purposes of this Policy. Partners, proprietors and independent contractors are not employees of the Policyholder.] [Note to carriers: the above definition applies to SHOP policies] The 30-day period each year EMPLOYEE OPEN ENROLLMENT PERIOD. designated by the Contractholder during which: Employees and Dependents who are eligible under the Contract but who are Late Enrollees may enroll for coverage under the Contract; and Employees and Dependents who are covered under Contract may elect coverage under a different policy, if any, offered by the Contractholder. EMPLOYEE'S ELIGIBILITY DATE. the date of employment; [the day] after any applicable waiting period ends; or [the day] after any applicable Orientation Period ends. EMPLOYER. [ABC Company]. EMPLOYER OPEN ENROLLMENT PERIOD. The period from November 15 through December 15 each year beginning in 2014. ENROLLMENT DATE. With respect to a [Member], the Effective Date or, if earlier, the first day of any applicable waiting period. If an Employee changes plans or if the Employer transfers coverage to another carrier, the [Member’s] Enrollment Date does not change. EXPERIMENTAL or INVESTIGATIONAL. Services or supplies which We Determine are: not of proven benefit for the particular diagnosis or treatment of a[Member]'s particular condition; or not generally recognized by the medical community as effective or appropriate for the particular diagnosis or treatment of a[Member]'s particular condition; or provided or performed in special settings for research purposes or under a controlled environment or clinical protocol. Unless otherwise required by law with respect to drugs which have been prescribed for treatment for which the drug has not been approved by the United States Food and Drug Administration (FDA), We will not cover any services or supplies, including treatment, procedures, drugs, biological products or medical devices or any hospitalizations in connection with Experimental or Investigational services or supplies. We will also not cover any technology or any hospitalization in connection with such technology if such technology is obsolete or ineffective and is not used generally by the
purposes of this Policy. Partners, proprietors and independent contractors are not employees of the Policyholder.] [Note to carriers: the above definition applies to SHOP policies] EMPLOYEE OPEN ENROLLMENT PERIOD. The 30-day period each year designated by the Contractholder during which: Employees and Dependents who are eligible under the Contract but who are Late Enrollees may enroll for coverage under the Contract; and Employees and Dependents who are covered under Contract may elect coverage under a different policy, if any, offered by the Contractholder. EMPLOYEE'S ELIGIBILITY DATE. the date of employment; [the day] after any applicable waiting period ends; or [the day] after any applicable Orientation Period ends. EMPLOYER. [ABC Company]. EMPLOYER OPEN ENROLLMENT PERIOD. The period from November 15 through December 15 each year beginning in 2014. ENROLLMENT DATE. With respect to a [Member], the Effective Date or, if earlier, the first day of any applicable waiting period. If an Employee changes plans or if the Employer transfers coverage to another carrier, the [Member’s] Enrollment Date does not change. EXPERIMENTAL or INVESTIGATIONAL. Services or supplies which We Determine are: not of proven benefit for the particular diagnosis or treatment of a[Member]'s particular condition; or not generally recognized by the medical community as effective or appropriate for the particular diagnosis or treatment of a[Member]'s particular condition; or provided or performed in special settings for research purposes or under a controlled environment or clinical protocol. Unless otherwise required by law with respect to drugs which have been prescribed for treatment for which the drug has not been approved by the United States Food and Drug Administration (FDA), We will not cover any services or supplies, including treatment, procedures, drugs, biological products or medical devices or any hospitalizations in connection with Experimental or Investigational services or supplies. We will also not cover any technology or any hospitalization in connection with such technology if such technology is obsolete or ineffective and is not used generally by the