Common use of TERMINATION OF DEPENDENT COVERAGE Clause in Contracts

TERMINATION OF DEPENDENT COVERAGE. 1. When a Dependent is no longer eligible due to reaching the Limiting Age, the effective date of termination will be the end of the Calendar Year in which the Dependent reaches the Limiting Age. 2. In all other instances, the effective date of termination will be the last day of the month that the Subscriber and/or Dependent is no longer eligible for coverage. 3. The Subscriber or Member, as applicable, may request an earlier termination date as provided in Section 4.1 The Subscriber is responsible for notifying CareFirst BlueChoice of any changes in the status of a Dependent which affects his/her eligibility for coverage under this Agreement, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber does not notify CareFirst BlueChoice of these types of changes and it is later determined that a Dependent was not eligible for coverage, CareFirst BlueChoice may rescind the Agreement and recover the full value of the services and benefits provided during the period of ineligibility if fraud or intentional misrepresentation was involved in the failure to notify CareFirst BlueChoice. CareFirst BlueChoice can recover these amounts from the Subscriber or from the Dependent, at the option of CareFirst BlueChoice. The amount CareFirst BlueChoice may recover will be offset by any Premium paid by the Subscriber that is attributable to the ineligible Dependent. If fraud or intentional misrepresentation was not involved in the failure to notify CareFirst BlueChoice, then CareFirst BlueChoice will immediately terminate the coverage of the Dependent.

TERMINATION OF DEPENDENT COVERAGE. 1. When a Dependent is no longer eligible due to reaching the Limiting Age, the effective date of termination will be the end of the Calendar Year in which the Dependent reaches the Limiting Age. 2. In all other instances, the effective date of termination will be the last day of the month that the Subscriber and/or Dependent is no longer eligible for coverage. 3. The Subscriber or Member, as applicable, may request an earlier termination date as provided in Section 4.1 The Subscriber is responsible for notifying CareFirst BlueChoice of any changes in the status of a Dependent which affects his/her eligibility for coverage under this Agreement, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber does not notify CareFirst BlueChoice of these types of changes and it is later determined that a Dependent was not eligible for coverage, CareFirst BlueChoice may rescind the In-Network Agreement and recover the full value of the services and benefits provided during the period of ineligibility if fraud or intentional misrepresentation was involved in the failure to notify CareFirst BlueChoice. CareFirst BlueChoice can recover these amounts from the Subscriber or from the Dependent, at the option of CareFirst BlueChoice. The amount CareFirst BlueChoice may recover will be offset by any Premium paid by the Subscriber that is attributable to the ineligible Dependent. If fraud or intentional misrepresentation was not involved in the failure to notify CareFirst BlueChoice, then CareFirst BlueChoice will immediately terminate the coverage of the Dependent.