Common use of Members Receiving Tax Credits Clause in Contracts

Members Receiving Tax Credits. Members who receive Advanced Premium Tax Credits (within the Marketplace) and have made the Binding Premium Payment, but who subsequently fail to pay the Premium in full, will have a three-month grace period to submit full payment of outstanding Premium due. Health Options will pay appropriate claims for the first month of the grace period only. Health Options will hold claims during the remainder of the grace period. We reserve the right to take necessary steps to collect outstanding Premiums for periods in which coverage was in force as described in Section 9.B. Health Options will stop holding claims when the full Premium amount owed is paid in full prior to the end of the grace period. Partial payments of owed Premiums will not extend the grace period. Only full payment of owed Premiums due on the date of the payment will prevent termination of coverage. If the full Premium amount owed is not paid prior to the end of the grace period, Health Options will terminate coverage under the Plan and this Agreement, and the Member will be responsible for paying for any services received during and after the final two months of the grace period.

Appears in 6 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Members Receiving Tax Credits. Members who receive Advanced Premium Tax Credits (within the Marketplace) and have made the Binding Premium Payment, but who subsequently fail to pay the Premium in full, will have a three-month three‐month grace period to submit full payment of outstanding Premium due. Community Health Options will pay appropriate claims for the first month of the grace period only. Community Health Options will hold claims during the remainder of the grace period. We reserve the right to take necessary steps to collect outstanding Premiums for periods in which coverage was in force as described in Section 9.B. Community Health Options will stop holding claims when the full Premium amount owed is paid in full prior to the end of the grace period. Partial payments of owed Premiums will not extend the grace period. Only full payment of owed Premiums due on the date of the payment will prevent termination of coverage. If the full Premium amount owed is not paid prior to the end of the grace period, Community Health Options will terminate coverage under the Plan and this Agreement, and the Member will be responsible for paying for any services received during and after the final two months of the grace period.

Appears in 2 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement

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Members Receiving Tax Credits. Members who receive Advanced Premium Tax Credits (within the Marketplace) and have made the Binding Premium Payment, but who subsequently fail to pay the Premium in full, will have a three-three - month grace period to submit full payment of outstanding Premium due. Health Options will pay appropriate claims for the first month of the grace period only. Health Options Option s will hold claims during the remainder of the grace period. We reserve the right to take necessary steps to collect outstanding Premiums for periods in which coverage was in force as described in Section 9.B. Health Options will stop holding claims when the full Premium amount owed is paid in full prior to the end of the grace periodperiod . Partial payments of owed Premiums will not extend the grace period. Only full payment of owed Premiums due on the date of the payment will prevent termination of coverage. If the full Premium amount owed is not paid prior to the end of the grace period, Health Options will terminate coverage under the Plan and this Agreement, and the Member will be responsible for paying for any services received during and after aft er the final two months of the grace period.

Appears in 1 contract

Samples: Benefit Agreement

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