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Effective Date

The effective date is the day your insurance coverage officially begins. From this date forward, you are eligible to receive benefits for covered health, dental, life, or disability expenses under the terms of your policy. The effective date is established once your application has been approved, all requirements are met, and the first premium payment has been received, unless otherwise specified in the policy.

In group insurance, the effective date usually corresponds to the employee’s start date or the date they become eligible for benefits after completing a probationary or waiting period. In individual insurance, the effective date is confirmed in your policy documents or certificate of insurance and may differ from the date you applied or were approved. Knowing your effective date ensures that you understand when coverage begins and helps avoid gaps between plans.

Example:

If your health insurance application is approved on March 10 and your policy states that coverage becomes effective on April 1, any eligible expenses incurred on or after April 1 will be reimbursable, while costs before that date will not.

What to Watch For:

Keep a record of your policy’s effective date and review it when changing plans or employers to ensure continuous coverage. Waiting periods or specific benefit delays, such as for dental or major medical expenses, may apply even after the effective date. For travel insurance, coverage typically begins on the departure date listed in the policy.

Related Terms

Optional Benefit / Rider / Add-On

An optional benefit, also called a rider or add-on, is an additional feature that can be purchased to enhance your existing health, dental, life, or disability insurance plan. Optional benefits allow you to customize coverage by adding protection that suits your personal needs, rather than relying only on the base plan design.

Coordination of Benefits

Coordination of benefits (COB) is the process used by insurance companies to determine the order in which multiple plans will pay for the same claim when a person is covered under more than one policy. The goal is to ensure that combined reimbursements do not exceed 100 percent of the eligible expense, while allowing the insured to receive the maximum possible coverage across all plans.

Certificate of Insurance

A certificate of insurance is an official document issued by an insurance company that summarizes the key details of your coverage. It serves as proof that you are insured and outlines the essential terms of your policy, including the type of coverage, effective dates, benefit limits, exclusions, and any dependents or beneficiaries listed under the plan.

Long-term Disability insurance

Long-term disability (LTD) insurance provides income replacement if you are unable to work for an extended period due to illness or injury. It ensures financial stability by paying a percentage of your regular income, typically between 60 and 85 percent, after you have been disabled for a specific waiting period known as the elimination period. LTD benefits continue until you recover, reach a set benefit end date, or reach retirement age, depending on the terms of the policy.

Dependent

A dependent is a person, usually a family member, who qualifies for coverage under someone else’s insurance plan. Dependents are typically the spouse or children of the primary insured person, also known as the plan member or policyholder. Some plans may also cover other individuals who rely on the plan member for financial support, such as a common-law partner or a child with a permanent disability.

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