Rescissions Sample Clauses

Rescissions. Any modification to the terms of this Agreement that would inadvertently result in an additional tax liability on the part of the Executive, shall have no effect to the extent the change in the terms of the plan is rescinded by the earlier of a date before the right is exercised (if the change grants a discretionary right) and the last day of the calendar year during which such change occurred.
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Rescissions. If CareFirst BlueChoice has made an Adverse Determination that is a Rescission, CareFirst BlueChoice shall provide 30 days advance written notice to any covered person who would be affected by the proposed Rescission.
Rescissions. If CareFirst has made an Adverse Determination that is a Rescission, CareFirst shall provide 30 days advance written notice to any covered person who would be affected by the proposed Rescission.
Rescissions. No misrepresentation of fact made regarding a member during the application process that relates to insurability will be used to void/rescind the coverage or deny a claim unless:
Rescissions. When an in-force Covered Policy is rescinded by the Company, the cession in question shall be voided from inception and the Reinsurer shall return the premiums it has received from the Company in respect of such policy. Should the Company be subsequently required to reinstate a Covered Policy that it rescinded, it is understood that the Reinsurer shall participate in the reinsurance of the reinstated Covered Policy under the terms and conditions described in this Agreement, and provided that there is no non-contractual increase to the Reinsurer’s share.
Rescissions. Any provision of the Agreement that: describes the right of Health Plan to rescind or void the Agreement; or to rescind the coverage of an individual under the Agreement, is amended to permit Health Plan to rescind or void the entire Agreement or the coverage of a Member only if:
Rescissions. Any provision of the Agreement that describes the right of Health Plan to rescind or void the Agreement, or to rescind the coverage of a Member, is amended to permit Health Plan to rescind or void the entire Agreement or the coverage of a Member only if: (1) the Member (or a person seeking coverage on behalf of the Member) performs an act, practice, or omission that constitutes fraud; or (2) the Member (or a person seeking coverage on behalf of the Member) makes an intentional misrepresentation of material fact. Any provision of the Agreement that describes notice of rescission of coverage and that provides less than 30-days advance written notice of rescission is amended to provide 30-days advance written notice of any rescission of coverage. Prohibition on Pre-Existing Conditions for Children The following provisions of the Agreement shall not apply to any child who is under the age of 19:
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Rescissions. PacificSource may not rescind the policyholder’s group health benefit plan unless the policyholder, or representative of the policyholder, performs an act, practice, or omission that constitutes fraud or makes an intentional misrepresentation of a material fact as prohibited by the terms of this plan and PacificSource gives a 30 day prior written notice to all affected members covered under the plan. Rescissions do not include a cancellation or discontinuance of coverage that is prospective or to the extent it is attributable to a failure to timely pay required contributions towards the cost of coverage. • Policy modifications. PacificSource may modify any provision of the policy on the policy’s renewal date by giving the policyholder a 60 day prior written notice. Rejection of any modification terminates this policy. Payment of premium after receiving notice of modification constitutes the policyholder’s acceptance of the change. A modification to the policy, except as may be required by law, that is offered by PacificSource at any time other than the policy renewal date may be accepted or rejected at the discretion of the policyholder. The policyholder may reject the modification by giving written notice to PacificSource at least 15 days before the modification is to take place.
Rescissions. PacificSource may not rescind the policyholder’s group health benefit plan unless the policyholder or representative of the policyholder, performs an act, practice, or omission that constitutes fraud or makes an intentional misrepresentation of a material fact as prohibited by the terms of this plan, and PacificSource gives a 30 day prior written notice to all affected members covered under the plan. Rescissions do not include a cancellation or discontinuance of coverage that is prospective or to the extent it is attributable to a failure to timely pay required premiums towards the cost of coverage. • Policy modifications. PacificSource may modify any provision of the policy on the policy’s renewal date by giving the policyholder a 60 day prior written notice. Rejection of any modification terminates this policy. Payment of premium after receiving notice of modification constitutes the policyholder’s acceptance of the change. A modification to the policy, except as may be required by law, that is offered by PacificSource at any time other than the policy renewal date may be accepted or rejected at the discretion of the policyholder. The policyholder may reject the modification by giving written notice to PacificSource at least 15 days before the modification is to take place. • Small employer plan changes. Unless otherwise agreed to by PacificSource, a small employer policyholder may replace its current coverage with another small employer plan offered by PacificSource only on the anniversary date of the current coverage. This limitation also applies if the small employer discontinues their PacificSource coverage, or forfeits coverage with PacificSource. (See Definitions – Small employer in the Member Handbook.)
Rescissions. Any provision of the Agreement that describes the right of Health Plan to rescind or void the Agreement or to rescind the coverage of an individual under the Agreement is amended to permit Health Plan to rescind or void the entire Agreement or the coverage of a Member only if (1) the Member (or a person seeking coverage on behalf of the Member) performs an act, practice, or omission that constitutes fraud; or (2) the Member (or a person seeking coverage on behalf of the Member) makes an intentional misrepresentation of material fact. Any provision of the Agreement that describes notice of rescission of coverage and that provides less than 30-days advance written notice of rescission is amended to provide 30-days advance written notice of any rescission of coverage. Preventive Services In addition to any other preventive benefits described in the group contract or certificate, Health Plan shall cover the following preventive services and shall not impose any cost-sharing requirements, such as Deductibles, Copayment amounts or Coinsurance amounts to any Member receiving any of the following benefits for services from Plan Providers:
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