Common use of Premium Adjustments Clause in Contracts

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

Appears in 2 contracts

Samples: Individual Enrollment Agreement, Individual Enrollment Agreement

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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 or the Exchange 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. C. 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 Member’s death.

Appears in 2 contracts

Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan

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.. SAMPLE C. All Premium adjustments for Subscribers terminating this In-Network 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.

Appears in 1 contract

Samples: In Network Individual Enrollment Agreement

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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:: SAMPLE 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 or the Exchange 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. C. 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 Member’s death.

Appears in 1 contract

Samples: Individual Enrollment Agreement for a Qualified Health Plan

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