Common use of Coverage Termination Clause in Contracts

Coverage Termination. Coverage terminations always become effective on the last day of the month. Termination of a Member’s coverage may occur as a result of the following: i. Open Enrollment. Eligible Enrollees may cancel coverage during the annual Open Enrollment period. Coverage terminations due to cancellations made during Open Enrollment are effective on December 31st of the same calendar year. ii. Qualifying Status Change events. iii. Determination of ineligibility other than as described in the QSC event matrix (e.g., divorce).

Coverage Termination. Coverage terminations always become effective on the last day of the month. Termination of a Member’s coverage may occur as a result of the following: i. Open Enrollment. Eligible Enrollees employees may cancel coverage during the annual Open Enrollment period. Coverage terminations due to cancellations made during Open Enrollment are effective on December 31st 31 of the same calendar year. ii. Qualifying Status Change events. iii. Determination of ineligibility other than as described in the QSC event matrix (e.g., divorce).