible for coverage either as a Subscriber or if applicable, as a Dependent; B. The Subscriber must reside in the Service Area; C. The Subscriber and each enrolled Dependent either: 1. Must not have reached the age of thirty (30) prior to the Effective Date, or 2. Have received a certificate of exemption from the Maryland Health Benefits Exchange for the reasons identified Section 1302(e)(2)(B)(i) or (ii) of the Affordable Care Act. D. The Subscriber and any Dependent must timely enroll as provided in Sections 2.6 or 2.7 and CareFirst BlueChoice must receive Premium payments for each enrolled Member. SAMPLE