Enrollee Terminations Sample Clauses

Enrollee Terminations. In the event Contractor terminates a Covered California Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable State Regulator-approved appeals language, and any Covered California-required appeals language, in its notice of termination of coverage to the Covered California Enrollee.
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Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable regulator-approved appeals language, and any Exchange-required appeals language, in its notice of termination of coverage to the Enrollee.
Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QDP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QDP, decertification of Contractor’s QDP, or as otherwise authorized under Sections
Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable State Regulator-approved appeals language, and any Exchange-required appeals language, in its notice of termination of coverage to the Enrollee.

Related to Enrollee Terminations

  • Contract Termination debarment. A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the contract, and for debarment as a contractor and a subcontractor as provided in 29 CFR 5.12.

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