Common use of Federal and State Regulations Clause in Contracts

Federal and State Regulations. In the event that any federal or state laws or regulations mandate a change in the health care benefits or in the eligibility of covered employees and their covered dependents, or in any way affect the amount of your claims, Blue Cross and Blue Shield will implement such mandatory change. Only if necessary, these changes will be made with adjustments to the premium charges indicated on your monthly invoices. If your premium charges are to be increased, Blue Cross and Blue Shield will give you 60 days prior written notice. When you are subject to federal or state laws or regulations, these changes will be effective on the date you specify, provided Blue Cross and Blue Shield receives prior written notice. Blue Cross and Blue Shield will not be liable for any claims or damages that result from your failure to comply with any laws or regulations, including but not limited to the Medicare secondary payor laws or regulations. You agree to hold Blue Cross and Blue Shield harmless for any charges that may be assessed against Blue Cross and Blue Shield at any time due to your failure to comply with laws or regulations and especially the Medicare secondary payor provisions. For example, you must provide timely, accurate and complete Medicare secondary payor information for Blue Cross and Blue Shield to submit to the Centers for Medicare and Medicaid Services (CMS) as required by federal law. This information includes, but is not limited to, your employer identification number (EIN), employer size and Members’ social security numbers. If you fail to provide timely, accurate and complete Medicare secondary payor information to Blue Cross and Blue Shield, you agree to hold Blue Cross and Blue Shield harmless for any charges that may be assessed against Blue Cross and Blue Shield for submitting inaccurate or incomplete information, unless due to an error by Blue Cross and Blue Shield.