Termination of Your Coverage Clause Samples

Termination of Your Coverage. The Company may choose to rescind coverage or terminate a Member’s coverage if a Member performs an act or practice that constitutes fraud or makes an intentional misrepresentation of material fact under the terms of this Benefit Plan. The issuance of this coverage is conditioned on the representations and statements contained at application and enrollment. All representations made are material to the issuance of this coverage. Any information provided on the application or enrollment form or intentionally omitted therefrom, as to any proposed Subscriber or covered Member, shall constitute an intentional misrepresentation of material fact. A Member’s coverage may be rescinded retroactively to the Effective Date of coverage or terminated within three (3) years of the Member’s Effective Date, for fraud or intentional misrepresentation of material fact. Company will give the Member sixty (60) days advance written notice prior to rescinding or terminating coverage under this section. If Members are enrolled that are not eligible for coverage, it will b e considered an act of fraud or intentional misrepresentation of material fact. Unless COBRA or other type of continuation of coverage is available and selected as provided in this Benefit Plan, a Member's coverage terminates as provided below: The coverage of the Subscriber's Spouse will terminate automatically, and without notice, at the end of the period for which premiums have been paid at the time of the entry of a final decree of divorce or other legal termination of marriage. The coverage of a Dependent will terminate automatically, and without notice, at the end of the billing cycle in which the Dependent reaches the maximum age for coverage or otherwise ceases to be an eligible Dependent, if premiums have been paid through that period. Upon the death of a Subscriber, the coverage of all of their surviving Dependents will terminate automatically and without notice at the end of the month that death occurred if premiums have been paid through that month. However, a surviving Spouse or Dependent may be able to elect COBRA or other type of continuation of coverage as described elsewhere in this Benefit Plan. In the event the Group cancels this Benefit Plan or Company or SHOP terminates this Benefit Plan for nonpayment of the appropriate payment when due or because the for the Group fails to perform any obligation required by this Benefit Plan, such cancellation or termination alone will operate to end all r...

Termination of Your Coverage. We may terminate your coverage for any of the reasons stated below.

Termination of Your Coverage. If you (the former Subscriber or Eligible Dependent) lose eligibility for coverage under the dental benefits plan for a reason other than the Subscriber’s gross misconduct, you may be entitled to continue coverage for a period of 18 to 36 months or until you become eligible for benefits through another employer, whichever occurs first. The period of continued eligibility for coverage depends on the circumstances, including: 18 months – generally.

Termination of Your Coverage. All coverage will end at the end of the period for which premiums have been paid. No Benefits are available for Covered Services rendered after the date of termination of coverage. Coverage for Subscriber’s Spouse terminates automatically, without notice, at the end of the period for which premiums have been paid, when a final decree of divorce or other legal termination of marriage is rendered. Coverage for Dependents terminates automatically, without notice, at the end of the year the Dependent ceases to be an eligible Dependent, unless it is specifically otherwise stated in this Contract or as provided by law. Premiums are required to be paid in order to retain coverage until the Dependent ceases to be eligible. Upon the death of the Subscriber, all coverage on this Contract ends for all Covered persons on the Contract. Termination is automatic and without notice. Termination is effective at the In the event of circumstances stated in paragraphs 2, 3, or 4 above, the Spouse or other covered Dependents may elect to continue coverage. The Member must notify Us or the Exchange, as appropriate, of the desire to continue coverage. Notification must be received by a Blue Cross and Blue Shield of Louisiana office within thirty (30) days after the date of termination or by the Exchange in the timeframe established by the Exchange. In the event that You move outside Our Service Area with the intent to relocate or establish a new residence outside Our Service Area, Your coverage will be terminated. We reserve the right to automatically change the class of coverage and charge appropriate premium on this Contract to reflect the membership on the Contract.

Termination of Your Coverage. (a) Fund benefits terminate at the end of the second month following any calendar quarter during which: (b) A participant and dependents who otherwise meet the Fund's eligibility requirements will not be eligible, notwithstanding any other Fund provision, if the participant and/or any of his dependents do any of the following:  Commits fraud with respect to the Fund;  Makes a misrepresentation to the Fund administrator, the Trustees or any person or entity which results in the participant or dependent receiving benefits under the Fund to which the participant or dependent would not be entitled in the absence of such misrepresentation;  Fails to repay any payment of Fund benefits which the participant and/or his dependent received and were not entitled to receive under the terms of the Fund; and/or  Fails to pay any amount which the participant or dependent would be required to pay to the Fund under the subrogation provisions of the Fund. The Fund may pursue any and all other remedies it might have against the participant or dependents, including but not limited to filing a lawsuit to recover any amounts due to the Fund against the participant or dependents or reducing any benefit payments which might be due to the participant or dependents to recover any amounts due to the Fund.