Common use of Group Conversion Clause in Contracts

Group Conversion. If the Group’s coverage is underwritten by BCBSM, state law (MCL 550.1410a) requires the Group to notify any BCBSM subscriber whose Group coverage is cancelled of the right to convert to BCBSM group conversion coverage. This notice must be provided within fourteen (14) days of the cancellation of Group BCBSM coverage. BCBSM will provide this group conversion option for thirty (30) days from the date of termination of the subscriber's coverage through the Group. BlueCard Like all Blue Cross Blue Shield Licensees, BCBSM participates in a program called "BlueCard." Whenever Members access health care services outside the geographic area BCBSM serves, the claim for those services may be processed through BlueCard and presented to BCBSM for payment in conformity with network access rules of the BlueCard Policies then in effect ("Policies"). Under BlueCard, when Members receive covered health care services within the geographic area served by an on-site Blue Cross and/or Blue Shield Licensee ("Host Plan"), BCBSM will remain responsible to the Group for fulfilling BCBSM's contract obligations. However, the Host Plan will only be responsible, in accordance with applicable BlueCard Policies, if any, for providing such services as contracting with its participating providers and handling all interaction with its participating providers. The financial terms of BlueCard are described generally below.