Common use of Termination by Member Clause in Contracts

Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Health Options, send a signed, written statement to Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Health Options is required to provide in-force coverage for the first 31- days of the applicable grace period. This means your coverage continues and Health Options will bill you for the Premium owed during this 31-day period. Health Options will send a final letter stating total amount due (i.e. for the first 31-days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.

Appears in 3 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Health Options, send a signed, written statement to Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Health Options is required to provide in-force coverage for the first 31- 31-days of the applicable grace period. This means your coverage continues and Health Options will bill you for the Premium owed during this 31-31- day period. Health Options will send a final letter stating total amount due (i.e. for the first 31-days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.. SAMPLE

Appears in 1 contract

Samples: Member Benefit Agreement

Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Health Options, send a signed, written statement to Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Health Options is required to provide in-force coverage for the first 31- 31-days of the applicable grace period. This means your coverage continues and Health Options will bill you for the Premium owed during this 31-31- day period. Health Options will send a final letter stating total amount due (i.e. for the first 31-days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.

Appears in 1 contract

Samples: Member Benefit Agreement

Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Community Health Options, send a signed, written statement to Community Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Community Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Community Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, Marketplace without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid/MaineCare, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Community Health Options is required to provide in-force in‐force coverage for the first 31- days 31‐days of the applicable grace period. This means your coverage continues and Community Health Options will bill you for the Premium owed during this 31-day 31‐day period. Community Health Options will send a final letter stating total amount due (i.e. for the first 31-days 31‐days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Community Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.

Appears in 1 contract

Samples: Member Benefit Agreement

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Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Health Options, send a signed, written statement to Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Health Options is required to provide in-force coverage for the first 31- 31-days of the applicable grace period. This means your coverage continues and Health Options will bill you for the Premium owed during this 31-day period. Health Options will send a final letter stating total amount due (i.e. for the first 31-days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.. SAMPLE

Appears in 1 contract

Samples: Member Benefit Agreement

Termination by Member. A Subscriber may request that we end this Agreement and coverage under the Plan at any time. For Plans purchased directly from Community Health Options, send a signed, written statement to Community Health Options. This Agreement and the Member’s coverage will be terminated effective the last day of the month in which Community Health Options receives written notice or the last day of a future month as requested by the Member. For Plans purchased through the Marketplace, inform the Marketplace of your request to voluntarily terminate. The Marketplace will determine the termination effective date. Community Health Options cannot terminate Marketplace plans or change effective dates issued by the Marketplace, without Marketplace Approval. You will be responsible for any premium owed up to the effective date of termination determined by the Marketplace. If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts. Community Health Options will allow for retroactive termination dates if: (1) Community Health Options has not incurred any claims during the period between the requested termination date and the date of the request, and (2) proof of coverage enrollment date is provided. Failure to pay your Membership Premiums as described in Section 3.D of this Agreement will be considered termination by the Member without notice. Under Maine law, Community Health Options is required to provide in-force in‐force coverage for the first 31- days 31‐days of the applicable grace period. This means your coverage continues and Community Health Options will bill you for the Premium owed during this 31-day 31‐day period. Community Health Options will send a final letter stating total amount due (i.e. for the first 31-days 31‐days of the applicable grace period) and the date the payment must be received. Unpaid Premiums may be sent to collections if not paid within 120 days from coverage termination date. Community Health Options will refund to the Member Premiums paid for coverage periods after the date of termination.

Appears in 1 contract

Samples: Member Benefit Agreement

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