Part 11 – Group Policy (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 96 group contract, so long as the child continues to be mentally or physically incapable of earning their own living. In this case, the subscriber must make arrangements with Blue Cross Blue Shield HMO Blue through the plan sponsor not more than 30 days after the date the child would normally lose eligibility. Also, Blue Cross Blue Shield HMO Blue must be given any medical or other information that it may need to determine if the child can maintain coverage in this health plan under the subscriber’s group contract. From time to time, Blue Cross Blue Shield HMO Blue may conduct reviews that will require a statement from the attending physician. This is to confirm that the child is still an eligible disabled dependent child. Important Reminder: The eligibility provisions for dependents that are described in this section may differ from the federal tax laws that define who may qualify as a dependent. Enrollment Periods for Group Coverage Initial Enrollment You may enroll for coverage in this health plan under a group contract on your initial group eligibility date. This date is determined by your plan sponsor. The plan sponsor is responsible for providing you with details about how and when you may enroll for coverage in this health plan under a group contract. To enroll, you must complete the enrollment form provided by your plan sponsor no later than 30 days after your eligibility date. (For more information, contact your plan sponsor.) If you choose not to enroll for coverage in this health plan under a group contract on your initial eligibility date, you may enroll under a group contract only during your group’s open enrollment period or within 30 days of a special enrollment event as provided by federal or Massachusetts law. Special Enrollment If an eligible employee or an eligible dependent (including the employee’s spouse) chooses not to enroll for coverage in this health plan under a group contract on their initial group eligibility date, federal or Massachusetts law may allow the eligible employee and/or their eligible dependents to enroll under the group contract when:  The employee and/or their eligible dependents have a loss of other coverage (see “Loss of Other Qualified Coverage” below for more information); or  The employee gains a new eligible dependent (see “New Dependents” below for more information); or  The employee and/or their eligible dependent become eligible for assistance under a Medicaid plan or a state Children’s Health Insurance Program plan. These rights are known as your “special enrollment rights.” There may be additional special enrollment rights as a result of changes required by federal law. For example, these changes may include special enrollment rights for: individuals who are newly eligible for coverage as a result of changes to dependent eligibility; and/or individuals who are newly eligible for coverage as a result of the elimination of a lifetime maximum.