Cancellation Without Cause. The group Contract may be cancelled by your Employer at any time provided written notice is given to Blue Shield to become effective upon receipt, or on a later date as may be specified on the notice. CANCELLATION FOR NON-PAYMENT OF DUES - NOTICES Blue Shield may cancel this group Contract for non-payment of Dues. If your Employer fails to pay the required Dues when due, coverage will end 31 days after the date for which Dues are due. Your Employer will be liable for all Dues accrued while this Plan continues in force including those accrued during the 31-day grace period. Blue Shield of California will mail your Employer a Notice Confirming Termination of Coverage. Your Employer must provide you with a copy of the Notice Confirming Termina- tion of Coverage. In addition, Blue Shield of California will send you a HIPAA certificate which will state the date on which your coverage terminated, the reason for the termination, and the number of months of creditable coverage which you have. The certifi- cate will also summarize your rights for continuing coverage on a guaranteed issue basis under HIPAA and on Blue Shield of California’s conversion plan. For more information on conversion coverage and your rights to HIPAA coverage, please see the paragraph on Availability of Blue Shield of California Individual Plans. CANCELLATION/RESCISSION FOR FRAUD OR INTENTIONAL MISREPRESENTATIONS OF MATERIAL FACT Blue Shield may cancel or rescind the group Contract for fraud or intentional misrepresentation of material fact by your Employer, or with respect to coverage of Employees or De- pendents, for fraud or intentional misrepresentation of materi- al fact by the Employee, Dependent, or their representative. If you are hospitalized or undergoing treatment for an ongoing condition and the group Contract is cancelled for any reason, including non-payment of Dues, no Benefits will be provided unless you obtain an Extension of Benefits. Fraud or intentional misrepresentations of material fact on an application or a health statement (if a health statement is re- quired by the Employer) may, at the discretion of Blue Shield, result in the cancellation or rescission of this Plan. Cancella- tions are effective on receipt or on such later date as specified in the cancellation notice. A rescission voids the Contract retroactively as if it was never effective; Blue Shield will pro- vide written notice prior to any rescission. In the event the Contract is rescinded or cancelled, either by Blue Shield or your Employer, it is your Employer’s responsi- bility to notify you of the rescission or cancellation.
Appears in 1 contract
Samples: Group Health Service Contract
Cancellation Without Cause. The This group Contract health Plan may be cancelled by your Employer at any time provided written notice is given to Blue Shield of California to become effective upon receipt, or on a later date as may be specified on by the notice. CANCELLATION FOR NONCancellation for Non-PAYMENT OF DUES Payment of Dues - NOTICES Notices Blue Shield of California may cancel this group Contract health Plan for non-payment of Dues. If your Employer fails to pay the required Dues when due, Blue Shield of California will mail your Employer a Prospective Notice of Cancellation at least 15 days before any cancellation of coverage. This notice will provide information to your Employer regarding the consequences of your Employer’s failure to pay the Dues due within 15 days of the date the notice was mailed. If payment is not received from your Employer within 15 days of the date the Prospective Notice of Cancellation is mailed, Blue Shield of California will cancel the Group Health Service Contract at the end of that 15 day period and coverage for you and all your Dependents will end 31 days after the date for which Dues are due. Your Employer will be liable for all Dues accrued while this Plan continues in force including those accrued during the 31-day grace periodon that date. Blue Shield of California will mail send your Employer a Notice Confirming Termination of Coverage. Your Employer Em- ployer must provide you with a copy of the Notice Confirming Termina- tion Confirm- ing Termination of Coverage. In addition, Blue Shield of California will send you a HIPAA HI- PAA certificate which will state the date on which your coverage terminated, the reason for the termination, and the number of months of creditable coverage which you have. The certifi- cate certificate will also summarize your rights for continuing continu- ing coverage on a guaranteed issue basis under HIPAA and on Blue Shield of California’s conversion plan. For more information on conversion coverage and your rights to HIPAA HI- PAA coverage, please see the paragraph section on “Availability of Blue Shield of California Individual Plans”. CANCELLATIONCancellation/RESCISSION FOR FRAUD OR INTENTIONAL MISREPRESENTATIONS OF MATERIAL FACT Rescission for Fraud, Misrepresentations or Omissions Blue Shield of California may cancel or rescind the group Contract contract for fraud or intentional misrepresentation of material fact by your Employer, or with respect to coverage of Employees or De- pendentsDependents, for fraud or intentional misrepresentation misrep- resentation of materi- al fact by the Employee, Dependent, or their representativerepresenta- tive. If you are hospitalized or undergoing treatment for an ongoing ongo- ing condition and the group Contract contract is cancelled for any reason, including non-payment of Dues, no Benefits benefits will be provided unless you obtain an Extension of Benefits. Fraud Misrepresentations or intentional misrepresentations of material fact omissions on an application or a health statement (if a health statement is re- quired required by the Employer) may, at the discretion of Blue Shield, may result in the cancellation or rescission of this group health Plan. Cancella- tions Cancellations are effective on receipt or on such later date as specified in the cancellation notice. A rescission voids the Contract retroactively as if it was never effective; Blue Shield will pro- vide written notice prior to any rescission. In the event the Contract contract is rescinded or cancelledcanceled, either by Blue Shield of California or your Employer, it is your Employer’s responsi- bility Em- ployer's responsibility to notify you of the rescission or cancellationcan- cellation.
