When Your Coverage Ends When We End Sample Clauses

This clause defines the circumstances under which an individual's insurance coverage terminates when the insurer decides to end the policy. Typically, it outlines that coverage will cease on a specified date if the insurer cancels or does not renew the policy, regardless of the insured's wishes. For example, if the insurer discontinues a particular plan or decides not to renew a group policy, all covered individuals lose their benefits as of the termination date. The core function of this clause is to clarify the insurer's right to end coverage and to inform policyholders of the conditions under which their benefits will no longer be available, thereby preventing misunderstandings about the duration of coverage.
When Your Coverage Ends When We End. This Agreement Coverage under this agreement is guaranteed renewable. It can be canceled for the following reasons. This agreement will end automatically: • on the date the premium is not paid (see Section 1.13 - Premium and Grace Period); • the first day of the month following that month in which you cease to be an eligible person; • the first day of the month your dependent no longer qualifies as an eligible dependent; • the first day of the month following that month in which you are no longer a Rhode Island resident; • if we cease to offer this type of coverage, per the rights and limitations of Rhode Island General Law §27-18.5-4; • the date fraud is identified. Fraud includes, but is not limited to, intentional misuse of your identification card (ID card) and intentional misrepresentation of a material fact made by you, or on your behalf, that affects your coverage. Fraud may result in retroactive termination. You will be responsible for all costs incurred by BCBSRI due to the fraud. BCBSRI may decline reinstatement of your coverage. We may decline enrollment in any other coverages we offer that may become available in the future, as well; or • the date abuse or disregard for provider protocols and policies is identified by us. If after making a reasonable effort the provider is unable to establish or keep a satisfactory relationship with a member, coverage may end after thirty-one (31) days’ written notice. Examples of unsatisfactory provider and patient relationships include: • abusive or disruptive behavior in a provider‘s office; • repeated refusals by a member to accept procedures or treatment recommended by a provider; and • impairing the ability of the provider to provide care. If you purchase coverage from HealthSource RI and the Qualified Health Plan is terminated or decertified, coverage under this Rescind/Rescission means a cancellation or discontinuance of coverage that has a retroactive effect. A cancellation is not a rescission if it: • only has a prospective effect (as described in the sub-section above When We End This Agreement); or • applies retroactively to the extent that such cancellation is due to the failure to timely pay premiums.
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When Your Coverage Ends When We End. This Agreement Coverage under this agreement is guaranteed renewable. It can be canceled for the following reasons. This agreement will end: • if you leave your place of work; • if you decide to discontinue coverage, we, your employer/agent, or HealthSource RI must receive notice to end this agreement fourteen (14) days prior to the requested date of cancellation. If we do not receive your notice prior to the requested date of cancellation, you or your employer/agent may be responsible for paying another month’s premium; • if you or your employer/agent does not pay any required premium within one month of the date they are due. If your employer/agent does not pay the required fees, the termination will be effective five (5) days after we mail you a notice of discontinuance; • if you cease to be an eligible person; • if we cease to offer this type of coverage; • for a covered dependent if the dependent no longer qualifies as an eligible dependent; • if your employer/agent contracts with another insurer or entity to provide or administer benefits for the covered health care services provided by this agreement, your group’s agreement with us will end; • if fraud is determined by us. Fraud includes, but is not limited to, intentional misuse of your identification card (ID card) and any intentional misrepresentation made by you, or on your behalf, that affects your coverage. Fraud may result in retroactive termination. You will be responsible for all costs incurred by BCBSRI due to the fraud. BCBSRI may decline reinstatement under your group coverage, or any other coverage that may become available in the future; or • if abuse or disregard for provider protocols and policies is determined by us. If after making a reasonable effort physicians are unable to establish or maintain a satisfactory relationship with a member, coverage may be terminated after 31-days’ written notice. Examples of unsatisfactory physician-patient relationships include: • abusive or disruptive behavior in a physician’s office; • repeated refusals by a member to accept procedures or treatment recommended by a physician; and • impairing the ability of the physician to provide care. If you purchase coverage from HealthSource RI and the Qualified Health Plan is terminated or decertified, coverage under this If we, for one of the reasons listed above, terminate this agreement, we must send to you a termination notice thirty (30) days before the termination date. The notice will indicate the re...
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When Your Coverage Ends When We End. This Agreement Coverage under this agreement is guaranteed renewable. It can be canceled for the following reasons. This agreement will end: • if you leave your place of work; • if you decide to discontinue coverage. We must receive your notice to end this agreement prior to the requested date of cancellation. If we do not receive your notice prior to the requested date of cancellation, you or your employer may be responsible for paying another month’s membership fees; • if you or your employer does not pay any required membership fees within thirty-one
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When Your Coverage Ends When We End. This Agreement Retroactive Cancellations
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When Your Coverage Ends When We End. This Agreement (a) on the date membership fees due are not paid; (b) the first day of the month following that month in which you cease to be an eligible person; (c) the first day of the month following that month in which you are no longer a Rhode Island resident; (d) the date fraud is determined by us. Fraud includes, but is not limited to, misuse of your identification card and any misrepresentation made by you or on your behalf that affects your coverage. Fraud may result in retroactive termination, and you will be responsible for all costs incurred by Blue Cross & Blue Shield of Rhode Island as a result of the fraud. Furthermore, Blue Cross & Blue Shield of Rhode Island at its discretion may decline your reinstatement under your direct pay coverage, or any other coverage that may become available in the future; (e) the date abuse or disregard for provider protocols and policies is determined by us. If after making a reasonable effort physicians are unable to establish or maintain a satisfactory relationship with a member, coverage may be terminated after 31-days’ written notice. Examples of unsatisfactory physician-patient relationships include abusive or disruptive behavior in a physician’s office, repeated refusals by a member to accept procedures or treatment recommended by a physician, and impairing the ability of the physician to provide care; OR (f) if we cease to offer this type of coverage, pursuant to the rights and limitations of Rhode Island General Law §27-18.5-4. This agreement will end for a covered dependent if the dependent no longer qualifies as an eligible dependent.
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Related to When Your Coverage Ends When We End

