BENEFITS AFTER TERMINATION OF COVERAGE Clause Samples

The "Benefits After Termination of Coverage" clause defines what, if any, benefits a policyholder or insured individual is entitled to receive after their insurance coverage has ended. Typically, this clause outlines circumstances under which certain claims may still be processed, such as if a covered event occurred before the termination date but was reported afterward, or if there are specific extended benefits for ongoing treatments. Its core practical function is to clarify the extent of continued protection or obligations after coverage ends, thereby preventing disputes and ensuring both parties understand their rights and responsibilities post-termination.
BENEFITS AFTER TERMINATION OF COVERAGE. A. When this Contract remains in effect but a Member’s coverage terminates for reasons other than those specified in General Provisions IV.E.
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BENEFITS AFTER TERMINATION OF COVERAGE. 1. If a Member is continuously disabled on the day this Agreement is terminated by the Plan, benefits will be provided under the terms of this Agreement while the Member is so continuously disabled. For purposes of this Subsection, continuously disabled means that the Member is an Inpatient in a Facility Provider. Continuation of benefits under this Paragraph will not be provided if this Agreement is terminated by the Plan for fraud or intentional misrepresentation of a material fact. Benefits will be provided, for charges Incurred for the inpatient confinement, until the earlier of: a. the Maximum level of benefits has been reached; or b. the end of the Benefit Period. Any such continuation of benefits after the date this Agreement is terminated is conditioned upon the continuous inpatient confinement of the Member and the providing of documentation as required by the Plan which evidences such continued inpatient confinement. 2. If a Member is pregnant on the date coverage terminates, except for non-payment of premium, fraud or intentional misrepresentation of a material fact, benefits will be provided for Covered Services related to that pregnancy until the Maximum amount of benefits has been paid. 3. If a newborn child is not otherwise eligible for continuing benefits beyond the first thirty- one (31) days as a Dependent under this or any other current agreement, benefits may be continued for such child if, within said thirty-one (31) day period, the Member applies for and is issued an Agreement for said newborn either individually or as a Dependent, subject to Paragraph 1 of this Subsection. If this Agreement terminates as the result of non-payment of premiums, fraud or intentional misrepresentation of a material fact, the liability of the Plan shall cease as of the date of such termination, and no benefits will be provided for newborn care Incurred after that date, subject to Paragraph 1 of this Subsection.
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BENEFITS AFTER TERMINATION OF COVERAGE. 1. If an Insured's coverage terminates for any reason, Benefits under this Contract shall cease as of the effective date and time of such termination. However, if the termination of coverage is caused by failure to pay premiums on behalf of the insured, a thirty-one day grace period will be observed on behalf of the plan. During this grace period, the policy shall remain in force. 2. The Plan shall have no liability for any Benefits for Covered Services Incurred after the termination of this Contract, except as provided above.
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BENEFITS AFTER TERMINATION OF COVERAGE. If following termination you are interested in purchasing alternate coverage, our current insurance carrier offers a Group Conversion Program for employees who have recently left a Group Benefit Plan. The benefits available include: Extended Health benefits, prescription drugs, semi-private hospital and dental benefits.
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BENEFITS AFTER TERMINATION OF COVERAGE. If following termination you are interested in purchasing alternate coverage, our current insurance carrier offers a Group Conversion Program for employees who have recently left a Group Benefit Plan. The benefits available include: Extended Health benefits, prescription drugs, semi-private hospital and Dental benefits. LIFE INSURANCE PLANS • Basic Life • Optional Life • Dependent Life If you are a Regular Full-Time employee eligible to be a member of the Professional & Managerial Association (PMA), you are eligible to participate in the following Life Insurance plans: • participation is compulsory • coverage is effective on the first day of your Regular Full-Time appointment The Basic Life Insurance plan provides coverage on your life based on two times your annual basic salary rounded to the next higher $1,000 with minimum coverage of $44,000. • the University pays the full cost of the first $25,000 of coverage • combined employer paid coverage $44,000 • the cost being paid by the University is a taxable benefit LIFE INSURANCE PLANS • for a breakdown of the cost, refer to our web site or contact a Human Resources - Benefits Representative • participation is optional • you are eligible to participate on the first day of your Regular Full-Time appointment, however, if you do not make an application within 31 days of first becoming eligible, evidence of health is required and is subject to approval by the insurance carrier • to increase optional life amounts, evidence of health may be required The Optional Life Insurance plan provides you with the opportunity to purchase additional life insurance coverage on your life at a level of one half times, one times, one and a half times or two times your annual basic salary rounded to the next higher $1,000. $1,000,000. You pay the full cost of the coverage which is dependent on your age and whether you are a smoker or non-smoker. For a breakdown of the cost, refer to our web site or contact a Human Resources - Benefits Representative. • participation is optional • if you have eligible dependent(s), you may participate in the plan on the first day of your Regular Full-Time appointment, however, if you do not make an application within 31 days of first becoming eligible, evidence of health is required on your dependent(s) and is subject to approval by the insurance carrier LIFE INSURANCE PLANS • if you do not have a dependent(s) when you first became eligible to participate in the plan as outlined above, you may mak...
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BENEFITS AFTER TERMINATION OF COVERAGE. If you are an inpatient on the day your coverage under this Program terminates, benefits of this Program will continue until the earliest of the following:  Maximum benefits have been received;  The inpatient stay ends; or  You become covered for the condition for which you are receiving inpatient care under any other group coverage.
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BENEFITS AFTER TERMINATION OF COVERAGE. 1. If an Insured's coverage terminates for any reason, Benefits under this Contract shall cease as of the effective date and time of such termination. However, if the termination of coverage is caused by failure to pay premiums on behalf of the Insured, a forty-five (45) day grace period will be observed on behalf of the plan. During this grace period, the Contract shall remain in force. If past due premiums are not paid within the forty-five (45) day grace period then the Insured’s coverage will be terminated with an effective date equal to their last premium “paid to” date. Any claims paid for service after the termination date will be pursued for refunds. 2. The Plan shall have no liability for any Benefits for Covered Services Incurred after the termination of this Contract, except as provided above.
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Related to BENEFITS AFTER TERMINATION OF COVERAGE

