Common use of RESPONSIBILITIES OF GROUP Clause in Contracts

RESPONSIBILITIES OF GROUP. Group agrees to: A. Offer coverage to those eligible employees 26[and Covered Dependents], as described in Section IV above. B. Provide notification to each Subscriber, within 15 days after termination of the Subscriber’s coverage, of the Subscriber’s right to convert to one of Our individual direct payment contracts, contingent upon the Subscriber having reasonable access to Our Service Area or convert to the Healthy New York Individual Program. Group is also responsible for providing COBRA notices to ineligible Subscribers. C. Furnish to Us, on a monthly basis (or as otherwise required), on Our approved forms, such information as may reasonable be required by Us for the administration of the Agreement, including any change in a Member’s eligibility status. In addition, We may, at reasonable times, examine the Group’s pertinent records with respect to eligibility and Premium payments hereunder. D. Comply with all policies and procedures established by Us in administering and interpreting the Agreement. This includes providing Oxford with the Re-certification Notice 27[at least 45] days prior to the renewal date.

Appears in 3 contracts

Sources: Group Enrollment Agreement, Group Enrollment Agreement, Group Enrollment Agreement