Fraud or Deception Clause Samples

Fraud or Deception. If Plan demonstrates fraud or intentional misrepresentation of material fact under the terms of this Agreement by Employer Group, Plan may cancel, Rescind or not renew this Agreement. Plan shall send a Notice of Cancellation, Rescission, or Nonrenewal to Employer Group and all Members at least 30 calendar days before the cancellation, Rescission, or nonrenewal. The termination effective date will be listed on such notice.
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Fraud or Deception. Members shall warrant in their enrollment applications that all information contained in applications, questionnaires, forms or statements submitted to Plan incident to enrollment under this Agreement, or to the administration of this Agreement, is true, correct and complete. If Plan demonstrates that any Member has performed an act or practice constituting fraud or made an intentional misrepresentation of material fact, or knowingly permits such fraud or intentional misrepresentation of material fact by another, then Plan may cancel, Rescind or not renew the coverage of such Member, and of his or her enrolled Dependents. Plan shall send a Notice of Cancellation, Rescission, or Nonrenewal to Employer Group and the Member at least 30 calendar days before the cancellation, Rescission, or nonrenewal. The termination effective date will be listed on such notice. Examples of fraud or intentional misrepresentation of material fact include, but are not limited to: (1) Misrepresentation of eligibility information about the Enrolled Employee or his or her enrolled Dependents; (2) Presenting an invalid prescription or physician order; (3) Misusing a Plan ID card or allowing another individual to use the Member’s ID card; (4) Intentionally providing Employer Group or Plan with incorrect or incomplete material information; and (5) Failing to notify Employer Group or Plan of changes in family status or other information that may affect eligibility.
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Fraud or Deception. If, in the Plan’s sole determination, the Employer Group engages in fraud or misrepresentation, then the Plan may terminate this Agreement effective immediately upon the mailing of written notice of termination by the Plan to the Employer Group.
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Related to Fraud or Deception

  • Behaviour No obscene or insulting language or disorderly behaviour shall be permitted. This includes any form of entertainment that may be considered lewd or inappropriate for a public place or that may offend or cause embarrassment to others.

  • fraudulent misrepresentation No party guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) shall be entitled to contribution from any party who was not guilty of such fraudulent misrepresentation.

  • Program Fraud and False or Fraudulent Statements or Related Acts (A) The CONTRACTOR acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, as amended, 31 U.S.C. § 3801 et seq . and U.S. DOT regulations, "Program Fraud Civil Remedies," 49 C.F.R. Part 31, apply to its actions pertaining to this Project. Upon execution of the underlying contract, the CONTRACTOR certifies or affirms the truthfulness and accuracy of any statement it has made, it makes, it may make, or causes to be made, pertaining to the underlying contract or the FTA assisted project for which this contract work is being performed. In addition to other penalties that may be applicable, the CONTRACTOR further acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent claim, statement, submission, or certification, the Federal Government reserves the right to impose the penalties of the Program Fraud Civil Remedies Act of 1986 on the CONTRACTOR to the extent the Federal Government deems appropriate. (B) The CONTRACTOR also acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent claim, statement, submission, or certification to the Federal Government under a contract connected with a project that is financed in whole or in part with Federal assistance originally awarded by FTA under the authority of 49 U.S.C. § 5307, the Government reserves the right to impose the penalties of 18 U.S.C. § 1001 and 49 U.S.C. § 5307, as amended, on the CONTRACTOR, to the extent the Federal Government deems appropriate. (C) The CONTRACTOR agrees to include the above two clauses in each subcontract financed in whole or in part with Federal assistance provided by FTA. It is further agreed that the clauses shall not be modified, except to identify the subcontractor who will be subject to the provisions.

  • No Fraud or Misrepresentation To the best of the Seller’s knowledge, each Receivable that was originated by a Dealer was sold by the Dealer to the Seller and by the Seller to the Purchaser without any fraud or misrepresentation on the part of such Dealer or the Seller, respectively.

  • Behavior Students must respect each other.