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Membership Issues
There are two (2) types of membership with Atlantis:
- You are a member of a Group who remits premium payments to Atlantis on your behalf; or,
- You apply directly to Atlantis and make direct premium payments for your health insurance coverage. This contractual arrangement is referred to as an Individual Membership Contract or Direct-payment coverage.
Member EligibilityTo be eligible to enroll as a Group Member, you must be an active employee or member of an organization having a Remittance Agreement with Atlantis Health Plan, meet the eligibility requirements under the Group Contract, and live or work in Atlantis Health Plan's service area.
To be eligible to enroll as an Individual Membership Subscriber, you must meet the eligibility requirements under the Individual Contract, or meet the Individual Conversion Privileges guidelines, and live in Atlantis Health Plan's service area.
Enrollment
- It is understood by the Group Member that this coverage is effective through his/her employer's next open enrollment period (regardless of the continued availability of a particular Primary Care Provider or other health care provider).
- Effective enrollment of the Subscriber and any dependents as listed on the application form is subject to Atlantis Health Plan acceptance of the Subscriber and his or her dependents.
- All dependent children must be unmarried and within the age limits stated in the Subscriber Contract or any attached Rider.
- Dependent children with developmental disabilities, or a physical handicap over the age of nineteen (19), who cannot support themselves due to their condition, may qualify for continued Membership as a dependent. However, the condition must be documented by a Primary Care Physician, and must have existed before the dependent reached the age of nineteen (19).