WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 94 Part 11 Group Policy This part applies to you when you enroll in this health plan as a group member. Under a group contract, the subscriber’s group has an agreement with Blue Cross Blue Shield HMO Blue to provide its group members with access to health care services and benefits. The group will make payments to Blue Cross Blue Shield HMO Blue for its group members for coverage in this health plan. The group should also deliver to its group members all notices from Blue Cross Blue Shield HMO Blue. The group is the subscriber’s agent and is not the agent of Blue Cross Blue Shield HMO Blue. For questions about enrollment and billing, you must contact the group (which may also be referred to as your plan sponsor). The plan sponsor is usually the subscriber’s employer and is the same as the plan sponsor designated under the Employee Retirement Income Security Act of 1974, as amended (ERISA). If you are not sure who your plan sponsor is, contact your employer. Important Note: If you enrolled in this health plan through the Massachusetts Health Connector, your group has a contract with the Health Connector and not Blue Cross Blue Shield HMO Blue. The group makes payments to the Health Connector for your coverage in this health plan. The Health Connector will send all notices to the subscriber. You must call the Health Connector directly for any questions about: your enrollment in this health plan; your premium payments; and any membership changes you need to make such as a change to your name or address. For any questions about your health plan coverage or your claims, you can call the Blue Cross Blue Shield HMO Blue customer service office. Eligibility and Enrollment for Group Coverage Eligible Employee An employee is eligible to enroll in this health plan as a subscriber under this group contract as long as the employee meets the rules on length of service, active employment, and number of hours worked that the plan sponsor has set to determine eligibility for group coverage. For details, contact your plan sponsor. Eligible Spouse The subscriber may enroll an eligible spouse for coverage in this health plan under their group contract. An “eligible spouse” includes the subscriber’s legal spouse. (A legal civil union spouse, where applicable, is eligible to enroll for coverage in this health plan under the group contract to the extent that a legal civil union spouse is determined eligible by the plan sponsor. For more details, contact your plan sponsor.) Former Spouse In the event of a divorce or a legal separation, the person who was the spouse of the subscriber prior to the divorce or legal separation will remain eligible for coverage in this health plan under the subscriber’s group contract, whether or not the judgment was entered prior to the effective date of the group contract. This health plan coverage is provided with no additional premium other than the normal cost of covering a current spouse. The former spouse will remain eligible for this coverage only until the subscriber is no longer required by the judgment to provide health insurance for the former spouse or the subscriber or former spouse remarries, whichever comes first. In these situations, Blue Cross Blue Shield HMO Blue must be notified within 30 days of a change to the former spouse’s address. Otherwise, Blue Cross Blue