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Health Insurance - Western Michigan University
PPM Section 14 - Insurance plans: health insurance . For each qualifying event, certain documentation must be provided, as follows: Marriage (marriage .
http://www.wmich.edu/hr/ppm/14-2-health.html

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Insurance - Advancing Smartly | Legal Handbook for Michigan Seniors
Then the insurance plan must tell the qualified beneficiary of her right to choose continuing health coverage. (Note: if the qualifying event is a divorce, loss of .
http://www.legalhotlines.org/elm/advancingsmartly/insurance.html

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California Health and Safety Code Section 1366.21 - California ...
Feb 13, 2012 . (b) "Group benefit plan" means any health care service plan contract . Section 1357) and has a qualifying event, as defined in subdivision (d).
http://law.onecle.com/california/health/1366.21.html


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Employee Handbook - Insurance Plans - Western Michigan University
Enrollment in health insurance, life insurance, and long-term disability . Eligible dependents not added to your coverage within 31 days of a qualifying event .
http://www.wmich.edu/hr/handbook/13-insurance.html

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ORSSCHOOLS - Health/Dental Vision Insurance - State of Michigan
Health, Prescription Drug, and Dental/Vision Insurance . within 30 days of your loss of coverage or qualifying event, there will be no gap in your coverage.
http://www.michigan.gov/orsschools/0,4653,7-206-36502_36506_36508---,00.html

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Health & Dental Enrollment Change Application - Tennessee
Name (First, MI, Last) . the plan back for all of my dependent's health care bills. . I or my dependents will have to provide proof of a special qualifying event.
http://www.tn.gov/finance/ins/pdf/1043.pdf

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Michigan Health Insurance | Questions & Answers
Answers to Frequently Asked Michigan Health Insurance Questions . Plan Coverage: Beneficiary Coverage: Qualifying Events: Chart: Periods of Coverage .
http://www.mihealthnetwork.com/answers.htm

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Michigan Health Insurance, MI Health Insurance Plans, Michigan ...
If you or your family is without health insurance in Michigan (or simply want to find a . a qualifying event that causes them to lose MI group health coverage.
http://www.healthquote360.com/State_Health_Insurance/Michigan_Health_Insurance.php

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What Qualifies As a Change of Events in Health Insurance | eHow.com
A change in family status is a qualifying event. If you get married or divorced or if you become legally separated, you can change your health insurance outside .
http://www.ehow.com/list_5972643_qualifies-change-events-health-insurance.html

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Qualifying Event Enrollment Form.indd
Student Name (Last, First, MI) . Identify the qualifying event which caused the loss of other medical coverage . HEALTH INSURANCE ENROLLMENT FORM .
http://www.jbu.edu/assets/student_accounts/resource/file/2012/Qualifying_Event_Form_-_UG_ONLY.pdf

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Qualifying event Legal Definition - Lawyers.com
Qualifying events for continuation of group health insurance coverage include the death, divorce, or legal separation of the employee, termination from .
http://research.lawyers.com/glossary/qualifying-event.html

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A CONSUMER'S GUIDE TO GETTING AND KEEPING HEALTH ...
In Michigan, as in many other states, your health insurance options are somewhat . qualifying event, the group health plan has 14 days to send you a notice .
http://healthinsuranceinfo.net/statecoverageguides/MichiganHealthInsuranceGuide.pdf

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HEALTH CARE REIMBURSEMENT ACCOUNT
University of Michigan Group Health Plan (the Plan) . Qualifying Event: Employee's Child or Other Qualified Adult Ceased To Be An Eligible Dependent Under .
http://benefits.umich.edu/forms/cobrasecond.pdf

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Anthem QA
These qualifying events are: loss of other health insurance coverage, marriage, birth, adoption, or placement for adoption. 5. What do I need to know about .
http://www.mishawaka.k12.in.us/documents/benefits%20forms/Anthem%20QA.pdf

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Qualifying event | Health care coverage - Updates in Michigan ...
Mar 18, 2010 . Ins In today's economy, especially with health care insurers under high scrutiny, family law practitioners and families in transition need to be .
http://jeannehannah.typepad.com/blog_jeanne_hannah_traver/2010/03/qualifying-event-health-care-coverage.html

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Health Care Flexible Spending Account Qualifying Event Mid
The Health Care Flexible Spending Account Program is a division oi the Ot?oe of Labor Relations' Pre-Tax Eiene?is Program . QUALIFYING EVENT MID-YEAR CHANGE FORM . Last Name: First Name: M.I.: Social Security Number: .
http://www.ufanyc.org/pdf/healthflexclaimsmidyr.pdf

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HealthChoice Program Handbook and ... - Wayne County, Michigan
Continue health care coverage for yourself, spouse or dependents if there is a loss of coverage under the plan as a result of a qualifying event. You or your .
http://www.co.wayne.mi.us/documents/HCHandBook.pdf

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MiCSC - Forms - State of Michigan
This form is to be used by employees to report a qualified life event in either the Health Care or Dependent Care Spending Account for the current calendar year.
http://www.michigan.gov/mdcs/0,4614,7-147-22854_23317---,00.html

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Qualifying Event Enrollment Form.indd
ENROLLMENT BY QUALIFYING EVENT . Student Name (Last, First, MI) . Identify the qualifying event which caused the loss of other medical coverage for you .
https://www.academichealthplans.com/davidson/2012-2013/pdf/Qualifying%20Event%20Form.pdf

