Benefit Plan Changes. The Company reserves the right to modify the terms of this Benefit Plan. Changes will be effective upon renewal of the Contract and preceded by not less than sixty (60) day notice to the Group. No change or waiver of any Benefit Plan provision will be effective until approved by the Company's chief executive officer or other person authorized to make changes. We will prepare an identification card for each Subscriber. We will issue a Benefit Plan to the Group and print a sufficient number of copies of the Benefit Plan for Group’s Subscribers. At the direction of Group, We will either deliver all materials to the Group for Group’s distribution to the Subscribers, or We will deliver the Subscriber materials directly to each Subscriber. The Subscriber’s copy of the Benefit Plan shall serve as his certificate of coverage. Unless otherwise agreed between the Group and Us, the Group has the sole responsibility for distributing all such documents to Subscribers. Our premiums for the Benefit Plan may increase after the Group’s first twelve ( 12) months of coverage and every six (6) months thereafter, except when premiums may increase more frequently as described in the following paragraph. Except as provided in the following paragraph, the Company will give forty- five (45) days written notice to the Group at the last address shown in the Company's records regarding any change in rates. Such increase in premiums will become effective on the date specified in the notice and continued payment of premiums will constitute acceptance of the change. We reserve the right to increase the premiums more often than stated above due to the Group’s addition of a newly covered person or entity not previously considered in the rate determination process at any time during the life of the Benefit Plan. Additionally, the Company reserves the right to increase the premium amount because of: (1) any change in age or geographic location of any individual insured or policyholder;
Appears in 1 contract
Sources: Limited Benefit Contract
Benefit Plan Changes. The Company reserves the right to modify the terms of this Benefit Plan. Changes will be effective upon renewal of the Contract Benefit Plan and preceded by not less than sixty (60) day notice to the Group. No change or waiver of any Benefit Plan provision will be effective until approved by the Company's chief executive officer or other person authorized to make changes. We will prepare an identification card for each Subscriber. We will issue a Benefit Plan to the Group and print a sufficient number of copies of the Benefit Plan for Group’s Subscribers. At the direction of Group, We will either deliver all materials to the Group for Group’s distribution to the Subscribers, or We will deliver the Subscriber materials directly to each Subscriber. The Subscriber’s copy of the Benefit Plan shall serve as his certificate of coverage. Unless otherwise agreed between the Group and Us, the Group has the sole responsibility for distributing all such documents to Subscribers. Our premiums for the Benefit Plan may increase after the Group’s first twelve ( (12) months of coverage and every six (6) months thereafter, except when premiums may increase more frequently as described in the following paragraph. Except as provided in the following paragraph, the Company will give forty- forty-five (45) days written notice to the Group at the last address shown in the Company's records regarding any change in rates. Such increase in premiums will become effective on the date specified in the notice and continued payment of premiums will constitute acceptance accept ance of the change. We reserve the right to increase the premiums more often than stated above due to the Group’s addition of a newly covered person or entity not previously considered in the rate determination process at any time during the life of the Benefit Plan. Additionally, the Company reserves the right to increase the premium amount because of: (1) any change in age or geographic location of any individual insured or policyholder;; (2) a change in the extent or nature of the risk of the Group; or (3) any change in the Benefit level from that which was in force at the time of the last rate determination. Such increase of premiums will become effective on the next billing date following the effective date of the change. Continued payment of premiums will constitute acceptance of the change. Premiums are due and payable beginning with the Effective Date of this Benefit Plan and on the same date each month thereafter. The Group is considered delinquent if premiums are not paid as of the due date. If the Group does not make payment to the Company home office within thirty (30) days of the due date, this Benefit Plan will be cancelled effective midnight of the last day for which premiums have been paid. The Company will not be liable for any Benefits for services rendered following the date of cancellation. The liability of the Company is limited to the Benefits specified in this Benefit Plan. Benefits for Covered Services specified in this Benefit Plan will be provided only for services and supplies rendered on and after the Member's Effective Date by a Provider specified in this Benefit Plan and regularly included in such Provider's charges.
Appears in 1 contract
Sources: Limited Benefit Contract
Benefit Plan Changes. The Company reserves the right to modify the terms of this Benefit Plan. Changes will be effective Plan upon renewal of the Contract and preceded by not less than sixty thirty (6030) day notice to the Group. No change or waiver of any Benefit Plan provision will be effective until approved by the Company's chief executive officer or other person authorized to make changes. We will prepare an identification card for each Subscriber. We will issue a Benefit Plan to the Group and print a sufficient number of copies of the Benefit Plan for Group’s Subscribers. At the direction of Group, We will either deliver all materials to the Group for Group’s distribution to the Subscribers, or We will deliver the Subscriber materials directly to each Subscriber. The Subscriber’s copy of the Benefit Plan shall serve as his certificate of coverage. Unless otherwise agreed between the Group and Us, the Group has the sole responsibility for distributing all such documents to Subscribers. Our premiums for the Benefit Plan may increase after the Group’s first twelve ( (12) months of coverage and every six (6) months thereafter, except when premiums may increase more frequently as described in the following paragraph. Except as provided in the following paragraph, the Company will give forty- forty-five (45) days written notice of any change in premium rates. We will send notice to the Group at the last Group’s latest address shown in the Company's records regarding any change in ratesOur records. Such Any increase in premiums will become premium is effective on the date specified in the notice and continued rate change notice. Continued payment of premiums premium will constitute acceptance of the change. We reserve the right to increase the premiums more often than stated above due to the Group’s addition of a newly covered person or entity not previously considered in the rate determination process at any time during the life of the Benefit Plan. Additionally, the Company reserves the right to increase the premium amount because of: (1) any change in age or geographic location of any individual insured or policyholder;; (2) a change in the extent or nature of the risk of the Group; or (3) any change in the Benefit level from that which was in force at the time of the last rate determination. Such increase of premiums will become effective on the next billing date following the effective date of the change. Continued payment of premium will constitute acceptance of the change. If the Group does not make payment to the Company home office within thirty (30) days of the due date, this Benefit Plan will be cancelled effective midnight of the last day for which premiums have been paid. The Company will not be liable for any Benefits for services rendered following th e date of cancellation. The liability of the Company is limited to the Benefits specified in this Benefit Plan. Benefits for Covered Services specified in this Benefit Plan will be provided only for services and supplies rendered on and after the Member's Effective Date by a Provider specified in this Benefit Plan and regularly included in such Provider's charges.
Appears in 1 contract