Enrollee Terminations. In the event Contractor terminates a Covered California Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable State Regulator-approved appeals language, and any Covered California-required appeals language, in its notice of termination of coverage to the Covered California Enrollee.
Appears in 9 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract
Enrollee Terminations. In the event Contractor terminates a Covered California Enrollee’s coverage in a QHP QDP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHPQDP, decertification of Contractor’s QHP QDP, or as otherwise authorized under Section 2.2.4Sections 2.2.4 and 2.3.4, Contractor must include the applicable State Regulator-approved appeals language, and any Covered California-required appeals language, language in its notice of termination of coverage to the Covered California Enrollee.
Appears in 6 contracts
Samples: Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract
Enrollee Terminations. In the event Contractor terminates a Covered California an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable State Regulator-approved appeals language, and any Covered California-required appeals language, in its notice of termination of coverage to the Covered California Enrollee.
Appears in 6 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Enrollee Terminations. In the event Contractor terminates a an Covered California Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHP, decertification of Contractor’s QHP or as otherwise authorized under Section 2.2.4, Contractor must include the applicable State Regulator-approved appeals language, and any Covered California-required appeals language, in its notice of termination of coverage to the Covered California Enrollee.
Appears in 2 contracts
Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Enrollee Terminations. In the event Contractor terminates a Covered California Enrollee’s coverage in a QHP QDP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Covered California Enrollees selection of QHPQDP, decertification of Contractor’s QHP QDP, or as otherwise authorized under Section 2.2.4Sections 2.2.4 and 2.3.4, Contractor must include the applicable State Regulator-Regulator- approved appeals language, and any Covered California-required appeals language, language in its notice of termination of coverage to the Covered California Enrollee.
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