Common use of Adjustment of premium and insurance Clause in Contracts

Adjustment of premium and insurance. conditions The price is adjusted once a year, unless otherwise agreed. An annual statement is drawn up of the current number of insured persons versus the number being paid for. Any difference will be credited or charged to the policyholder. The premium is determined once a year on the renewal date. The price adjustment is based on the latest year’s claims accounts and changes in the net price index or similar (Statistics Denmark). Premium adjustment is not limited to changes in the net price index and/or legislative changes. If this happens, you can choose to terminate the agreement in writing from the end of the current month plus one month after the renewal premium notification has been received. If the price is based on some preconditions that are no longer present, we can adjust the price on the next renewal date. If a risk account is prepared for the insurance, the premium will be adjusted according to special rules. In addition to the index-adjustment, we can change the insurance conditions and/or the price for the insurance for already established schemes, with one month’s notice to the end of a month, unless otherwise stated in the contract. The price will be adjusted by a percentage determined by Dansk Sundhedssikring. If you cannot accept the changes, you must terminate the agreement in writing within 14 days of receiving the notification of the notified changes. The insurance will then be terminated on the change date. If the agreement is not terminated in writing, the insurance will continue with the changed insurance conditions and/or price. Changes to the insurance conditions that are exclusive- ly of a clarifying nature and do not impair the insurance coverage, e.g. linguistic updates and improvements, are not notified. Premium changes due to index-adjustment and imposed taxes etc. by the public authorities are not regarded as a change to the insurance conditions or the price and will not be notified.

Appears in 5 contracts

Samples: ds-sundhed.dk, ds-sundhed.dk, ds-sundhed.dk

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Adjustment of premium and insurance. conditions The price is adjusted once a year, unless otherwise agreed. An annual statement is drawn up of the current number of insured persons versus the number being paid for. Any difference will be credited or charged to the policyholder. The premium is determined once a year on the renewal date. The price adjustment is based on the latest year’s claims accounts and changes in the net price index or similar (Statistics Denmark). Premium adjustment is not limited to changes in the net price index and/or legislative changes. If this happens, you can choose to terminate the agreement in writing from the end of the current month plus one month after the renewal premium notification has been received. If the price is based on some preconditions that are no longer present, we can adjust the price on the next renewal date. If a risk account is prepared for the insurance, the premium will be adjusted according to special rules. In addition to the index-adjustment, we can change the insurance conditions and/or the price for the insurance for of already established schemes, with one month’s notice to the end of a month, unless otherwise stated in the contract. The price will be adjusted by a percentage determined by Dansk Sundhedssikring. If you cannot accept the changes, you must terminate the agreement in writing within 14 days of receiving the notification of the notified changes. The insurance will then be terminated on the change date. If the agreement is not terminated in writing, the insurance will continue with the changed insurance conditions and/or price. Changes to the insurance conditions that are exclusive- ly exclusively of a clarifying nature and which do not impair the insurance coverage, e.g. linguistic updates and improvements, are not notified. Premium changes due to index-adjustment and imposed taxes etc. by the public authorities are not regarded as a change to the insurance conditions or the price and will not be notified. 8.5 Cancellation and termination of the insurance Insurances that are purchased for one year at a time are automatically renewed from the renewal date. Unless otherwise agreed, an annual policy with annual statement of debit or credit is made. The policyholder can cancel the insurance in writing with the current month plus one month. Dansk Sundheds- sikring can cancel the insurance in writing with the current month plus one month. In case of fraud or attempted fraud, we can terminate the insurance without notice. The insurance terminates at the end of the month when your employment terminates, if you leave the scheme or in case of non-payment of the premium. The insurance expires at the end of a month if you are no longer registered in National Registration Office as resident in the Nordic region or Germany. This does not apply to foreign postings. The insurance will expire in any case at the time when the overall agreement between the company and Dansk Sundhedssikring ceases. Coverage on termination of the insurance When the insurance stops, you lose the right to cover and no new claims can be reported. Examination and treatment of disease/injury that has been reported and approved during the insurance period is covered for up to 3 months after the termination of the insurance. The coverage requires that we have received all the necessary information, e.g. a doctor’s referral. This applies in all cases, even if the overall scheme is terminated. Co-insured For co-insured family members of a principal insured person who is covered by a company scheme, the insurance will continue until the date for which coverage is paid in cases where the principal insured person leaves the scheme. Co-insured children who reach the age of 21 during the payment period are covered until the next payment period. For collective child cover, the cover for the children will always cease if the cover for the principal insured person expires or at the end of the month when the child reaches the age of 21, unless a different age applies to the contract. Continuation of the insurance If you are no longer covered by the company scheme, you are entitled under our rules to apply to continue the insurance on our individual conditions and individual price for private persons. Your request for continuation must be made before or in direct connection with the departure from the previous insurance contract. The continuation will then occur without a qualifying period for existing disorders. If you do not request a continuation immedia- tely, there will be a 6-month qualifying period for existing diseases in connection with a continuation. Co-insured persons can also apply for continuation of the insurance on our individual terms and individual price for private persons. Reimbursement of invoices after termination of the insurance Invoices for approved treatments and/or transport must always be submitted no later than 3 months after the final treatment date in order to qualify for a refund.

Appears in 3 contracts

Samples: ds-sundhed.dk, ds-sundhed.dk, ds-sundhed.dk

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Adjustment of premium and insurance. conditions The price is adjusted once a year, unless otherwise agreed. An annual statement is drawn up of the current number of insured persons versus the number being paid for. Any difference will be credited or charged to the policyholder. The premium is determined once a year on the renewal date. The price adjustment is based on the latest year’s claims accounts and changes in the net price index or similar (Statistics Denmark). Premium adjustment is not limited to changes in the net price index and/or legislative changes. If this happens, you can choose to terminate the agreement in writing from the end of the current month plus one month after the renewal premium notification has been received. If the price is based on some preconditions that are no longer present, we can adjust the price on the next renewal date. If a risk account is prepared for the insurance, the premium will be adjusted according to special rules. In addition to the index-adjustment, we can change the insurance conditions and/or the price for the insurance for of already established schemes, with one month’s notice to the end of a month, unless otherwise stated in the contract. The price will be adjusted by a percentage determined by Dansk Sundhedssikring. If you cannot accept the changes, you must terminate the agreement in writing within 14 days of receiving the notification of the notified changes. The insurance will then be terminated on the change date. If the agreement is not terminated in writing, the insurance will continue with the changed insurance conditions and/or price. Changes to the insurance conditions that are exclusive- ly exclusively of a clarifying nature and which do not impair the insurance coverage, e.g. linguistic updates and improvements, are not notified. Premium changes due to index-adjustment and imposed taxes etc. by the public authorities are not regarded as a change to the insurance conditions or the price and will not be notified.

Appears in 2 contracts

Samples: ds-sundhed.dk, ds-sundhed.dk

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