Common use of Cancellation for Nonpayment of Premiums Clause in Contracts

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice was sent. In such a case, a “Notice Confirming Cancellation of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first business day of the month following the effective date of the cancellation. PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If payment of at least 85 percent of all delinquent Premiums is received by SHOP after the due date in the Notice, the Agreement will not be reinstated and a new application for coverage will be required. Group may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate coverage once during the 12-month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment Start of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, dollar amount past due, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making on how to submit the past due premium payment necessary in order to maintain coverage in force, and will repeat reiterate when such cancellation will be effective and effective. The notice will also state how and when the GROUP may appeal the cancellation. If the Premium payment is not received by the cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice of Start of Grace Period was sent. In such a case, a “Notice Confirming Cancellation of End of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first within 3 days if an electronic notice is sent or 5 business day of the month following the effective date of the cancellationdays if a mailed hard copy is sent. HEALTH PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of End of Coverage to each of its affected Members and also Members, explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment Start of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If full payment of at least 85 percent of all delinquent Premiums is not received by SHOP after by the due date indicated in the NoticeNotice of Start of Grace Period, the Agreement will not be reinstated and a new application for coverage will be requiredterminated. Group GROUP may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate terminated coverage once during the 12-12- month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice was sent. In such a case, a “Notice Confirming Cancellation of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first business day of the month following the effective date of the cancellation. PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If payment of at least 85 percent of all delinquent Premiums is received by SHOP after the due date in the Notice, the Agreement will not be reinstated and a new application for coverage will be requiredreinstated. Group may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate coverage once during the 12-month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment Start of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, dollar amount past due, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice of Start of Grace Period was sent. In such a case, a “Notice Confirming Cancellation of End of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first within 3 days if an electronic notice is sent or 5 business day of the month following the effective date of the cancellationdays if a mailed hard copy is sent. PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of End of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment Start of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If full payment of at least 85 percent of all delinquent Premiums is not received by SHOP after by the due date indicated in the NoticeNotice of Start of Grace Period, the Agreement will not be reinstated and a new application for coverage will be requiredterminated. Group GROUP may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate terminated coverage once during the 12-12- month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN Oscar Health Plan of California on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice was sent. In such a case, a “Notice Confirming Cancellation of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN Oscar Health Plan of California on the first business day of the month following the effective date of the cancellation. PLAN, or SHOP on behalf of HEALTH PLANOscar Health Plan of California, will mail an individual Notice Confirming Cancellation of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If payment of at least 85 percent of all delinquent Premiums is received by SHOP after the due date in the Notice, the Agreement will not be reinstated and a new application for coverage will be requiredreinstated. Group may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate coverage once during the 12-month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN Oscar Health Plan of California on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice was sent. In such a case, a “Notice Confirming Cancellation of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN Oscar Health Plan of California on the first business day of the month following the effective date of the cancellation. PLAN, or SHOP on behalf of HEALTH PLANOscar Health Plan of California, will mail an individual Notice Confirming Cancellation of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If payment of at least 85 percent of all delinquent Premiums is received by SHOP after the due date in the Notice, the Agreement will not be reinstated and a new application for coverage will be required. Group may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate coverage once during the 12-month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, ends and the effective date of cancellation if payment is not received by the end of the grace period, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice was sent. In such a case, a “Notice Confirming Cancellation of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first business day of the month following the effective date of the cancellation. PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If payment of at least 85 percent of some or all delinquent Premiums is received by SHOP after the due date in the Notice, the Agreement will not be reinstated and a new application for coverage will be required. Group may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate coverage once during the 12-month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment Start of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, dollar amount past due, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making on how to submit the past due premium payment necessary in order to maintain coverage in force, and will repeat reiterate when such cancellation will be effective and effective. The notice will also state how and when the GROUP may appeal the cancellation. If the Premium payment is not received by the cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice of Start of Grace Period was sent. In such a case, a “Notice Confirming Cancellation of End of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first within 3 days if an electronic notice is sent or 5 business day of the month following the effective date of the cancellationdays if a mailed hard copy is sent. HEALTH PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of End of Coverage to each of its affected Members and also Members, explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment Start of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If full payment of at least 85 percent of all delinquent Premiums is not received by SHOP after by the due date indicated in the NoticeNotice of Start of Grace Period, the Agreement will not be reinstated and a new application for coverage will be requiredterminated. Group GROUP may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate terminated coverage once during the 12-12- month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.

Cancellation for Nonpayment of Premiums. If a billed Premium payment is not received on or before the last day of the month prior to the month of coverage, a “Notice of Cancellation for Nonpayment Start of Premiums and Grace Period” will be sent via USPS to GROUP by SHOP on behalf of HEALTH PLAN on the first day of that month, identifying the date the 30 day grace period begins and ends, the effective date of cancellation if payment is not received by the end of the grace period, dollar amount past due, and the employer’s right to appeal. GROUP shall promptly send such Notice to each subscriber receiving coverage under the GROUP’s policy. The Notice will provide instructions for making the premium payment necessary in order to maintain coverage in force, force and will repeat when such cancellation will be effective and will also state how and when GROUP may appeal the cancellation. If the Premium payment is not received by cancellation effective date, the Agreement will be terminated for non-payment effective 30 days from the date the Notice of Start of Grace Period was sent. In such a case, a “Notice Confirming Cancellation of End of Coverage” will be mailed to GROUP by SHOP on behalf of HEALTH PLAN on the first within 3 days if an electronic notice is sent or 5 business day of the month following the effective date of the cancellationdays if a mailed hard copy is sent. PLAN, or SHOP on behalf of HEALTH PLAN, will mail an individual Notice Confirming Cancellation of End of Coverage to each of its affected Members and also explaining their options for purchasing individual coverage. All of the cancellation notices described above will include statements regarding the reason for the cancellation, the amount of premiums due, a statement of the 30-day grace period, the effective date of the cancellation, and the right of GROUP to seek review by the appropriate regulator, either the California Department of Managed Health Care or the California Department of Insurance (including the responsibility of GROUP to pay premiums during any such review and the right of GROUP to be reinstated back to the effective date of termination if it prevails in such review). Receipt by SHOP of all Premium payments due and owing by the due date indicated in the Notice of Cancellation for Nonpayment Start of Premium and Grace Period will continue the Agreement, as modified by this Supplement, with no interruption in coverage. If full payment of at least 85 percent of all delinquent Premiums is not received by SHOP after by the due date indicated in the NoticeNotice of Start of Grace Period, the Agreement will not be reinstated and a new application for coverage will be requiredterminated. Group GROUP may request to be reinstated in the same coverage in which it was last enrolled within 30 days after the effective date of the termination. Past due premiums, if any, must be paid before the GROUP may be reinstated without a lapse in coverage. GROUP may not reinstate coverage 31 or more days following the effective date of termination. GROUP may only reinstate terminated coverage once during the 12-12- month period beginning on of the original effective date or the most recent renewal date, whichever is more recent.