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GRADCARE - Benefits Office - University of Michigan
Blue Care Network (BCN) is a Michigan Health Maintenance Organization that . Within 31 days of a 'qualifying event' that is, birth, marriage, placement for .
http://benefits.umich.edu/forms/gradcare_bcn.pdf

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COBRA - Starting State: Your Guide to Employment at Michigan ...
This notice generally explains COBRA continuation coverage, when it may become . available to you when you would otherwise lose your group health coverage. . After a qualifying event, COBRA continuation coverage must be offered to .
http://startingstate.msu.edu/benefits/cobra.html

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Group billing and payment | Priority Health | Leading Michigan ...
Mar 28, 2012 . Priority Health - a leading Michigan health insurance company . You must make these changes within 30 days of the qualifying event.Go to the .
https://www.priorityhealth.com/agent/manual/billing

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BCBSM Enrollment/Change of Status Form
Also please check the original COBRA qualifying event. To change a subscriber/ dependent(s) health care coverage, indicate BCBSM/BCN effective date.
http://www.oakland.edu/upload/docs/UHR/bcbsenrollmentchangeform.pdf

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GROUP COVERAGE CONTINUATION ELECTION FORM
I am eligible for continuation of medical coverage due to (check one): . all dependent family members continuing coverage. Last Name. First Name. M.I.. Birth Date . coverage available to me as a result of the qualifying event indicated above.
http://www.pacificsource.com/admin/continuation-election-form.pdf

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Application for Waiver of the Pre-Existing Waiting Period
during which coverage for pre-existing medical conditions is not available. . of Michigan defines a group health plan as a group with at least two subscribers enrolled. . is between 18 and 36 months, depending upon your qualifying event.
http://www.bcbsm.com/pdf/Application-for-Waiver-of-the-Pre-Existing-Condition.pdf

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SPD: Qualifying Events
A life event change, also called a qualifying event, is a personal change in . time of your hire because of other health insurance or group health plan coverage, .
http://www.in.gov/spd/2531.htm

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Appendix C: Qualifying Life Events that May Permit a Change in Your FEHB Enrollment . . Medicaid and the Children's Health Insurance Program (CHIP) .
http://www.opm.gov/insure/health/planinfo/2012/guides/70-5.pdf

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About COBRA Health Insurance in Michigan | eHow.com
How to Apply for Michigan Cobra Insurance; How Does COBRA Health Insurance Work . Employees can experience a qualifying event for COBRA continuation .
http://www.ehow.com/about_5432489_cobra-health-insurance-michigan.html

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Medical/Dental/Vision Qualifying Event Enrollment Form
Medical/Dental/Vision Qualifying Event Enrollment Form. Employee Last Name. First Name. MI Birthdate. Sex. Duke Unique ID. Qualifying Event. Date .
http://www.hr.duke.edu/forms/pdf/health_dental_vision2012_QLE.pdf

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Group Health Plan Disenrollment - Employee Disenrollment Form
Providing Quality Health Care to Coloradans since 1974. . MI. Effective Date Of Disenrollment*(eg. MM/DD/YYYY). Subscriber Address . different than the plan in which the individual was enrolled at the time of the qualifying event, if that plan .
https://www.rmhp.org/employer-groups/administrator-resources/employee-disenrollment-form.aspx

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Human Resources - COBRA Benefits - Lawrence Tech
Qualifying events are certain events that would cause an individual to lose health coverage. The type of qualifying event will determine who the qualifying .
http://www.ltu.edu/human_resources/cobra.asp

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Election of COBRA Continued Coverage
Name of Insured Employee (Last, First, MI) . continue their health care coverage when there is a “qualifying event” that would result in a loss of coverage under .
http://www.guardianlife.com/Forms/findaform/groupadmin/GG-975ELECTIONOFCONTINUEDCOVER

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COBRASecure Qualifying Event Form
drop of coverage is not a Qualifying Event; the Entitlement . Suffix. Spouse s First Name. MI. Spouses Home Address. Apt No. City. State . The monthly BEST lex Plan Health Care FSA premium is calculated as fo lows: Plan year elec ion .
http://www.ebcflex.com/portals/1/pdf/cobrasecure/qualevent.pdf

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7 Ways to Hang Onto Health Insurance Post-Divorce - Blogs - WebMD
Mar 15, 2012 . WebMD helps readers understand their health insurance and the . University of Michigan, about 16% of women lose health insurance . Divorce is considered a “qualifying event,” which means you'll be able to pick up health .
http://blogs.webmd.com/health-insurance-navigator/2012/03/7-ways-to-hang-onto-health-insurance-post-divorce.html

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Health Care Plan Waiver Form
Employee ID or SSN. Last Name. First Name. M.I.. Date of Birth . Submitting this completed form within 30 days of a qualifying event (your hire date or family . waive Vanderbilt Group Health Plan coverage effective as of the date of the event .
http://hr.vanderbilt.edu/forms/documents/HealthPlanWaiver.pdf

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Michigan Health Insurance
The employer is required to offer an employee and those families currently participating in the health insurance plan who experiences a “qualifying event” the .
http://www.workerscompquotes.us/pages/health_insurance/michigan_insurance.php

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Flexible Spending Accounts 2012 Plan Booklet - State of Michigan
have a qualifying life event. For Health Care FSA, refer to page 7. For Dependent Care FSA refer to page 11. You can only be reimbursed for eligible expenses .
http://www.michigan.gov/documents/mdcs/Flexible_Spending_Account_Plan_Booklet_365772_7.pdf

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