Common use of Termination of Eligibility Clause in Contracts

Termination of Eligibility. Eligibility for Benefits will terminate for all Members under this Contract at the earlier of: 1. The termination of this Contract; or 2. Midnight of the last day of the month for which payment has been made if the Contractor fails to make the payments required by this Contract. Eligibility of an individual Member will also terminate under the following circumstances: 1. The Member ceases to meet the definition of an Enrollee or a Dependent as defined by this Contract; 2. The Member fails to comply with the eligibility requirements of this Contract; or 3. The Member commits fraud or misrepresentation in the submission of any claim. A Member whose eligibility is terminated may not continue group coverage under this Contract, except as required by the continuation coverage provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, or comparable, non-preempted state law (“COBRA”). An affiliate of Delta Dental also may offer coverage under an individual direct payment policy to a Member whose eligibility is terminated.

Termination of Eligibility. Eligibility for Benefits will terminate for all Members under this Contract at the earlier of: 1. The termination of this Contract; or 2. Midnight of the last day of the month for which payment has been made if the Contractor fails to make the payments required by this Contract. Eligibility of an individual Member will also terminate under the following circumstances: 1. The Member ceases to meet the definition of an Enrollee or a Dependent as defined by this Contract;. 2. The Member fails to comply with the eligibility requirements of this Contract; or, 3. The Member commits fraud or misrepresentation in the submission of any claim. A Member whose eligibility is terminated may not continue group coverage under this Contract, except as required by the continuation coverage provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, or comparable, non-preempted state law (“COBRA”). An affiliate of Delta Dental also may offer coverage under an individual direct payment policy to a Member whose eligibility is terminated.