Common use of Enrollee Terminations Clause in Contracts

Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in 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 Exchange-required appeals language, in its notice of termination of coverage to the Enrollee.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHP, decertification of Contractor’s QHP or and/or as otherwise authorized under Section 2.2.4Sections 2.2.24 and 2.3.24, Contractor must include the applicable State RegulatorHealth Insurance Rregulator-approved appeals language, and any Exchange-required appeals language, in its notice of termination of coverage to the Enrollee.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHP, decertification of Contractor’s QHP or and/or as otherwise authorized under Section 2.2.4Sections 2.2.24 and 2.3.24, Contractor must include the applicable State Health Insurance Regulator-approved appeals language, and any Exchange-required appeals language, language in its notice of termination of coverage to the Enrollee.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHP, decertification of Contractor’s QHP or and/or as otherwise authorized under Section 2.2.4Sections 2.2.4 and 2.3.4, Contractor must include the applicable State Health Insurance Regulator-approved appeals language, and any Exchange-required appeals language, language in its notice of termination of coverage to the Enrollee.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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Enrollee Terminations. In the event Contractor terminates an Enrollee’s coverage in a QHP QDP due to non-payment of premiums, loss of eligibility, fraud or misrepresentation, change in Enrollees selection of QHPQDP, decertification of Contractor’s QHP or QDP and/or as otherwise authorized under Section 2.2.4Sections 2.2.2 and 2.3.2, Contractor must include the applicable State Health Insurance Regulator-approved appeals language, and any Exchange-required appeals language, language in its notice of termination of coverage to the Enrollee.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

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