Rescissions Clause Samples

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 When an in-force Covered Policy is rescinded by the Company, the cession in question shall be voided from inception and the Reinsurer shall return the premiums it has received from the Company in respect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 Should the Company be subsequently required to reinstate a Covered Policy that it rescinded, it is understood that the Reinsurer shall participate in the reinsurance of the reinstated Covered Policy under the terms and conditions described in this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:

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 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. Any any fraudulent misstatements or omissions, or intentional misrepresentation of a material fact on your ap- plication, or any act or practice that constitutes fraud will result in the cancellation of your coverage (and/or your dependent(s) coverage) retroactive to the effective date, subject to prior notification. You have the right to appeal this cancellation and an independent third party may review the decision. In the event of such cancellation, Blue Cross and Blue Shield may deduct from the premium refund any amounts made in Claim payments during this period and you may be liable for any Claims payment amount greater than the total amount of premiums paid during the period for which cancellation is effected. At any time when Blue Cross and Blue Shield is entitled to rescind coverage already in force, Blue Cross and Blue Shield may at its option make an offer to reform the policy already in force. This reformation could include, but not be limited to, the addition of exclusion riders, (this limitation does not apply to enrolled children under 19 years of age) and a change in the rating category/level. In the event of reformation, the Policy will be reissued retroactive in the form it would have been issued had the misstated or omitted information been known at the time of application. You will receive a Blue Cross and Blue Shield identification card. This card will tell you your Blue Cross and Blue Shield identification number and will be very important to you in obtaining your benefits. A Schedule Page has been inserted into and is part of this Policy. The Schedule Page contains specific information about your coverage including, but not limited to: (1) whetheryou have Individual Coverageor Family Coverage;

Rescissions. Grants made and approved by the community Foundation Board of Directors may be rescinded in full or in part if, in the sole judgement of the Community Foundation’s Board, any of the following occur: