CONDITIONS OF COVERAGE AND PAYMENT OF DUES Sample Clauses
The "Conditions of Coverage and Payment of Dues" clause defines the requirements that must be met for an individual or entity to maintain active insurance coverage and the obligation to pay associated premiums or dues. Typically, this clause outlines the necessity for timely payment of dues, continued eligibility, and compliance with policy terms as prerequisites for coverage to remain in effect. For example, it may specify that failure to pay premiums by a certain date can result in suspension or termination of coverage. The core function of this clause is to ensure that both parties understand the conditions under which coverage is provided and maintained, thereby preventing disputes and lapses in insurance protection due to non-payment or non-compliance.
CONDITIONS OF COVERAGE AND PAYMENT OF DUES. A. ENROLLMENT
CONDITIONS OF COVERAGE AND PAYMENT OF DUES. A. ENROLLMENT
1. Enrollment of a Subscriber An eligible Applicant becomes a Subscriber under this Agreement upon notification by Blue Shield that his or her properly completed application for enrollment has been approved by Blue Shield.
2. Enrollment in Blue Shield’s Household Sav- ings Program Any two individuals living in the same House- hold, and sharing the same mailing address, who are enrolled for coverage in the same Med- icare Supplement Plan are eligible for a 7% monthly savings on the Household’s combined premiums. Each Applicant in a Household must be individually eligible and must be at least 65 years old in order to take advantage of the savings program. Applicants need not apply at the same time for the Medicare Supplement Plan in order to qualify for the 7% savings.
a. Limitations and Definitions Applicable to the Household Savings Program
CONDITIONS OF COVERAGE AND PAYMENT OF DUES. A. ENROLLMENT
1. Enrollment of a Subscriber An eligible Applicant becomes a Subscriber under this Agreement upon notification by Blue Shield that his or her properly completed application for enrollment has been approved by Blue Shield. The Subscriber must be a resident of one of the following counties in the State of California: Alameda, Alpine, ▇▇▇▇▇▇, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, ▇▇▇▇▇, Humboldt, Kings, Lake, Las- sen, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Ne- ▇▇▇▇, Placer, Plumas, Sacramento, San ▇▇▇▇▇▇, San Francisco, San ▇▇▇▇▇▇▇, San Mateo, Santa ▇▇▇▇▇, Santa ▇▇▇▇, ▇▇▇▇▇▇, Sierra, Siskiyou, ▇▇▇▇▇▇, Sonoma, Stanislaus, Sutter, ▇▇▇▇▇▇, ▇▇▇▇▇▇▇, Tuolumne, ▇▇▇▇ and ▇▇▇▇.
2. Enrollment in Blue Shield’s Household Sav- ings Program Any two individuals living in the same House- hold, and sharing the same mailing address, who are enrolled for coverage in the same Med- icare Supplement Plan are eligible for a 7% monthly savings on the Household’s combined premiums. Each Applicant in a Household must be individually eligible and must be at least 65 years old in order to take advantage of the savings program. Applicants need not apply at the same time for the Medicare Supplement Plan in order to qualify for the 7% savings.
a. Limitations and Definitions Applicable to the Household Savings Program
CONDITIONS OF COVERAGE AND PAYMENT OF DUES. In addition to Section I.B., a two-party Agreement will terminate upon any of the following events:
A. ENROLLMENT i) The enrolled spouse or Domestic Partner
1. Enrollment of a Subscriber no longer meets the definition of De- pendent. An eligible Applicant becomes a Subscriber under this Agreement upon notification by Blue Shield that his or her properly complet- ed application for enrollment has been ap- proved by Blue Shield.
CONDITIONS OF COVERAGE AND PAYMENT OF DUES