Late Entrant Definition | Law Insider (2024)

Late Entrant

means an individual who enrolls other than during the initial enrollment period or a special enrollment period as provided under Article III.

Late Entrant

means any Member or Eligible Dependent enrolling more than thirty one (31) days after first becoming eligible for coverage.

Examples of Late Entrant in a sentence

  • Paragraph 61 highlights the importance of the visual appearance and the architecture of individual buildings, but also addresses the importance of connections between people and places and the integration of new development into the natural, built and historic environment.

  • Late Entrant - Any Member or Eligible Dependent enrolling outside the Policyholder’s initial Eligibility Period as indicated in the Schedule of Benefits.

  • The Late Entrant Limitation provision, if any, will apply to any person who applies for insurance more than 31 days after the date the person first becomes eligible or after insurance ended because the premium was not paid.

  • The Late Entrant Limitation provision, if any, will not apply to your child if application is made during any annual enrollment period occurring prior to the child's third birthday.

  • Benefits for Type 4 services begun before or received during this Late Entrant Limitation Period will not be payable.BENEFIT PAYMENTS.


More Definitions of Late Entrant

Late Entrant

means any Participant who elects coverage more than 31 days after first becoming eligible for enrollment in the plan. If a Late Entrant Penalty is included in your plan, Late Entrants can elect coverage at any time after the initial enrollment period; however, benefits may be limited as expressly provided in the Summary Plan Description or Schedule of Benefits.

Late Entrant

means an employee or dependent who does not enroll during the initial period in which he or she is eligible to enroll, or during a special enrollment period when there is a change in family status or loss of coverage under another plan. Medical coverage for a late entrant will begin the date the former coverage ended as long as the application is made within thirty (30) days. Dental coverage starts later. See Dental Eligibility on page 10.

Late Entrant

means an individual who enrolls other than during the initial enrollment period or a special enrollment period as provided under the “Eligibility” section of this SPD.

Late Entrant

means a person who: - Becomes insured more than 31 days after he is eligible: or - Becomes insured again after his insurance ended due to non-payment of premium. The late entrant penalties are as follows:

Late Entrant

means an officer who on reaching the prescribed age for compulsory retirement completes or who, but for his retirement on account of a disability, would have completed fifteen years but not twenty years of commissioned service qualifying for pension:-

Late Entrant

means an individual who does not elect coverage under Your Employee Benefit Plan when he first meets its eligibility requirements, subsequently makes written application, is accepted and becomes enrolled. Late Entrant does not include an individual who first makes written application as a result of a Qualifying Event or who enrolls during any subsequent open enrollment period offered by Your Employee Benefit Plan.

Late Entrant

means a Participant who commences participation in the Plan on or after January 1, 2011.

Late Entrant Definition | Law Insider (2024)

FAQs

What is considered a late entrant in insurance? ›

Definition: A Late Enrollee is an individual who does not enroll in a group health plan at the first opportunity, but enrolls later if the plan has a general open enrollment period.

What is a late entrant? ›

Late Entrant means an employee or dependent who does not enroll during the initial period in which he or she is eligible to enroll, or during a special enrollment period when there is a change in family status or loss of group health coverage under another plan.

How many days late can you be on insurance? ›

Many insurance companies offer grace periods seven to 30 days after the due date.

What is late enrollment? ›

The Medicare Part D late enrollment penalty is a surcharge added to your Medicare Part D (prescription drug plan) monthly premium. Medicare gives this penalty to people who don't sign up for Part D drug coverage before Medicare enrollment period deadlines. It's not a 1-time fee, and in most cases, it's permanent.

What is the strategy of late market entry? ›

Low Price Advantage

The most obvious strategy for late entrants is to gain market share by entering at a price that is lower than that established by existing competitors.

What is meant by late mover? ›

The advantage a company gains by being one of the later entrants to sell a product or provide a service, when technology has improved and can be copied easily. Late mover advantage refers to the benefits that a company may receive by entering a market after other companies have already established themselves.

What is a late mover? ›

Late Mover Also called a late follower or a later market entrant, a late mover is a firm that enters a market some time after both the market pioneer(s) and after early follower firms.

Which of the following would be classified as a late enrollee in a group health insurance plan? ›

Individuals who do not enroll during the initial enrollment period are considered late enrollees and must provide evidence of insurability unless they wait until the next open enrollment period.

How far may an insurance company look back on pre existing conditions for a late enrollee under Hipaa? ›

The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.

What is a qualifying period in insurance? ›

Qualification period. A period of time during the first few months or weeks of a new policy when an insurance company will not reimburse a policyholder for a claim in order to allow the insurance company time to find any fraudulent information in the application.

Are there any advantages to entering a market late? ›

While first mover advantage is highly touted, there are substantial merits to the late mover strategy as well: Market Observation: Late movers have the distinct advantage of watching and learning from the experiences of their pioneering counterparts.

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