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
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
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