When Coverage Ends. Coverage under this contract is guaranteed renewable and will not be terminated, except as described below. Termination by the Subscriber The subscriber may terminate this contract by: Contacting us or The Exchange, (if you enrolled through The Exchange). For coverage purchased directly from us, termination will be effective on the last day for which subscription charges were paid. Failing to pay the required subscription charges when due or within the grace period Termination by Us Coverage under this contract will terminate when any of the events specified below occurs. Nonpayment of subscription charges. Coverage will end without notice as of the last date for which subscription charges were paid. Violation of published policies of Premera that have been approved by the Washington State Insurance Commissioner A member no longer lives in Washington State A member commits fraudulent acts as to Premera A member materially breaches the contract which includes, but is not limited to, failure to continue to meet the provisions stated under General Eligibility Requirements Change or implementation of federal or state laws that no longer permit the continued offering of this contract We discontinue this contract to all those covered under this contract as allowed by law. In such instance you will be given at least a 90-day notification of the discontinuation. If we discontinue this contract, you may apply for any other individual plan currently offered for sale by us or The Exchange. We withdraw from a service area or from a segment of a service area as allowed by law Any other reason allowed by state or federal law In the event this coverage under this contract is terminated, Xxxxxxx will refund any subscription charges received for dates beyond the contract termination date stated in our notice to you (see Notice).
When Coverage Ends. General Information about When Coverage Ends As permitted by law, we may end this Policy and/or all similar policies for the reasons explained in this Policy. Your right to Benefits automatically ends on the date that coverage ends, even if you are hospitalized or are otherwise receiving medical treatment on that date, except as noted below under Extended Coverage Related to a Claim. For extended Benefits for pediatric dental and vision services, please see Section 11: Pediatric Dental Care Services and Section 12: Pediatric Vision Care Services. When your coverage ends, we will still pay claims for Covered Health Care Services that you received before the date your coverage ended. However, once your coverage ends, we will not pay claims for any health care services received after that date (even if the medical condition that is being treated occurred before the date your coverage ended). Unless otherwise stated, an Enrolled Dependent's coverage ends on the date the Policyholder's coverage ends. We will refund any Premium paid and not earned due to Policy termination. This Policy may also terminate due to changes in the actuarial value requirements under state or federal law. If this Policy terminates for this reason, a new Policy, if available, may be issued to you. You may keep coverage in force by timely payment of the required Premiums under this Policy or under any subsequent coverage you have with us. This Policy will renew on January 1 of each calendar year. However, we may refuse renewal if any of the following occur: • We refuse to renew all policies issued on this form, with the same type and level of Benefits, to residents of the state where you then live, as explained under The Entire Policy Ends below. • There is fraud or intentional misrepresentation made by you or with your knowledge in filing a claim for Benefits, as explained under Fraud or Intentional Misrepresentation below. • Your eligibility would otherwise be prohibited under applicable law. What Events End Your Coverage? Coverage ends on the earliest of the dates specified below. When any of the following happen, we will provide written notice including the termination date and the reason for termination to the Policyholder: • The Entire Policy Ends Your coverage ends on the date this Policy ends. That date will be one of the following: ▪ The date determined by the Maryland Health Benefit Exchange that this Policy will terminate because the Policyholder no longer lives in the Servi...
When Coverage Ends. Coverage ends on the last day of the month in which you lose eligibility, provided all premium amounts have been paid. In the case of non-payment of premium, coverage ends on the last day of the month for which premium has been received.
When Coverage Ends. Coverage for your domestic partner will end when your domestic partnership is terminated in accordance with California Family Code Section 299. A domestic partnership is terminated under Family Code Section 299 when any one of the following occurs: One partner gives or sends to the other partner a written notice by certified mail that he or she is terminating the partnership; You or your domestic partner dies; You or your domestic partner marries; You and your domestic partner no longer have a common residence. You or your domestic partner must notify the Desert Community College Business Office as soon as possible, but in no event more than 60 days after any of these events have occurred, in writing by providing the District with a completed Statement of Dissolution of Domestic Partnership form and a Notice of Termination of Domestic Partnership pursuant to Family Code Section 299. Any loss suffered by the Desert Community College District, its agents, employees, representatives and/or insurers as a result of failure by you or your domestic partner to send the Desert Community College District notice of termination of the domestic partnership will be the responsibility of the domestic partner who was obligated to send the notice. The Desert Community College District, its agents, employees, representatives and/or insurers shall be entitled to seek recovery from the partner who was obligated to send the notice for any actual loss resulting thereby. You must file a copy of the District’s Statement of Dissolution of Domestic Partnership form and a copy(s) of any Notice of Termination of Domestic Partnership filed with the California Secretary of State pursuant to California Family Code Section 299 at any time you wish to voluntarily terminate coverage of your domestic partner. Remember, benefits for eligible domestic partners apply to medical, dental, vision, and EAP coverage only. ENROLLMENT INSTRUCTIONS ---------------------------------------------------------------------------------------------------------------------- To cover your domestic partner you must:
When Coverage Ends. All Coverages: Your coverage automatically ends on the earlier/est of:
When Coverage Ends. You must notify the Group of changes that will affect your eligibility. The Group will send the appropriate request to Health Net according to current procedures. Health Net is not obligated to notify you that you are no longer eligible or that your coverage has been terminated.
When Coverage Ends. The person who receives Covered Health Services is a Covered Person and meets all eligibility requirements specified in the Policy or is receiving Benefits under the Extended Coverage for Total Disability provision in Section 4: When Coverage Ends . This section describes Covered Health Services for which Benefits are available. Please refer to the attached Schedule of Benefits for details about: The amount you must pay for these Covered Health Services (including any deductible, Copayment and/or Coinsurance). Any limit that applies to these Covered Health Services (including visit, day and dollar limits on services). Any limit that applies to the amount you are required to pay in a year (Out-of-Pocket Maximum). Any responsibility you have for obtaining prior authorization or notifying us. [1Include the appropriate option as selected by the Enrolling Group.] Benefits include a health assessment that may be completed by each [1Covered Person age 18 years and older][1Subscriber and Enrolled Dependent spouse age 18 years and older] on a voluntary basis. Written feedback will be immediately provided to each [1Covered Person age 18 years and older][1Subscriber and Enrolled Dependent spouse age 18 years and older] who completes a health assessment. The feedback will include information to help lower the risks identified in the completed health assessment and, based on your health assessment score, includes access to a health coach who may suggest health improvement programs such as weight loss, exercise, stress management, and nutrition programs. You may access the health assessment at [xxx.xxxxx.xxx]. Please note that in listing services or examples, when we say "this includes," it is not our intent to limit the description to that specific list. When we do intend to limit a list of services or examples, we state specifically that the list "is limited to."
When Coverage Ends. General Information about When Coverage Ends We may discontinue this Benefit plan and/or all similar benefit plans at any time for the reasons explained in the Policy, as permitted by law.
When Coverage Ends. The date coverage terminates for failure to make timely payment of the Premium; • The date the Enrolling Group ceases to provide Benefits to its employees under a group contract; • The date the Covered Person becomes eligible for hospital, medical, or surgical benefits under an insured or self-insured group health benefit program or plan, other than the group contract, that is written on an expense-incurred basis or is with a health maintenance organization. • The date the Covered Persons accepts hospital, medical, or surgical coverage under a nongroup contract or policy that is written on an expense-incurred basis or is with a health maintenance organization. • The date the Covered Person becomes entitled to benefits under Title XVIII of the Social Security Act; • The date the Covered Person elects to terminate coverage.
When Coverage Ends. This agreement may be terminated and coverage will end in accordance with the following:
