Common use of Continuation of Coverage Clause in Contracts

Continuation of Coverage. If a Member’s Coverage terminates as the result of an event which permits that Member to elect to continue his or her Coverage in accordance with applicable Federal or State laws (a “Qualifying Event”), (“Continuation Coverage”), that Member will be entitled to remain Covered under this Policy. The Member must comply with the requirements of the laws and pay the applicable Premium for the Coverage. Federal and state laws determine how long the Group is required to continue to provide Coverage to that Member. The EOC describes the terms and conditions of such Continuation Coverage in greater detail. The Group will notify Members of their right to obtain Continuation Coverage following a Qualifying Event. The Group will collect and remit the Premium for the Coverage to the Insurance Company. If Members do not enroll and pay the Premium for Continuation Coverage, on or before the date their Continuation Coverage would become effective, the Insurance Company will terminate their Coverage. They may be reinstated if they subsequently enroll and pay the applicable Premiums within the enrollment period for Continuation Coverage specified by law. If the Group fails to notify a Member of his or her right to enroll for Continuation Coverage in accordance with applicable laws, the Insurance Company will not extend the enrollment period beyond that required by law had the Group informed the Member of that right in a timely manner. The Insurance Company may consent, in writing, to extend the enrollment period for Continuation Coverage for that Member.

Appears in 6 contracts

Sources: Group Insurance Policy, Group Insurance Policy, Group Insurance Policy

Continuation of Coverage. If a Member’s Coverage terminates as the result of an event which permits that Member to elect to continue his or her Coverage in accordance with applicable Federal or State laws (a “Qualifying Eventqualifying event”), (“Continuation Coverage”), that Member will be entitled to remain Covered under this Policy. The Member must comply with the requirements of the laws and pay the applicable Premium for the Coverage. Federal and state laws determine how long the Group is required to continue to provide Coverage to that Member. The EOC Certificate describes the terms and conditions of such Continuation Coverage in greater detail. The Group will notify Members of their right to obtain Continuation Coverage following a Qualifying Eventqualifying event. The Group will collect and remit the Premium for the Coverage to the Insurance Company. If Members do not enroll and pay the Premium for Continuation Coverage, on or before the date their Continuation Coverage would become effective, the Insurance Company will terminate their Coverage. They may be reinstated if they subsequently enroll and pay the applicable Premiums within the enrollment period for Continuation Coverage specified by law. If the Group fails to notify a Member of his or her right to enroll for Continuation Coverage in accordance with applicable laws, the Insurance Company will not extend the enrollment period beyond that required by law had the Group informed the Member of that right in a timely manner. The Insurance Company may consent, in writing, to extend the enrollment period for Continuation Coverage for that Member.

Appears in 3 contracts

Sources: Group Insurance Policy, Group Insurance Policy, Group Insurance Policy

Continuation of Coverage. If a Member’s Coverage terminates as the result of an event which permits that Member to elect to continue his or her Coverage in accordance with applicable Federal or State laws (a “Qualifying Event”), (“Continuation Coverage”), that Member will be entitled to remain Covered under this Policy. The Member must comply with the requirements of the laws and pay the applicable Premium for the Coverage. Federal and state laws determine how long the Group is required to continue to provide Coverage to that Member. The EOC describes the terms and conditions of such Continuation Coverage in greater detail. NOTICE TO MEMBERS OF OPPORTUNITY TO ELECT CONTINUITY OF CARE ON POLICY TERMINATION. The Policyholder must provide written notice to members, who are continuing care patients as defined in §2799A- 3(b)(1) of the PHS Act, of the opportunity to elect continuity of care coverage when this Policy is terminated, either by the Policyholder or by the Insurance Company. The Policyholder will provide promptly to the Insurance Company proof of that mailing and the date thereof. The Group will notify Members of their right to obtain Continuation Coverage following a Qualifying Event. The Group will collect and remit the Premium for the Coverage to the Insurance Company. If Members do not enroll and pay the Premium for Continuation Coverage, on or before the date their Continuation Coverage would become effective, the Insurance Company will terminate their Coverage. They may be reinstated if they subsequently enroll and pay the applicable Premiums within the enrollment period for Continuation Coverage specified by law. If the Group fails to notify a Member of his or her right to enroll for Continuation Coverage in accordance with applicable laws, the Insurance Company will not extend the enrollment period beyond that required by law had the Group informed the Member of that right in a timely manner. The Insurance Company may consent, in writing, to extend the enrollment period for Continuation Coverage for that Member.

Appears in 2 contracts

Sources: Group Insurance Policy, Group Insurance Policy

Continuation of Coverage. If a Member’s Coverage terminates as the result of an event which permits that Member to elect to continue his or her Coverage in accordance with applicable Federal or State laws (a “Qualifying Eventqualifying event”), (“Continuation Coverage”), that Member will be entitled to remain Covered under this Policy. The Member must comply with the requirements of the laws and pay the applicable Premium for the Coverage. Federal and state laws determine how long the Group is required to continue to provide Coverage to that Member. The EOC Certificate describes the terms and conditions of such Continuation Coverage in greater detail. NOTICE TO MEMBERS OF OPPORTUNITY TO ELECT CONTINUITY OF CARE ON POLICY TERMINATION. The Policyholder must provide written notice to Members, who are continuing care patients as defined in §2799A-3(b)(1) of the PHS Act, of the opportunity to elect continuity of care coverage when this Policy is terminated, either by the Policyholder or by the Insurance Company. The Policyholder will provide promptly to the Insurance Company proof of that mailing and the date thereof. The Group will notify Members of their right to obtain Continuation Coverage following a Qualifying Eventqualifying event. The Group will collect and remit the Premium for the Coverage to the Insurance Company. If Members do not enroll and pay the Premium for Continuation Coverage, on or before the date their Continuation Coverage would become effective, the Insurance Company will terminate their Coverage. They may be reinstated if they subsequently enroll and pay the applicable Premiums within the enrollment period for Continuation Coverage specified by law. If the Group fails to notify a Member of his or her right to enroll for Continuation Coverage in accordance with applicable laws, the Insurance Company will not extend the enrollment period beyond that required by law had the Group informed the Member of that right in a timely manner. The Insurance Company may consent, in writing, to extend the enrollment period for Continuation Coverage for that Member.

Appears in 1 contract

Sources: Group Insurance Policy

Continuation of Coverage. 1. Continuation of Coverage If a Member’s Coverage terminates as the result of an event which permits that Member to elect to continue his or her Coverage in accordance with applicable Federal or State laws (a “Qualifying Event”), (“Continuation Coverage”), that Member will be entitled to remain Covered under this Policy. The Member must comply with the requirements of the laws and pay the applicable Premium for the Coverage. Federal and state laws determine how long the Group is required to continue to provide Coverage to that Member. The EOC describes the terms and conditions of such Continuation Coverage in greater detail. The Group will notify Members of their right to obtain Continuation Coverage following a Qualifying Event. The Group will collect and remit the Premium for the Coverage to the Insurance Company. If Members do not enroll and pay the Premium for Continuation Coverage, on or before the date their Continuation Coverage would become effective, the Insurance Company will terminate their Coverage. They may be reinstated if they subsequently enroll and pay the applicable Premiums within the enrollment period for Continuation Coverage specified by law. If the Group fails to notify a Member of his or her right to enroll for Continuation Coverage in accordance with applicable laws, the Insurance Company will not extend the enrollment period beyond that required by law had the Group informed the Member of that right in a timely manner. The Insurance Company may consent, in writing, to extend the enrollment period for Continuation Coverage for that Member.

Appears in 1 contract

Sources: Group Insurance Policy