Common use of Contract Holder Clause in Contracts

Contract Holder. An employer or organization who agrees to remit the Premiums for coverage under the Group Agreement payable to HMO. The Contract Holder shall act only as an agent of HMO Members in the Contract Holder's group, and shall not be the agent of HMO for any purpose. • Contract Year. A period of 1 year commencing on the Contract Holder’s Effective Date of Coverage and ending at 12:00 midnight on the last day of the 1 year period. • Coordination of Benefits. A provision that is intended to avoid claims payment delays and duplication of benefits when a person is covered by 2 or more plans providing benefits or services for medical, dental or other care or treatment. It avoids claims payment delays by establishing an order in which plans pay their claims and providing the authority for the orderly transfer of information needed to pay claims promptly. It may avoid duplication of benefits by permitting a reduction of the benefits of a plan when, by the rules established by this provision, it does not have to pay its benefits first. Refer to the Coordination of Benefits section of this Certificate for a description of the Coordination of Benefits provision. • Copayment. The specified dollar amount or percentage required to be paid by or on behalf of a Member in connection with benefits, if any, as set forth in the Schedule of Benefits. Copayments may be changed by HMO upon 30 days written notice to the Contract Xxxxxx.

Contract Holder. An employer or organization who agrees to remit the Premiums for coverage under the Group Agreement payable to HMO. The Contract Holder shall act only as an agent of HMO Members in the Contract Holder's group, and shall not be the agent of HMO for any purpose. • Contract Year. A period of 1 year commencing on the Contract Holder’s Effective Date of Coverage and ending at 12:00 midnight on the last day of the 1 year period. • Coordination of Benefits. A provision that is intended to avoid claims payment delays and duplication of benefits when a person is covered by 2 or more plans providing benefits or services for medical, dental or other care or treatment. It avoids claims payment delays by establishing an order in which plans pay their claims and providing the authority for the orderly transfer of information needed to pay claims promptly. It may avoid duplication of benefits by permitting a reduction of the benefits of a plan when, by the rules established by this provision, it does not have to pay its benefits first. Refer to the Coordination of Benefits section of this Certificate for a description of the Coordination of Benefits provision. • Copayment. The specified dollar amount or percentage required to be paid by or on behalf of a Member in connection with benefits, if any, as set forth in the Schedule of Benefits. Copayments may be changed by HMO upon 30 days written notice to in accordance with the Contract Xxxxxxconditions set forth in the Group Agreement.

Contract Holder. An employer or organization who agrees to remit the Premiums for coverage under the Group Agreement payable to HMO. The Contract Holder shall act only as an agent of HMO Members in the Contract Holder's group, and shall not be the agent of HMO for any purpose. • Contract Year. A period of 1 one year commencing on the Contract Holder’s Effective Date of Coverage and ending ends at 12:00 midnight on the last day of the 1 one year period. • Coordination of Benefits. A provision that is intended to avoid claims payment delays and duplication of benefits when a person is covered by 2 two or more plans providing benefits or services for medical, dental or other care or treatment. It avoids claims payment delays by establishing an order in which plans pay their claims and providing the authority for the orderly transfer of information needed to pay claims promptly. It may avoid duplication of benefits by permitting a reduction of the benefits of a plan when, by the rules established by this provision, it does not have to pay its benefits first. Refer to the Coordination of Benefits section of this Certificate for a description of the Coordination of Benefits provision. • Copayment. The A specified dollar amount or percentage required to be paid by or on behalf of a Member in connection with benefits, if any, as set forth in the Schedule of Benefits. Copayments may be changed by HMO upon 30 days days’ written notice to the Contract XxxxxxHolder.