Common use of Conversion after Continuation Coverage Clause in Contracts

Conversion after Continuation Coverage. Federal law provides for the guaranteed availability of coverage, when continuation coverage as provided under the provisions of the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) expires. Under these provisions, the Subscriber or Covered Dependent may be eligible for coverage under an AvMed Individual Contract, and may apply by completing a coverage application form. Coverage is subject to AvMed’s eligibility requirements and enrollment may be limited to annual open enrollment periods. To be considered for coverage outside of the annual open enrollment period, subject to the rules of special enrollment listed in Section 4.3, the required Premium payment, along with proof of a qualifying event and completed enrollment application form must be submitted to: AvMed Individual Sales Accounts Receivable ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ Miami, Florida 33156 VI. 5B ONTHLY PREMIUM PAYMENTS, COPAYMENTS, COINSURANCE AND DEDUCTIBLES This Part explains the Premium payment responsibilities of the Subscribing Group under this Contract, and Members’ monetary responsibility for expenses for Covered Services received. Members are responsible and will be liable for applicable Deductibles, Copayments or Coinsurance amounts which must be paid to Health Care Providers for certain services at the time services are rendered, as shown in the Schedule of Benefits. In addition to the information explained in this Part, it is important that you refer to your Schedule of Benefits to determine your share of the cost for Covered Services.

Conversion after Continuation Coverage. Federal law provides for the guaranteed availability of coverage, when continuation coverage as provided under the provisions of the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) expires. Under these provisions, the Subscriber or Covered Dependent may be eligible for coverage under an AvMed Individual Contract, and may apply by completing a coverage application form. Coverage is subject to AvMed’s eligibility requirements and enrollment may be limited to annual open enrollment periods. To be considered for coverage outside of the annual open enrollment period, subject to the rules of special enrollment listed in Section 4.3, the required Premium payment, along with proof of a qualifying event and completed enrollment application form must be submitted to: AvMed Individual Sales Accounts Receivable ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ Miami, Florida 33156 VI. 5B ONTHLY PREMIUM PAYMENTS, COPAYMENTS, COINSURANCE AND DEDUCTIBLES M5B This Part explains the Premium payment responsibilities of the Subscribing Group under this Contract, and Members’ monetary responsibility for expenses for Covered Services received. Members are responsible and will be liable for applicable Deductibles, Copayments or Coinsurance amounts which must be paid to Health Care Providers for certain services at the time services are rendered, as shown in the Schedule of Benefits. In addition to the information explained in this Part, it is important that you refer to your Schedule of Benefits to determine your share of the cost for Covered Services.