Common use of Group Administration Clause in Contracts

Group Administration. A. In any case in which the Eligible Person will be responsible for a portion of the monthly Premiums upon enrollment, the Group shall make the appropriate payroll deductions, if applicable, for enrolled Members. B. In the event CareFirst BlueChoice refunds to the Group a Premium, or a portion of a Premium, attributed to the enrollment of a Subscriber or his or her Dependents, the Group agrees to pay or allocate the Subscriber’s contributed share of the refunded Premium to the Subscriber. C. The Group agrees to furnish CareFirst BlueChoice on a monthly basis, and on CareFirst BlueChoice's approved forms, such information as may reasonably be required by CareFirst BlueChoice for the administration of the coverage provided under this [In- Network] Group Contract. D. The Group agrees to receive on behalf of all Eligible Persons any notices or other materials furnished by CareFirst BlueChoice and to deliver such notices or materials to these individuals. E. The Group shall furnish CareFirst BlueChoice with all enrollment information necessary to calculate Premiums or any other payments due under the [In-Network] Group Contract. Clerical errors or delays by the Group when providing such information to CareFirst BlueChoice will not invalidate coverage which would otherwise be in effect. Upon discovery of any errors or delays, an equitable adjustment of charges and benefits will be made.] F. The Group shall notify CareFirst BlueChoice, no later than the end of the election period, when a Member has elected to continue coverage under state or federal law or regulation.] [G. In addition, CareFirst BlueChoice may at reasonable times examine the Group's pertinent records (including payroll records) with respect to eligibility and Premium payments under this [In-Network] Group Contract. CareFirst BlueChoice may establish reasonable requirements of proof to confirm the eligibility of Members. The Group shall provide, within thirty-one (31) days of request, any information that verifies its compliance with the enrollment guidelines.] [H. [CareFirst BlueChoice] [CareFirst/CareFirst BlueChoice] will be the sole insurer of hospital and medical/surgical benefits for the Group.]

Appears in 3 contracts

Sources: In Network Group Contract, In Network Group Contract, In Network Group Contract