2. the date the Employee becomes eligible at the end of the Eligibility Waiting Period; 3. the date the Employee’s coverage becomes effective; 4. the date the dependent meets the definition of Dependent Child as applicable; 5. the first of the month following the date We or the Employer receive the completed enrollment form for Dependent Child coverage. b. The following provision is added: Newborn and Newly Adopted Children If notice and payment of additional premium are required for dependent coverage under this Policy, the Policy may require notice of birth, placement or adoption and payment of required premium as a condition of coverage for newborn and newly adopted children. The notification period shall be not less than 60 days from the date of birth for a newborn child or, for newly adopted children, 60 days from the earlier of the date of adoption or placement for adoption. The due date for payment of any additional premium, if required, shall be not less than 31 days following receipt by the health plan member of a billing for the required premium. Coverage for newborns and newly adopted children shall include coverage for Sickness caused by a Congenital Anomaly. c. Under the Group Enrollment Effective Dates, the following is added: The Dependent Child other than a newborn Dependent Child or a newly adopted Dependent Child, who is eligible to apply, but was not previously enrolled by the Employee, the Employee may apply or is insured the Employee may apply for an increase for coverage. The Dependent Child who is a newborn Dependent Child or a newly adopted Dependent Child, who is eligible to apply, but was not previously enrolled by the Employee, the Employee may apply or is insured the Employee may apply for an increase for coverage. 4) Under the Termination of Insurance section, the following is added: 1. for a Dependent Child, the date the Dependent Child, ceases to qualify as a Dependent Child. 5) Under the Exclusions and Limitations section, the following changes are made: a) The list of exclusions is replaced with the following: 1. intentionally self-inflicted Injury, suicide or any attempt thereof while sane or insane; 2. active participation in a felony, riot or insurrection; 3. declared or undeclared war or act of war; 4. a Covered Loss that results from active duty service in the military, naval or air force of any country or international organization. Upon Our receipt of proof of service, We will refund any premium paid for this time. Reserve or National Guard active duty training is not excluded unless it extends beyond 31 days. b) The Pre-Existing Condition Limitation provision is replaced with the following: Pre-Existing Condition Limitation No benefit will be paid for a Covered Loss caused or contributed to by, or resulting from, a Pre-existing Condition, except for a Congenital Anomaly of a covered dependent newborn or newly adopted child, and except for Childhood Conditions listed in the Schedule of Benefits for a Dependent Child covered from birth which begins in the first 12 months following the most recent effective date of Covered Person’s coverage, and the effective date of any added or increased amount of coverage. The term ''Pre-existing Condition'' means any Sickness or Injury for which a Covered Person received medical treatment, advice, care or services including diagnostic measures, took prescribed drugs or medicines within 6 months before the Covered Person’s most recent effective date of coverage, and the most recent effective date of any added or increased amount of coverage.
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