Common use of Medicare Certification Clause in Contracts

Medicare Certification. Plaintiff represents and warrants that he is not a Medicare recipient and/or Medicare eligible, has never been on Medicare or Social Security Disability Insurance (“SSDI”), that no conditional payments have been made on his behalf by Medicare, and further that he does not expect to be Medicare eligible and/or a recipient within the next thirty (30) months following the date of this Settlement Agreement. Plaintiff agrees to deliver a fully executed and notarized Affidavit of Medicare Eligibility Status in the form annexed hereto as Exhibit C (“Medicare Affidavit”) to the Office of the Attorney General. Plaintiff acknowledges and understands that receipt of this document by the Office of the Attorney General is a prerequisite to payment of the settlement amounts referenced in paragraph 2, and that this document falls within the category of “other documentation” and “required documentation” described in Paragraphs 3 and 4 of this Settlement Agreement.

Medicare Certification. Plaintiff represents Plaintiffs represent and warrants warrant that he is they are not a Medicare recipient recipients and/or Medicare eligible, has have never been on Medicare or Social Security Disability Insurance (“SSDI”), that no conditional payments have been made on his their behalf by Medicare, and further that he does they do not expect to be Medicare eligible and/or a recipient within the next thirty (30) months following the date of this Settlement Agreement. Plaintiff agrees Plaintiffs agree to each deliver a fully executed and notarized Affidavit of Medicare Eligibility Status in the form annexed hereto as Exhibit C B (“Medicare Affidavit”) to the Office of the Attorney General. Plaintiff acknowledges Plaintiffs acknowledge and understands understand that receipt of this document by the Office of the Attorney General is a prerequisite to payment of the settlement amounts referenced in paragraph 2Paragraph 3, and that this document falls within the category of “other documentation” and “required documentation” described in Paragraphs 3 4 and 4 5 of this Settlement Agreement.