Common use of Intentionally False or Misleading Statements Clause in Contracts

Intentionally False or Misleading Statements. 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, CHPW shall be entitled to recover those amounts. Please see the Right of Recovery provision 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, CHPW may, at its option: • Deny the Member's Claim; • Reduce the amount of benefits provided for the Member's Claim; or • 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 form required by CHPW or the Washington State Health Benefits Exchange, and which affect the acceptability of a Member or the risks to be assumed by us, may cause this Agreement to be voided.

Intentionally False or Misleading Statements. 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, CHPW shall be entitled to recover those amounts. Please see the Right of Recovery provision 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, CHPW may, at its option: •  Deny the Member's Claim; •  Reduce the amount of benefits provided for the Member's Claim; or •  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 form required by CHPW or the Washington State Health Benefits Exchange, and which affect the acceptability of a Member or the risks to be assumed by us, may cause this Agreement to be voided.