Intentionally False or Misleading Information. If this plan’s benefits are paid in error due to a member's or provider's commission of fraud or providing any intentionally false or misleading statements, we’ll be entitled to recover these amounts. Please see Right of Recovery later in this section. And, if a member commits fraud or makes any intentionally false or misleading statements on any application or enrollment form that affects the member's acceptability for coverage, we may, at our option: Xxxx the member's claim Reduce the amount of benefits provided for the member's claim Void the member's coverage under this plan (void means to cancel coverage back to its effective date, as if it had never existed at all) Finally, statements that are fraudulent, intentionally false or misleading on any group form required by us, that affect the acceptability of the Group or the risks to be assumed by us, may cause the Group Contract for this plan to be voided.
Appears in 10 contracts
Samples: Health Insurance Contract, Health Insurance Contract, Health Insurance Contract
Intentionally False or Misleading Information. If this plan’s benefits are paid in error due to a member's or provider's commission of fraud or providing any intentionally false or misleading statements, we’ll be entitled to recover these amounts. Please see Right of Recovery later in this section. And, if a member commits fraud or makes any intentionally false or misleading statements on any application or enrollment form that affects the member's acceptability for coverage, we may, at our option: • Xxxx the member's claim • Reduce the amount of benefits provided for the member's claim • Void the member's coverage under this plan (void means to cancel coverage back to its effective date, as if it had never existed at all) Finally, statements that are fraudulent, intentionally false or misleading on any group form required by us, that affect the acceptability of the Group or the risks to be assumed by us, may cause the Group Contract for this plan to be voided.
Appears in 8 contracts
Samples: Health Insurance Contract, Health Insurance Contract, Health Insurance Contract
Intentionally False or Misleading Information. If this plan’s benefits are paid in error due to a member's or provider's commission of fraud or providing any intentionally false or misleading statements, we’ll be entitled to recover these amounts. Please see Right of Recovery later in this section. And, if a member commits fraud or makes any intentionally false or misleading statements on any application or enrollment form that affects the member's acceptability for coverage, we may, at our option: Xxxx the Dexx xhe member's claim Reduce the amount of benefits provided for the member's claim Void the member's coverage under this plan (void means to cancel coverage back to its effective date, as if it had never existed at all) Finally, statements that are fraudulent, intentionally false or misleading on any group form required by us, that affect the acceptability of the Group or the risks to be assumed by us, may cause the Group Contract for this plan to be voided.
Appears in 1 contract
Samples: Health Insurance Contract
Intentionally False or Misleading Information. If this plan’s benefits are paid in error due to a member's or provider's commission of fraud or providing any intentionally false or misleading statements, we’ll be entitled to recover these amounts. Please see Right of Recovery later in this section. And, if a member commits fraud or makes any intentionally false or misleading statements on any application or enrollment form that affects the member's acceptability for coverage, we may, at our option: Xxxx • Deny the member's claim • Reduce the amount of benefits provided for the member's claim • Void the member's coverage under this plan (void means to cancel coverage back to its effective date, as if it had never existed at all) Finally, statements that are fraudulent, intentionally false or misleading on any group form required by us, that affect the acceptability of the Group or the risks to be assumed by us, may cause the Group Contract for this plan to be voided.
Appears in 1 contract
Samples: Health Insurance Contract