Termination Based on Medicare Entitlement or Enrollment Clause Samples
The 'Termination Based on Medicare Entitlement or Enrollment' clause allows a contract to be ended if a party becomes entitled to or enrolls in Medicare. In practice, this means that if an individual covered by the agreement qualifies for or signs up for Medicare, the agreement can be terminated, often with specified notice requirements. This clause is commonly used in health insurance or benefits contracts to prevent overlapping coverage and to ensure compliance with regulations regarding primary and secondary payers.
Termination Based on Medicare Entitlement or Enrollment. Members entitled to or enrolled in Medicare may be terminated within thirty-one (31) calendar days of initial effectuation of the Agreement unless the Agreement is a renewal of a contract of insurance for the same policy.