Orange County NC Website
20 <br /> returns to active full time employment, except in <br /> situations where the Consolidated Omnibus Budget <br /> Reconciliation Act (P.L. 99-272) applies. <br /> G. Potential Members or Family Dependents who are <br /> confined to a Hospital, Skilled Nursing Facility, or other <br /> health care facility or are receiving care on the date when <br /> this Coverage would otherwise take effect, will be eligible <br /> for Coverage, effective the first day following the his/her <br /> final discharge from such confinement or the date that home <br /> medical care is terminated. . <br /> H. Inspection of Membership Certificate: A Member may, if <br /> his/her Membership Certificate is not satisfactory for <br /> any reason, return his/her Certificate within ten (10) days <br /> of receipt of same and receive full refund of the <br /> deposit paid, if any. This right may not be exercised if <br /> the Member utilizes the services of the Plan within the <br /> ten-day (10) period. <br /> 3. Conditions of Coverage <br /> A. No individual shall be eligible for Coverage from the Plan <br /> if that individual has had Coverage from the Plan denied or <br /> terminated for any of the reasons listed in Section VIII <br /> "Termination of Coverage." <br /> B. If both husband and wife are Subscribers or Members of the <br /> Plan through the same or a different group, they cannot <br /> elect to cover each other. However, the Plan does not <br /> provide duplicate ("double") coverage or Coordinate <br /> Benefits with its own Plan. <br /> 16 <br />