AvMed’s Obligations upon Termination. Upon termination of your coverage for any reason, we will have no further liability or responsibility to you under this Contract, except as specifically described herein. In the event of retroactive termination due to the Subscribing Group's nonpayment of Premiums or failure to timely notify AvMed of Member ineligibility, AvMed shall not be responsible for Claims incurred by AvMed in arranging for the provision of benefits to Members under the terms of this Contract after the effective date of such retroactive termination. In such event, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment for any benefits received by Members after the effective date of termination, less any Premiums received by us for such Member’s coverage after such date.
Appears in 5 contracts
Samples: Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
AvMed’s Obligations upon Termination. Upon termination of your coverage for any reason, we will have no further liability or responsibility to you under this Contract, except as specifically described herein. In the event of retroactive termination due to the Subscribing Group's nonpayment of Premiums or failure to timely notify AvMed of Member ineligibility, AvMed shall not be responsible for Claims incurred by AvMed in arranging for the provision of benefits to Members under the terms of this Contract after the effective date of such retroactive termination. In such event, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment for any benefits received by Members after the effective date of termination, termination less any Premiums received by us for such Member’s coverage after such date.
Appears in 2 contracts
Samples: Medical and Hospital Service Contract, Large Group Hmo Plan Medical and Hospital Service Contract