Common use of ADJUSTMENTS TO PREMIUM Clause in Contracts

ADJUSTMENTS TO PREMIUM. 13.4.1 TDH may recoup premiums paid to HMO in error. Error may be either human or machine error on the part of TDH or an agent or contractor of TDH. TDH may recoup premiums paid to HMO if a Member is enrolled into HMO in error, and HMO provided no covered services to Member for the period of time for which premium was paid. If services were provided to Member as a result of the error, recoupment will not be made.

Appears in 3 contracts

Samples: Agreement and Plan of Merger (Centene Corp), Amerigroup Corp, Amerigroup Corp

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ADJUSTMENTS TO PREMIUM. 13.4.1 TDH 13.3.1 TDHS may recoup premiums paid to HMO in error. Error may be either human or machine error on the part of TDH TDHS or an agent or contractor of TDHTDHS. TDH TDHS may recoup premiums paid to HMO if a Member is enrolled into HMO in error, and HMO provided no covered services to Member for the period of time for which premium was paid. If services were provided to Member as a result of the error, recoupment will not be made.

Appears in 1 contract

Samples: Amerigroup Corp

ADJUSTMENTS TO PREMIUM. 13.4.1 13.5.1 TDH may recoup premiums paid to HMO in error. Error may be either human or machine error on the part of TDH or an agent or contractor of TDH. TDH may recoup premiums paid to HMO if a Member is enrolled into HMO in error, and HMO provided no covered services to Member for the period of time for which premium was paid. If services were provided to Member as a result of the error, recoupment will not be made.

Appears in 1 contract

Samples: Amerigroup Corp

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ADJUSTMENTS TO PREMIUM. 13.4.1 13.5.1 TDH may recoup premiums paid to HMO in error. Error may be either human or machine error on the part of TDH or an agent or contractor of TDH. TDH may recoup premiums paid to HMO if a Member is enrolled into HMO in error, and HMO provided no covered services to Member for the period of time for which premium was paid. If services were provided to Member as a result of the error, recoupment will not be made.. 112 Dallas Service Area Contract 119

Appears in 1 contract

Samples: Amerigroup Corp

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