Common use of Extended Benefits Clause in Contracts

Extended Benefits. If you are totally disabled on the day your employer’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if:  the service provided is listed as a covered benefit under this agreement; AND  the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another plan.

Appears in 7 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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Extended Benefits. If you are totally disabled on the day your employer’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if: the service provided is listed as a covered benefit under this agreement; AND the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another plan.

Appears in 5 contracts

Samples: Subscriber        Agreement, Subscriber        Agreement, Subscriber        Agreement

Extended Benefits. If you are totally disabled on the day your employer’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if: the service provided is listed as a covered benefit under this agreement; AND the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another planagreement.

Appears in 3 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

Extended Benefits. If you are totally disabled on the day your employer’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if:  the service provided is listed as a covered benefit under this agreement; AND  the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another planagreement.

Appears in 3 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

Extended Benefits. If you are totally disabled on the day your employer/agent’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if:  the service provided is listed as a covered benefit under this agreement; AND  the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another plan.

Appears in 2 contracts

Samples: Subscriber Agreement, Subscriber Agreement

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Extended Benefits. If you are totally disabled on the day your employer/agent’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if: the service provided is listed as a covered benefit under this agreement; AND the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another plan.

Appears in 1 contract

Samples: Subscriber                Agreement

Extended Benefits. If you are totally disabled on the day your employer/agent’s agreement ends and you require continued care, your coverage will continue for twelve (12) months if:  the service provided is listed as a covered benefit under this agreement; AND  the care you receive relates to or arises out of the disability you had on the day this agreement ended. Extended benefits apply ONLY to the subscriber who is totally disabled. If you desire to receive coverage for continued care upon termination of this agreement, you must provide us with proof that you are totally disabled. We will make a determination whether your condition constitutes a total disability and you will have the right to appeal our determination or to take legal action as described in Section 7.0. Your coverage will NOT be continued if you become eligible for coverage under another planagreement.

Appears in 1 contract

Samples: Subscriber Agreement

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