Appears in 1 contract
Samples: Group Health Service Contract
Cancellation Without Cause. The group Contract may be cancelled by your Employer the Trust at any time provided written notice is given to Blue Shield to become effective upon receipt, or on a later date as may be specified on the notice. CANCELLATION FOR NON-PAYMENT OF DUES - NOTICES Blue Shield may cancel this group Contract for non-payment of Dues. If your Employer the Trust fails to pay the required Dues when due, coverage will end 31 days after the date for which Dues are due. Your Employer The Trust will be liable for all Dues accrued while this Plan continues con- tinues in force including those accrued during the 31-day grace period. Blue Shield of California will mail your Employer the Trust a Notice Confirming Con- firming Termination of Coverage. Your Employer The Trust must provide you with a copy of the Notice Confirming Termina- tion Termination of Coverage. In addition, Blue Shield of California will send you a HIPAA certificate which will state the date on which your coverage terminated, the reason for the termination, and the number of months of creditable coverage which you have. The certifi- cate will also summarize your rights for continuing coverage on a guaranteed issue basis under HIPAA and on Blue Shield of California’s conversion plan. For more information on conversion coverage and your rights to HIPAA coverage, please see the paragraph on Availability of Blue Shield of California Individual Plans. CANCELLATION/RESCISSION FOR FRAUD OR INTENTIONAL MISREPRESENTATIONS OF MATERIAL FACT Blue Shield may cancel or rescind the group Contract for fraud or intentional misrepresentation of material fact by your Employerthe Trust, or with respect to coverage of Employees or De- pendentsDepend- ents, for fraud or intentional misrepresentation of materi- al material fact by the Employee, Dependent, or their representative. If you are hospitalized or undergoing treatment for an ongoing ongo- ing condition and the group Contract is cancelled for any reason, including non-payment of Dues, no Benefits will be provided unless you obtain an Extension of Benefits. Fraud or intentional misrepresentations of material fact on an application or a health statement (if a health statement is re- quired by the EmployerTrust) may, at the discretion of Blue Shield, result in the cancellation or rescission rescission, respectively, of this PlanPlan or the coverage of Employees or Dependents who com- mitted said fraud or intentional misrepresentation of material fact. Cancella- tions Cancellations are effective on receipt or on such later date as specified in the cancellation notice. A rescission voids the Contract retroactively as if it was never effective; Blue Shield will pro- vide provide written notice prior to any rescissionrescis- sion. In the event the Contract is rescinded or cancelled, either by Blue Shield or your Employerthe Trust, it is your Employerthe Trust’s responsi- bility responsibility to notify you of the rescission or cancellation.
Appears in 1 contract
Samples: Group Health Service Contract
Cancellation Without Cause. The group Contract may be cancelled by your Employer at any time provided written notice is given to Blue Shield to become effective upon receipt, or on a later date as may be specified on the notice. CANCELLATION FOR NON-PAYMENT OF DUES - NOTICES Blue Shield may cancel this group Contract for non-payment of Dues. If your Employer fails to pay the required Dues when due, coverage will end 31 days after the date for which Dues are due. Your Employer will be liable for all Dues accrued while this Plan continues in force including those accrued during the 31-day grace period. Blue Shield of California will mail your Employer a Notice Confirming Termination of Coverage. Your Employer must provide you with a copy of the Notice Confirming Termina- tion of Coverage. In addition, Blue Shield of California will send you a HIPAA certificate which will state the date on which your coverage terminated, the reason for the termination, and the number of months of creditable coverage which you have. The certifi- cate will also summarize your rights for continuing coverage on a guaranteed issue basis under HIPAA and on Blue Shield of California’s conversion plan. For more information on conversion coverage and your rights to HIPAA coverage, please see the paragraph on Availability of Blue Shield of California Individual Plans. CANCELLATION/RESCISSION FOR FRAUD OR INTENTIONAL MISREPRESENTATIONS OF MATERIAL FACT Blue Shield may cancel or rescind the group Contract for fraud or intentional misrepresentation of material fact by your Employer, or with respect to coverage of Employees or De- pendents, for fraud or intentional misrepresentation of materi- al fact by the Employee, Dependent, or their representative. If you are hospitalized or undergoing treatment for an ongoing ongo- ing condition and the group Contract is cancelled for any reason, including non-payment of Dues, no Benefits will be provided unless you obtain an Extension of Benefits. Fraud or intentional misrepresentations of material fact on an application or a health statement (if a health statement is re- quired by the Employer) may, at the discretion of Blue Shield, result in the cancellation or rescission of this Plan. Cancella- tions Cancellations are effective on receipt or on such later date as specified in the cancellation notice. A rescission voids the Contract retroactively as if it was never effective; Blue Shield will pro- vide provide written notice prior to any rescission. In the event the Contract is rescinded or cancelled, either by Blue Shield or your Employer, it is your Employer’s responsi- bility respon- sibility to notify you of the rescission or cancellation.
Appears in 1 contract
Samples: Group Health Service Contract