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<br />(5) <br /> <br />the in vitro fertilization procedures are performed at a medical <br />facility that conforms to the American College of Obstetric and <br />Gynecology guidelines .for in vitro fertilization clinics or to the <br />American Fertility Society minimal standards for programs of in <br />vitro fertilization. <br /> <br />PART III - OTHER PROVISIONS <br /> <br />A. Benefits cover the Enrollee only enrolled under an individual membership. <br />Benefits cover the Enrollee or Family Dependents as identified under family <br />membership. <br /> <br />B. When Enrollee or Family Dependents are no longer entitled to group benefits <br />set forth under the Group Master Contract/Enrollees Certificate of Coverage <br />or continuation of coverage benefits (if applicable), this Rider is no <br />longer in effect. <br /> <br />PART IV - COPAYMENT CHARGES <br /> <br />The Copayment Charges for in vitro fertilization under this Rider will be the <br />same as that required for outpatient pregnancy related procedures. <br /> <br />PART V. - EXCLUSION IN GROuP MASTER CONTRACT/ENROLLEES CERTIFICATE OF COVERAGE <br /> <br />The acceptance of this Rider cancels any references to in vitro fertilization <br />as an exclusion. <br /> <br /> <br />- <br /> <br />Chief Executive Officer <br /> <br />TEXAS HEALTH PLANS, INC.. <br /> <br />I dec <br /> <br /> <br />Title <br /> <br />City of San Marcos <br />Company <br /> <br />THPINVITRO <br /> <br />2. <br />