NOTICE OF RIGHT TO EXAMINE CONTRACT. Within 30 days after delivery of this Contract to You, You may return it to Us for a full refund of any premium paid, less the cost for services provided. The Contract will be deemed void from the beginning. [EFFECTIVE DATE OF CONTRACT: [January 1, 2017 ]] Renewal Provision. Subject to all Contract terms and provisions, including those describing Termination of the Contract, You may renew and keep this Contract in force by paying the premiums as they become due. We agree to arrange or provide services under the terms and provisions of this Contract. In consideration of the application for this Contract and the payment of premiums as stated herein, We agree to arrange [or provide] services and supplies in accordance with and subject to the terms of this Contract. This Contract is delivered in New Jersey and is governed by the laws thereof. This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions. [Secretary President] [[Member]: Xxxx Xxx Identification Number: 125689 Effective Date: January 1, 2017 [Product Name: XXXX]] [Include legal name, trade name, phone, fax and e-mail numbers by which consumers may contact the carrier, including at least one toll-free number for Members] [Include language taglines as required by 45 C.F.R. 155.205(c)(2)(iii)(A)]
Appears in 2 contracts
Samples: Hmo Health Benefits Contract, Hmo Health Benefits Contract
NOTICE OF RIGHT TO EXAMINE CONTRACT. Within 30 days after delivery of this Contract to You, You may return it to Us for a full refund of any premium paid, less the cost for services provided. The Contract will be deemed void from the beginning. [EFFECTIVE DATE OF CONTRACT: [January 1, 2017 2018 ]] Renewal Provision. Subject to all Contract terms and provisions, including those describing Termination of the Contract, You may renew and keep this Contract in force by paying the premiums as they become due. We agree to arrange or provide services under the terms and provisions of this Contract. In consideration of the application for this Contract and the payment of premiums as stated herein, We agree to arrange [or provide] services and supplies in accordance with and subject to the terms of this Contract. This Contract is delivered in New Jersey and is governed by the laws thereof. This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions. [Secretary President] [[Member]: Xxxx Xxx Identification Number: 125689 Effective Date: January 1, 2017 2018 [Product Name: XXXX]] [Include legal name, trade name, phone, fax and e-mail numbers by which consumers may contact the carrier, including at least one toll-free number for Members] [Include language taglines as required by 45 C.F.R. 155.205(c)(2)(iii)(A)]
Appears in 2 contracts
Samples: Individual Health Maintenance Organization (Hmo) Contract, Individual Health Maintenance Organization (Hmo) Contract
NOTICE OF RIGHT TO EXAMINE CONTRACT. Within 30 days after delivery of this Contract to You, You may return it to Us for a full refund of any premium paid, less the cost for services provided. The Contract will be deemed void from the beginning. [EFFECTIVE DATE OF CONTRACT: [January 1, 2017 2020 ]] Renewal Provision. Subject to all Contract terms and provisions, including those describing Termination of the Contract, You may renew and keep this Contract in force by paying the premiums as they become due. We agree to arrange or provide services under the terms and provisions of this Contract. In consideration of the application for this Contract and the payment of premiums as stated herein, We agree to arrange [or provide] services and supplies in accordance with and subject to the terms of this Contract. This Contract is delivered in New Jersey and is governed by the laws thereof. This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions. [Secretary President] [[Member]: Xxxx Xxx Identification Number: 125689 Effective Date: January 1, 2017 2020 [Product Name: XXXX]] [Include legal name, trade name, phone, fax and e-mail numbers by which consumers may contact the carrier, including at least one toll-free number for Members] [Include language taglines as required by 45 C.F.R. 155.205(c)(2)(iii)(A)]
Appears in 1 contract
Samples: Individual Health Maintenance Organization (Hmo) Contract
NOTICE OF RIGHT TO EXAMINE CONTRACT. Within 30 days after delivery of this Contract to You, You may return it to Us for a full refund of any premium paid, less the cost for services provided. The Contract will be deemed void from the beginning. [EFFECTIVE DATE OF CONTRACT: [January 1, 2017 2023 ]] Renewal Provision. Subject to all Contract terms and provisions, including those describing Termination of the Contract, You may renew and keep this Contract in force by paying the premiums as they become due. We agree to arrange or provide services under the terms and provisions of this Contract. In consideration of the application for this Contract and the payment of premiums as stated herein, We agree to arrange [or provide] services and supplies in accordance with and subject to the terms of this Contract. This Contract is delivered in New Jersey and is governed by the laws thereof. This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions. [Secretary President] [[Member]: Xxxx Xxx Identification Number: 125689 Effective Date: January 1, 2017 2020 [Product Name: XXXX]] [Include legal name, trade name, phone, fax and e-mail numbers by which consumers may contact the carrier, including at least one toll-free number for Members] [Include language taglines as required by 45 C.F.R. 155.205(c)(2)(iii)(A)]
Appears in 1 contract
Samples: Hmo Health Benefits Contract
NOTICE OF RIGHT TO EXAMINE CONTRACT. Within 30 days after delivery of this Contract to You, You may return it to Us for a full refund of any premium paid, less the cost for services provided. The Contract will be deemed void from the beginning. [EFFECTIVE DATE OF CONTRACT: [January 1, 2017 2024 ]] Renewal Provision. Subject to all Contract terms and provisions, including those describing Termination of the Contract, You may renew and keep this Contract in force by paying the premiums as they become due. We agree to arrange or provide services under the terms and provisions of this Contract. In consideration of the application for this Contract and the payment of premiums as stated herein, We agree to arrange [or provide] services and supplies in accordance with and subject to the terms of this Contract. This Contract is delivered in New Jersey and is governed by the laws thereof. This Contract takes effect on the Effective Date, if it is duly attested below. It continues as long as the required premiums are paid, unless it ends as described in its General Provisions. [Secretary President] [[Member]: Xxxx Xxx Identification Number: 125689 Effective Date: January 1, 2017 2024 [Product Name: XXXX]] [Include legal name, trade name, phone, fax and e-mail numbers by which consumers may contact the carrier, including at least one toll-free number for Members] [Include language taglines as required by 45 C.F.R. 155.205(c)(2)(iii)(A)]
Appears in 1 contract
Samples: Hmo Health Benefits Contract