  • Compensation After Termination a. If (i) the Company terminates Employee’s employment during the Employment Period pursuant to Section 4.1.a, 4.1.b, or 4.1.c hereof, (ii) either party terminates this Agreement pursuant to Article 2 hereof or (iii) Employee voluntarily terminates this Agreement pursuant to Section 4.1.d hereof, then the Employment Agreement and Employee’s employment with the Company shall terminate and the Company shall have no further obligations hereunder or otherwise with respect to Employee’s employment from and after the termination or expiration date, except that the Company shall pay Employee’s Base Salary accrued through the date of termination or expiration and shall provide such benefits as are required by applicable law. Notwithstanding the foregoing, if the Company terminates Employee pursuant to Section 4.1.a or 4.1.b, the Company will pay to Employee a pro rata share of any incentive compensation earned by Employee during the year in which such termination occurs, such incentive compensation to be determined and payable in the same manner and at the same time as it would have been had Employee’s employment not been terminated pursuant to Section 4.1.a or 4.1.b. b. If the Company terminates the Employee’s employment pursuant to Section 4.1.d hereof, then the Company shall have no further obligations hereunder or otherwise with respect to Employee’s employment from and after the termination date, except that, subject to receiving a signed separation agreement and general release of claims from Employee substantially in the form set out in attached Exhibit 1 to this Agreement, modified as necessary so as to be fully enforceable under current applicable law, Company shall pay Employee’s Base Salary through the end of the then current Employment Period and shall provide benefits as are required by applicable law. However, any payments under this Section 4.2.b. payable after termination of employment may be delayed as may be required by Section 7.12 hereof. Provided, however, if the termination of Employee’s employment results in compensation and benefits being provided to Employee pursuant to the Severance Agreement of even date herewith, Employee shall receive no compensation under this Section 4.2, except for Base Salary and benefits accrued through the date of termination or as are otherwise required by applicable law.

  • Rights After Termination If any Schedule is terminated for any reason, all rights granted to Client hereunder with respect to the Deliverables under that Schedule shall cease, and Client shall; (a) immediately cease all use of the applicable Deliverables and purge any and all software, content, and materials from Client’s computer systems, storage media and files, and all copies thereof, as applicable, and (b) promptly return or destroy, at College Board’s direction, content and materials, and all copies thereof, and all other confidential information of College Board then in Client’s possession or under Client’s control. Upon termination of this Agreement, the College Board shall terminate Client’s access to any systems to which Client has access under this Agreement.

  • Termination of Coverage This Contract may be terminated as follows:

  • Obligations after Termination a. Following termination of this Agreement, a Party shall remain liable for all obligations arising hereunder prior to the effective date of termination, including all obligations accrued prior to the effective date, imposed on the Party by this Agreement or the ISO Tariffs or other ISO Related Agreements. b. Termination of this Agreement shall not relieve the NTO of any continuing obligation it may have under the ISO Tariffs and ISO Related Agreements, unless the NTO also withdraws from the ISO Tariffs or ISO Related Agreements.