Common use of Fraud or Abusive Conduct Clause in Contracts

Fraud or Abusive Conduct. 1. If Covered California reasonably suspects that an Agency may have engaged in fraud, abusive conduct, or any behavior that may cause imminent or ongoing consumer harm using personally identifiable information of Covered California enrollee or applicant or in connection with an enrollment or application, Covered California may temporarily suspend this Agreement for up to ninety (90) calendar days. Suspension will be effective on the date of the notice that Covered California sends to the Agency advising of the suspension.

Appears in 4 contracts

Samples: Scope of Work, Scope of Work, Scope of Work

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Fraud or Abusive Conduct. 1. If Covered California reasonably suspects that an Agency may have engaged in fraud, abusive conduct, or any behavior that may cause imminent or ongoing consumer Consumer harm using personally identifiable information of Covered California enrollee enrollee(s) or applicant applicant(s) or in connection with an enrollment or application, Covered California may temporarily suspend this Agreement for up to ninety (90) calendar days. Suspension will be effective on the date of the notice that Covered California sends to the Agency advising of the suspension.

Appears in 3 contracts

Samples: Scope of Work, Scope of Work, Scope of Work

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Fraud or Abusive Conduct. 1. If Covered California reasonably suspects that an Agency Agent may have engaged in fraud, abusive conduct, or any behavior that may cause imminent or ongoing consumer Consumer harm using personally identifiable information of Covered California enrollee enrollee(s) or applicant applicant(s) or in connection with an enrollment or application, Covered California may temporarily suspend this Agreement for up to ninety (90) calendar days. Suspension will be effective on the date of the notice that Covered California sends to the Agency Agent advising of the suspension.

Appears in 2 contracts

Samples: Non Monetary Agreement, Agent Agreement

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