Common use of Assignment of Benefits Clause in Contracts

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. SAMPLE You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- of-Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- of-Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.. The following terms apply to this Section:

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Appropriates Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be made in cash the form of cash, check, or cash equivalentselectronic funds transfer, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such SAMPLE adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- Network provider directly for services rendered to you. In the case of any such assignment of Benefits or over payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Appropriates Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be made in cash the form of cash, check, or cash equivalentselectronic funds transfer, or in a form of other consideration that we determine to be adequate. Where When an assignment of Benefits is obtained and SAMPLE Benefits are payable directly to a provider, such adequate consideration includes the forgiveness we may consider forgiving, in whole or in part of part, the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider Provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network providerProvider. We may, as we determine, pay an outout- of-of- Network provider Provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network providerProvider, we have the right to offset Benefits to be paid to the provider Provider by any amounts that the provider Provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider Provider with our consent, and the out-of- Network provider Provider submits a claim for payment, you and the out-of-Network provider Provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a providerProvider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider Provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- of-Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- of-Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: • The Covered Health Care Services were actually provided. • The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.

Assignment of Benefits. Sample You may not assign your Benefits under this Policy or any cause of action related to your Benefits under this Policy to an out-of-Network provider without our consent. When an assignment is not obtained, we will send the reimbursement directly to the Policyholder for reimbursement to an out-of-Network provider. We may, as we determine, pay an out-of- of-Network provider directly for services rendered to you. In the case of any such assignment of Benefits or payment to an out-of-Network provider, we have the right to offset Benefits to be paid to the provider by any amounts that the provider owes us. When you assign your Benefits under this Policy to an out-of-Network provider with our consent, and the out-of- of-Network provider submits a claim for payment, you and the out-of-Network provider represent and warrant the following: •  The Covered Health Care Services were actually provided. •  The Covered Health Care Services were medically appropriate. • Allowed Amounts due to an out-of-Network provider for Covered Health Care Services that are subject to the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260) are paid directly to the provider. SAMPLE Payment of Benefits under the Policy shall be in cash or cash equivalents, or in a form of other consideration that we determine to be adequate. Where Benefits are payable directly to a provider, such adequate consideration includes the forgiveness in whole or in part of the amount the provider owes us, or to other plans for which we make payments where we have taken an assignment of the other plans' recovery rights for value.