Common use of Termination of Members Clause in Contracts

Termination of Members. 1. No Coverage will be provided to any Member if the Group fails to pay the Premium for the first month of this Agreement by February 15, 2021. This Agreement may be terminated for non-payment of Premium if the Group fails to pay Premiums for the second or subsequent months by the end of the thirty (30) day grace period. If so terminated, a Member’s Termination Date shall be the day following the expiration of the grace period and the Member shall be liable for the cost of services received during the grace period. 2. For any Member who ceases to be eligible under the EOC or this Agreement the Termination Date shall be the date such eligibility ceases. 3. If the Member is an inpatient on the Termination Date of this Agreement, benefits will terminate for such Member at 12:01 a.m. on the day next following the Termination Date. However, in the event that Group replaces the Plan with another group health care plan or program of any kind, Preferred Provider shall cooperate with such other plan or program in the orderly transition of covered care for Members who are then inpatients. 4. For a Dependent who qualifies as a Survivor, the Termination Date shall be the earliest of the following dates: a. as to any Dependent child of the deceased Subscriber, the last day of the Plan month in which such Dependent child ceases to be a Dependent as defined by the Plan; b. the last day of the Plan month in which the Dependent becomes eligible for coverage hereunder as an Eligible Employee, or becomes eligible for coverage under Medicare or any other employer-sponsored policy, plan or program of group health coverage; or c. The date of termination of the Plan.

Appears in 1 contract

Sources: Group Application for Medicare Advantage Ppo and Medicare Part D

Termination of Members. 1. No Coverage will be provided to any Member if the Group fails to pay the Premium for the first month of this Agreement by February 15, 2021. This Agreement may be terminated for non-payment of Premium if the Group fails to pay Premiums for the second or subsequent months by the end of the thirty (30) day grace period. If so terminated, a Member’s Termination Date shall be the day following the expiration of the grace period and the Member shall be liable for the cost of services received during the grace period. 2. For any Member who ceases to be eligible under the EOC or this Agreement the Termination Date shall be the date such eligibility ceases. 3. If the Member is an inpatient on the Termination Date of this Agreement, benefits will terminate for such Member at 12:01 a.m. on the day next following the Termination Date. However, in the event that Group replaces the Plan with another group health care plan or program of any kind, Preferred Provider HMO shall cooperate with such other plan or program in the orderly transition of covered care for Members who are then inpatients. 4. Termination shall occur if Member is involved in fraudulent, abuse or misuse of Identification Card. 5. For a Dependent who qualifies as a Survivor, the Termination Date shall be the earliest of the following dates: a. as As to any Dependent child of the deceased Subscriber, the last day of the Plan month in which such Dependent child ceases to be a Dependent as defined by the Plan; b. the The last day of the Plan month in which the Dependent becomes eligible for coverage hereunder as an Eligible Employee, or becomes eligible for coverage under Medicare or any other employer-sponsored policy, plan or program of group health coverage; or c. The date of termination of the Plan.

Appears in 1 contract

Sources: Group Application

Termination of Members. 1. No Coverage will be provided to any Member if the Group fails to pay the Premium for the first month of this Agreement by February 15, 20212020. This Agreement may be terminated for non-payment of Premium if the Group fails to pay Premiums for the second or subsequent months by the end of the thirty (30) day grace period. If so terminated, a Member’s Termination Date shall be the day following the expiration of the grace period and the Member shall be liable for the cost of services received during the grace period. 2. For any Member who ceases to be eligible under the EOC or this Agreement the Termination Date shall be the date such eligibility ceases. 3. If the Member is an inpatient on the Termination Date of this Agreement, benefits will terminate for such Member at 12:01 a.m. on the day next following the Termination Date. However, in the event that Group replaces the Plan with another group health care plan or program of any kind, Preferred Provider HMO shall cooperate with such other plan or program in the orderly transition of covered care for Members who are then inpatients. 4. Termination shall occur if Member is involved in fraudulent, abuse or misuse of Identification Card. 5. For a Dependent who qualifies as a Survivor, the Termination Date shall be the earliest of the following dates: a. as As to any Dependent child of the deceased Subscriber, the last day of the Plan month in which such Dependent child ceases to be a Dependent as defined by the Plan; b. the The last day of the Plan month in which the Dependent becomes eligible for coverage hereunder as an Eligible Employee, or becomes eligible for coverage under Medicare or any other employer-sponsored policy, plan or program of group health coverage; or c. The date of termination of the Plan.

Appears in 1 contract

Sources: Group Application