Common use of Continuation of Coverage - Extended Benefits Clause in Contracts

Continuation of Coverage - Extended Benefits. In the event that we cancel your healthcare coverage, benefits shall be extended for a pregnancy that began while the agreement was in force and for which benefits would have been payable had your coverage remained in force. If you are disabled on the date your healthcare coverage ends, your benefits will be temporarily extended for any continuous loss, which commenced while your coverage was in force. The services provided under this benefit are subject to all terms, conditions, limitations and exclusions listed in this agreement, and the care you receive must relate to or arise out of the disability you had on the day your healthcare coverage ended. Extended benefits apply only to the subscriber who is disabled. If you want to receive coverage for continued care when your coverage ends, you must provide us with proof that you are disabled. We will make a determination whether your condition constitutes a disability and you will have the right to appeal our determination or to take legal action. The extension of benefits will end upon the earliest of the following events: • the continuous disability ends; or • twelve (12) months from the termination date; or • payment of the benefit limits under this plan.

Appears in 36 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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Continuation of Coverage - Extended Benefits. In the event that we cancel your healthcare coverage, benefits shall be extended for a pregnancy that began while the agreement was in force and for which benefits would have been payable had your coverage remained in force. If you are disabled on the date your healthcare coverage ends, your benefits will be temporarily extended for any continuous loss, which commenced while your coverage was in force. The services provided under this benefit are subject to all terms, conditions, limitations and exclusions listed in this agreement, and the care you receive must relate to or arise out of the disability you had on the day your healthcare coverage ended. Extended benefits apply only to the subscriber who is disabled. If you want to receive coverage for continued care when your coverage ends, you must provide us with proof that you are disabled. We will make a determination whether your condition constitutes a disability and you will have the right to appeal our determination or to take legal action. The extension of benefits will end upon the earliest of the following events: the continuous disability ends; or twelve (12) months from the termination date; or payment of the benefit limits under this plan.

Appears in 3 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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