Common use of Membership Adjustments Clause in Contracts

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 4 contracts

Samples: Group Agreement, Group Agreement, Group Agreement

AutoNDA by SimpleDocs

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' month’s credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 3 contracts

Samples: Group Agreement, Group Agreement, Group Agreement

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 3 contracts

Samples: Group Agreement, Group Agreement, Group Agreement

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' month’s credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the CertificateEOC, and are subject to the payment of all applicable Premiums.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

Membership Adjustments. We may, at Our discretion, may make retroactive adjustments to the Contract XxxxxxHolder's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' months credit for Member terminations that occurred more than 30 31 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated). Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 1 calendar months' credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 1 contract

Samples: Group Agreement

AutoNDA by SimpleDocs

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' months credit for Member terminations that occurred more than 30 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 1 contract

Samples: Group Agreement

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 1-3 billing periods calendar months' months credit for Member terminations that occurred more than 30 30-90 days before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the CertificateEOC, and are subject to the payment of all applicable Premiums.

Appears in 1 contract

Samples: Aetna Medicare Group Agreement

Membership Adjustments. We may, at Our discretion, make retroactive adjustments to the Contract Xxxxxx's xxxxxxxx for the termination of Members not posted to previous xxxxxxxx. However, Contract Holder may only receive a maximum of 2 calendar months' credit for Member terminations that occurred more than 30 days days' before the date Contract Holder notified Us of the termination. We may reduce any such credits by the amount of any payments We may have made on behalf of such Members (including capitation payments and other claim payments) before We were informed their coverage had been terminated. Retroactive additions will be made at Our discretion based upon eligibility guidelines, as set forth in the Certificate, and are subject to the payment of all applicable Premiums.

Appears in 1 contract

Samples: Group Agreement

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!