Monthly Premiums Clause Samples
The "Monthly Premiums" clause defines the requirement for regular, typically monthly, payments by one party—usually the insured—to maintain coverage or benefits under an insurance policy or service agreement. This clause specifies the amount due, the payment schedule, and the acceptable methods of payment, and may outline consequences for late or missed payments, such as suspension or termination of coverage. Its core function is to ensure a steady flow of funds to the provider, thereby maintaining the continuity of coverage and clearly outlining the financial obligations of the policyholder.
Monthly Premiums. The MCP must be able to receive monthly premiums in a method specified by ODJFS. (ODJFS monthly prospective premium issue dates are provided in advance to the MCPs.) Various retroactive premium payments and recovery of premiums paid (e.g., retroactive terminations of membership, deferments, etc.,) may occur via any ODJFS weekly remittance.
Monthly Premiums. A. The monthly premium subsidy in effect on January 1, 2015, for each medical and/or dental plan, is a set dollar amount and is not a percentage of the premium charged by the plan. The County will pay the following monthly premium subsidy: Health & Dental Plans Employee Employee +1 Dependent Employee +2 or More Dependents Contra Costa Health Plans (CCHP), Plan A $509.92 $1,214.90 $1,214.90 Contra Costa Health Plans (CCHP), Plan B $528.50 $1,255.79 $1,255.79 ▇▇▇▇▇▇ Permanente Health Plans $478.91 $1,115.84 $1,115.84 Health Net HMO Plans $627.79 $1,540.02 $1,540.02 Health Net PPO Plans $604.60 $1,436.25 $1,436.25 County Selected High Deductible Health Plan $478.91 $1,115.84 $1,115.84 Delta Dental with CCHP A or B $41.17 $93.00 $93.00 Delta Dental with Kaiser or Health Net $34.02 $76.77 $76.77 Delta Dental without a Health Plan $43.35 $97.81 $97.81 DeltaCare (PMI) with CCHP A or B $25.41 $54.91 $54.91 DeltaCare (PMI) with Kaiser or Health Net $21.31 $46.05 $46.05 DeltaCare (PMI) without a Health Plan $27.31 $59.03 $59.03
B. If the County contracts with a medical or dental plan that is not listed above, the County will determine the monthly dollar premium subsidy that it will pay to that medical plan for employees and their eligible family members.
Monthly Premiums. Initial Premiums are due on or before the effective date of the [In- Network] Group Contract. Subsequent Premiums are due each month on the Premium Due Date. The Premium Due Date is the first day of the month for the period for which the Premium applies. If the Group elects to pay Premiums through an electronic payment, CareFirst may not debit or charge the amount of the Premium due prior to the Premium Due Date, except as authorized by the Group.
Monthly Premiums. A. The monthly premium subsidy in effect on January 1, 2015, for each medical and/or dental plan, is a set dollar amount and is not a percentage of the premium charged by the plan. The County will pay the following monthly premium subsidy: Health & Dental Plans Employee Employee +1 Dependent Employee +2 or More Dependents Contra Costa Health Plans (CCHP), Plan A $509.92 $1,214.90 $1,214.90 Contra Costa Health Plans (CCHP), Plan B $528.50 $1,255.79 $1,255.79 ▇▇▇▇▇▇ Permanente Health Plans $478.91 $1,115.84 $1,115.84 Health Net HMO Plans $627.79 $1,540.02 $1,540.02 Health Net PPO Plans $604.60 $1,436.25 $1,436.25 County Selected High Deductible Health Plan $478.91 $1,115.84 $1,115.84 Delta Dental PPO with CCHP A or B $41.17 $93.00 $93.00 Delta Dental PPO with ▇▇▇▇▇▇ or Health Net $34.02 $76.77 $76.77 Delta Dental PPO without a Health Plan $43.35 $97.81 $97.81 DeltaCare HMO with CCHP A or B $25.41 $54.91 $54.91 DeltaCare HMO with ▇▇▇▇▇▇ or Health Net $21.31 $46.05 $46.05 DeltaCare HMO without a Health Plan $27.31 $59.03 $59.03
B. If the County contracts with a medical or dental plan that is not listed above, the County will determine the monthly dollar premium subsidy that it will pay to that medical plan for employees and their eligible family members.
C. In the event that the County premium subsidy amounts are greater than one hundred percent (100%) of the applicable premium of any medical and/or dental plan, for any plan year, the County’s contribution will not exceed one hundred percent (100%) of the applicable plan premium.
Monthly Premiums. 1. Medical: The District will pay, if actually required, up to that dollar amount equal to the lesser of either the Kaiser (KN) or the Blue Shield Access + (BS) rate (as set forth below) in the month the benefit is received for medical insurance coverage.
a. Employee only 100% of the applicable monthly rate minus $75.00
b. Employee + one dependent 100% of the applicable monthly rate minus $150.00
Monthly Premiums. 1. Medical: The District will pay, if actually required, up to that dollar amount equal to the lesser of either the CalPERS Region 1 ▇▇▇▇▇▇ (KN) or the Blue Shield Access + (BS) rate (as set forth below) in the month the benefit is received for medical insurance coverage, including the CalPERS Minimum Employer Contribution (MEC).
Monthly Premiums. 3.01 Contractholder will remit to Delta Dental or its Third Party Administrator the Premium in the amount and manner shown in Attachment C for all Primary Enrollees and Dependent Enrollees. Delta Dental will process eligibility as reported by the Contractholder. For enrollment additions, Contractholder will remit a full month’s Premium for Enrollees whose coverage is effective on the first through the fifteenth calendar day of a month. Premiums are not due to Delta Dental for Enrollees who are enrolled on the sixteenth through the last day of a month. For enrollment terminations, Contractholder will remit a full month’s Premium for Enrollees whose coverage is terminated on the sixteenth through the last calendar day of a respective month. Premiums are not due to Delta Dental for Enrollees whose enrollment is terminated on the first through the fifteenth day of a month.
3.02 This Contract will not be in effect until Delta Dental receives the first month’s Premiums. Subsequent Premiums will be paid by the first day of each month. For each Premium after the first, a grace period of 31 days from the due date will be allowed for the payment of the Premium. This Contract will continue in force during this period; if the Premium remains unpaid at the end of the grace period, this Contract may be terminated by Delta Dental in accordance with the notice requirements of section 6.01. Any payment received after 90 days of the due date shall be subject to interest charges at an annualized rate equal to one percentage point above the then current three (3) month U.S. Treasury Bill rate, which interest shall commence accruing as of the first day following the end of the 30 day grace period.
3.03 If this Contract is terminated before the end of a Contract Term, Contractholder will pay additional charges in accordance with Article 6.
3.04 Delta Dental will not be responsible or liable for any incorrect, incomplete, obsolete or unreadable data or information supplied to Delta Dental including, but not limited to, eligibility and enrollment information.
3.05 Delta Dental may change the monthly Premium whenever this Contract is amended as stated in section 3.06, or whenever the Contractholder requests a change in Benefits, eligibility or when due to a state and/or federal mandated change. Any change in Premium shall not be effective during a Contract Term unless Contractholder and Delta Dental agree in writing, except as provided in section 3.06, 3.07 or a state and/or feder...
Monthly Premiums