Premium Adjustments. The Commercial Plan Premium and benefits may be amended for each Subscriber Agreement upon the annual renewal date of each Subscriber Agreement at the sole discretion of PacifiCare.
Premium Adjustments. All Premium adjustments for Members enrolling or terminating during a coverage month will be calculated on a pro-rated basis. Calculated Premium adjustments will be applied to the next month’s Premium charges as follows:
A. New enrollment may result in additional Premium charges depending upon the Subscriber’s current coverage.
B. Terminations may result in a credit toward the Premium charges due. If termination due to death of a Member resulted in an overpayment of Premiums on the Subscriber’s part, CareFirst BlueChoice will retroactively adjust the Premium payments but for no more than sixty (60) days retroactively from the date CareFirst BlueChoice or the Exchange received the notice of the change.
Premium Adjustments. Costs of premium adjustments, consequent upon changes ordered, for Payment and Performance Bonds are allowable for the prime Contractor only.
Premium Adjustments. All Premium adjustments for Members enrolling or terminating during a coverage month will be calculated on a pro-rated basis. Calculated Premium adjustments will be applied to the next month’s Premium charges as follows:
Premium Adjustments. If the premium for this policy has been calculated based on estimated figures, then the premium is only a provisional premium for the annual period. Within 3 months of the expiry of the annual period, you must tell us what the actual figures are. We will re-calculate your actual premium based on the actual figures. The difference between the actual and the provisional premiums will either be payable to us or refunded to you depending on the outcome of the adjustment, but any refund will be limited to a maximum of 50% of the provisional premium.
Premium Adjustments. Premium adjustments involving a return of unearned premiums to an Employer will be limited to the 12 months just before the date the Insurer receives a request for premium adjustment.
Premium Adjustments. All Premium adjustments for Members enrolling or terminating during a coverage month will be calculated on a pro-rated basis. Calculated Premium adjustments will be applied to the next month's Premium charges as follows:
A. New enrollment may result in additional Premium charges depending upon the Subscriber's current coverage.
B. Terminations may result in a credit toward the Premium charges due. If termination due to death of a Member resulted in an overpayment of Premiums on the Subscriber's part, CareFirst BlueChoice will retroactively adjust the Premium payments but for no more than sixty (60) days retroactively from the date CareFirst BlueChoice received the notice of the change.
C. All Premium adjustments for Subscribers terminating this Agreement during a coverage month will be calculated on a pro-rated basis. Terminations may result in a credit toward the Premium charges due. If the termination results in an overpayment of Premiums on the Subscriber's part, CareFirst BlueChoice will retroactively adjust the Premium payments but for no more than sixty (60) days retroactively from the date CareFirst BlueChoice received the notice of termination. The Subscriber or Application Filer will be liable for the cost of any benefit provided or paid for services received on or after the effective date of termination. If a refund is available to the Subscriber, CareFirst BlueChoice can subtract these costs from the refund. SAMPLE
Premium Adjustments. All Premium adjustments for Members enrolling or terminating during a coverage month will be calculated on a pro-rated basis. Calculated Premium adjustments will be applied to the next month’s Premium charges as follows:
A. New enrollment may result in additional Premium charges depending upon the Subscriber’s current coverage.
B. Terminations may result in a credit toward the Premium charges due. If termination due to death of a Member resulted in an overpayment of Premiums on the Subscriber’s part, CareFirst will retroactively adjust the Premium payments but for no more than sixty (60) days retroactively from the date CareFirst or the Exchange received the notice of the change.
Premium Adjustments. Any insurance premium adjustments made in other district contracts during this contract period will also apply to this contract.
Premium Adjustments. The Reinsurer’s quota share participation in all Premiums, which Premiums were received by the Reinsurer, that are required to be refunded, rebated or otherwise repaid by the Reinsured to a Policyholder or Governmental Authority due to, (i) changes in or cancellations of any policy of the Subject Business, (ii) contractual requirements under the terms of the policies of the Subject Business, or (iii) Applicable Law including the ACA Risk Adjustment Program, and any such refunds, rebates or payments resulting from (x) a finding in a commercial risk adjustment audit by any federal Governmental Authority or a self-audit performed by the Reinsured that the Premiums were incorrect, and (y) any ACA Rebates (to the extent such rebates are related to the policies of the Subject Business, as solely determined by the Reinsured) (paragraphs (i), (ii), and (iii) of this ARTICLE V, collectively, the “Premium Adjustments”), shall be refunded by the Reinsurer to the Reinsured in accordance with ARTICLE XIII. The Parties shall promptly make all necessary financial adjustments between them with respect to the Maximum Combined Ratio, Profit Commission, and the Reinsurer’s Margin necessitated by any such Premium Adjustments in a manner consistent with the terms herein. This ARTICLE V will survive the termination or expiration of this Agreement.
