Common use of Reduction of Benefits Clause in Contracts

Reduction of Benefits. We may not decrease in any manner the benefits stated in this Contract, except after a period of at least a 30-day written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {PACE Organization} is authorized to seek reimbursement from that insurance if it covers your injury, illness or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reduce any payment responsibility you may have to {PACE Organization}. You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER 9 for payment responsibility.)

Appears in 1 contract

Samples: Terms and Conditions

AutoNDA by SimpleDocs

Reduction of Benefits. We may not decrease in any manner the benefits stated in this ContractEnrollment Agreement, except after a period of at least a 30-day written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from From Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {CalOptima PACE Organization} is authorized to seek reimbursement from that insurance if it covers your injury, illness or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reimbursement, reduce any payment responsibility you may have to {PACE Organization}CalOptima PACE). You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER Chapter 9 for payment responsibility.)

Appears in 1 contract

Samples: Member Enrollment Agreement

Reduction of Benefits. We may not decrease in any manner the benefits stated in this ContractEnrollment Agreement, except after a period of at least a 30-day written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {FHCN PACE Organization} is authorized to seek reimbursement from that insurance if it covers your injury, illness illness, or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reduce any payment responsibility you may have to {PACE Organization}FHCN PACE. You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER 9 for payment responsibility.)

Appears in 1 contract

Samples: Participant Enrollment Agreement

Reduction of Benefits. We may not decrease decrease, in any manner manner, the benefits stated in this ContractEnrollment Agreement, except after a period of at least a 30-day 30 days’ written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {PACE Organization} On Lok Lifeways is authorized to seek reimbursement from that insurance if it covers your injury, illness or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reduce any payment responsibility you may have to {PACE Organization}On Lok Lifeways). You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER 9 Chapter Nine for payment responsibility).)

Appears in 1 contract

Samples: Enrollment Agreement

AutoNDA by SimpleDocs

Reduction of Benefits. We may not decrease in any manner the benefits stated in this ContractEnrollment Agreement, except after a period of at least a 30-day written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {PACE Organization} is authorized to seek reimbursement from that insurance if it covers your injury, illness or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reduce any payment responsibility you may have to {PACE Organization}. You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER 9 for payment responsibility.)

Appears in 1 contract

Samples: www.dhcs.ca.gov

Reduction of Benefits. We may not decrease in any manner the benefits stated in this Contract, except after a period of at least a 30-day 30 days’ written notice. The 30-day period will begin on the date postmarked on the envelope. Reimbursement from Insurance If you are covered by private or other insurance, including but not limited to motor vehicle, liability, health care or long-term care insurance, {PACE OrganizationProgram} is authorized to seek reimbursement from that insurance if it covers your injury, illness or condition. (Instances of tort liability of a third party are excluded.) We will directly bill these insurers for the services and benefits we provide (and upon receipt of reimbursement reduce any payment responsibility you may have to {PACE OrganizationProgram}. You must cooperate and assist us by giving us information about your insurance and completing and signing all claim forms and other documents we need to bill the insurers. If you fail to do so, you, yourself, will have to make your full monthly payment. (See CHAPTER 9 NINE for payment responsibility.)

Appears in 1 contract

Samples: www.dhcs.ca.gov

Time is Money Join Law Insider Premium to draft better contracts faster.