  • When Your Coverage Ends Coverage under this plan is guaranteed renewable. It can only be canceled by us for the following reasons: • if you leave your place of employment; • if you decide to discontinue coverage. Inform your employer prior to the requested date of cancellation and your employer will notify us. If we do not receive your notice prior to the requested date of cancellation, you or your employer may be responsible for paying another month’s premium; • if the required premium is not paid within one month of the due date. We will mail you a notice of discontinuance along with information about enrolling in an individual healthcare plan; • if you or a covered dependent no longer qualifies as an eligible person; • if we no longer offer this type of coverage; • if your employer contracts with another insurer or entity to provide or administer benefits for the covered healthcare services provided by this agreement; • if fraud is determined by us. See Rescission of Coverage section below for additional details; If your healthcare coverage is terminated for one of the reasons listed above, we will send you a termination notice thirty (30) days before the termination date. The notice will indicate the reason why your healthcare coverage has ended. When your coverage ends, you may apply for individual healthcare coverage directly from BCBSRI or through HSRI. You must meet the eligibility requirements and we must receive required enrollment information within sixty (60) days from the date your group coverage ended along with required premium. If you do not reside in Rhode Island, you are not eligible to enroll in an individual plan from BCBSRI or HSRI. You may be able to obtain coverage through an insurance company in the state in which you reside. Rescission is a cancellation or discontinuance of coverage that has a retroactive effect. A cancellation is not a rescission if it: • only has a prospective effect (as described above); or • is due to non-payment of premiums, which can have a retroactive cancellation effect. We may rescind your coverage if you or your dependents commit fraud. Fraud includes, but is not limited to, intentional misuse of your identification card (ID card) or intentional misrepresentation of a material fact. Any benefit paid in the past will be voided. You will be responsible to reimburse us for all costs and claims paid by us. We must provide you a written notice of a rescission at least thirty (30) days in advance. Except for non-payment, we will not contest this policy after it has been in force for a period of two (2) years from the later of the effective date of this agreement or the latest reinstatement date.

  • When Your Coverage Begins Your coverage will begin on the first day of the month following your eligibility date as long as we receive required enrollment information within the first thirty (30) days following your eligibility date and the premium is paid. If you or your dependents fail to enroll at this time, you cannot enroll in the plan unless you do so through an Open Enrollment Period or a Special Enrollment Period.

  • Happen After We Receive Your Letter When we receive your letter, we must do two things:

  • Using Your Card You understand that the use of your credit card or credit card account will constitute acknowledgement of receipt and agreement to the terms of the Credit Card Agreement and Credit Card Account Opening Disclosure (Disclosure). You may use your card to make purchases from merchants and others who accept your card. The credit union is not responsible for the refusal of any merchant or financial institution to honor your card. If you wish to pay for goods or services over the Internet, you may be required to provide card number security information before you will be permitted to complete the transaction. In addition, you may obtain cash advances from the Credit Union, from other financial institutions that accept your card, and from some automated teller machines (ATMs). (Not all ATMs accept your card.) If the credit union authorizes ATM transactions with your card, it will issue you a personal identification number (PIN). To obtain cash advances from an ATM, you must use the PIN issued to you for use with your card. You agree that you will not use your card for any transaction that is illegal under applicable federal, state, or local law. Even if you use your card for an illegal transaction, you will be responsible for all amounts and charges incurred in connection with the transaction. If you are permitted to obtain cash advances on your account, you may also use your card to purchase instruments and engage in transactions that we consider the equivalent of cash. Such transactions will be posted to your account as cash advances and include, but are not limited to, wire transfers, money orders, bets, lottery tickets, and casino gaming chips, as applicable. This paragraph shall not be interpreted as permitting or authorizing any transaction that is illegal.

  • What Will Happen After We Receive Your Letter When we receive your letter, we must do two things: