Full Premiums definition

Full Premiums means 100 percent of monthly Premiums for all of the coverage issued to each enrolled Member, as set forth under "Calculating Monthly Premiums" in this "Premiums" section. New Members‌ Premiums are payable for a new Member for the entire month when the Member's coverage effective date is any day during that month. Member Termination‌ Premiums are payable for the entire month for a Member whose last day of coverage is any day during that month. Premium Rebates‌ If state or federal law requires Health Plan to rebate premiums from this or any earlier contract year and Health Plan rebates premiums to Group, Group represents that Group will use that rebate for the benefit of Members, in a manner consistent with the requirements of the Public Health Service Act and the Affordable Care Act and if applicable with the obligations of a fiduciary under the Employee Retirement Income Security Act (ERISA).
Full Premiums means 100 percent of monthly Premiums for all of the coverage issued to each enrolled Member, as set forth under "Calculating Premiums" in this "Premiums" section. Premiums are payable for the entire month for a new Member whose coverage effective date falls between the first day of the month and the fifteenth day of the month. No Premiums are due for the month for a new Member whose coverage becomes effective after the fifteenth day of that month. Premiums are payable for the entire month for Members whose last day of coverage is on or after the sixteenth day of that month. No Premiums are due for the month for a Member whose last day of coverage is before the sixteenth day of that month. Group must give Health Plan's California Service Center 30 days' prior written notice of Senior Advantage involuntary membership terminations. An involuntary membership termination is a termination that is not in response to a disenrollment notice issued by CMS to Health Plan or received by Health Plan directly from a Member (these events are usually in response to a Member's request for disenrollment to CMS because the Member has enrolled in another Medicare health plan or wants Original Medicare coverage or has lost Medicare eligibility). The membership termination date is the first of the month following 30 days after the date when Health Plan's California Service Center receives a Senior Advantage membership termination notice unless Group specifies a later termination date. For example, if Health Plan's California Service Center receives a termination notice on March 5 for a Senior Advantage Member, the earliest termination date is May 1 and Group is required to pay applicable Premiums for the months of March and April.
Full Premiums means 100 percent of monthly Premiums for each enrolled Member, as set forth under "Calculating Monthly Premiums" in this "Premiums" section. New Members‌ Premiums are payable for the entire month for a new Member whose coverage effective date falls between the first day of the month and the fifteenth day of the month. No Premiums are due for the month for a new Member whose coverage becomes effective after the fifteenth day of that month. Membership Termination‌ Premiums are payable for the entire month for a Member whose last day of coverage is any day during that month. Group must give Health Plan's California Service Center 30 days' prior written notice of Senior Advantage involuntary membership terminations. An involuntary membership termination is a termination that is not in response to a disenrollment notice issued by CMS to Health Plan or received by Health Plan directly from a Member (these events are usually in response to a Member's request for disenrollment to CMS because the Member has enrolled in another Medicare health plan or wants Original Medicare coverage or has lost Medicare eligibility). The membership termination date is the first of the month following 30 days after the date when Health Plan's California Service Center receives a Senior Advantage membership termination notice unless Group specifies a later termination date. For example, if Health Plan's California Service Center receives a termination notice on March 5 for a Senior Advantage Member, the earliest termination date is May 1 and Group is required to pay applicable Premiums for the months of March and April.

Examples of Full Premiums in a sentence

  • Unforeseeable: As Soon as Practical after Leave Begins Per Agreement RETURN TO WORK When Sick Leave Exhausted or Need for Leave is Removed Notify District in Writing of Intent to Return 30 Days Prior to End of Leave Notify Superintendent 60 Days Prior to Termination of Leave INSURANCE Premiums Paid as Though Employee Was Working Premiums Paid as Though Employee Was Working Full Premiums Paid By Employee WAGES Paid Paid if Employee Has Sick Days Available and Leave Qualifies for Sick Leave.

  • Unforeseeable: As Soon as Practical after Leave Begins Per Agreement RETURN TO WORK When Sick Leave Exhausted or Need for Leave is Removed Notify District in Writing of Intent to Return 30 Days Prior to End of Leave Notify Superintendent 60 Days Prior to Termination of Leave INSURANCE Premiums Paid as Though Employee Was Working Premiums Paid as Though Employee Was Working Full Premiums Paid by Employee WAGES Paid Paid if Employee Has Sick Days Available and Leave Qualifies for Sick Leave.


More Definitions of Full Premiums

Full Premiums means 100 percent of monthly Premiums for all of the coverage issued to each enrolled Member, as set forth under “Calculating Premiums” in this “Premiums” section. New Members‌ Premiums are payable for the entire month for a new Member whose coverage effective date falls between the first day of the month and the fifteenth day of the month. No Premiums are due for the month for a new Member whose coverage becomes effective after the fifteenth day of that month. Membership Termination‌ Premiums are payable for the entire month for Members whose last day of coverage is on or after the sixteenth day of that month. No Premiums are due for the month for a Member whose last day of coverage is before the sixteenth day of that month. Group must give Health Plan’s California Service Center 30 days’ prior written notice of Senior Advantage involuntary membership terminations. An involuntary membership termination is a termination that is not in response to a disenrollment notice issued by CMS to Health Plan or received by Health Plan directly from a Member (these events are usually in response to a Member’s request for disenrollment to CMS because the Member has enrolled in another Medicare health plan or wants Original Medicare coverage or has lost Medicare eligibility). The membership termination date is the first of the month following 30 days after the date when Health Plan’s California Service Center receives a Senior Advantage membership termination notice unless Group specifies a later termination date. For example, if Health Plan’s California Service Center receives a termination notice on March 5 for a Senior Advantage Member, the earliest termination date is May 1 and Group is required to pay applicable Premiums for the months of March and April.
Full Premiums means 100 percent of monthly Premiums for each enrolled Member, as set forth under "Calculating Monthly Premiums" in this "Premiums" section. New Members‌ Premiums are payable for a new Member for the entire month when the Member's coverage effective date is any day during that month. Membership Termination‌ Premiums are payable for the entire month for a Member whose last day of coverage is any day during that month.

Related to Full Premiums