Records and Information to be Furnished. The Employer shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Plan, to determine the Dues and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents over forty-five (45) years of age, Subscriber employment status, Employer identification number and Employer size. Failure to provide any such information required by this Section may result in immediate Cancellation of this Contract.
Appears in 42 contracts
Samples: www.blueshieldca.com, blackline.benefitdomain.com, iusd.org
Records and Information to be Furnished. The Employer shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Plan, to determine the Dues Premiums and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents over forty-five (45) years of age, Subscriber employment status, Employer identification number and Employer size. Failure to provide any such information required by this Section may result in immediate Cancellation of this Contract.
Appears in 7 contracts
Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract
Records and Information to be Furnished. The Employer shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Planplan, to determine the Dues dues and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents over forty-five (45) years of age, Subscriber employment status, Employer identification number and Employer size. Failure to provide any such information required by this Section may result in immediate Cancellation of this Contract.
Appears in 2 contracts
Records and Information to be Furnished. The Employer shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Plan, to determine the Dues and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents Dependents over forty-five (45) years of age, Subscriber employment status, Employer identification number and Employer size. Failure to provide any such information required by this Section may result in immediate Cancellation cancellation of this Contract.
Appears in 2 contracts
Samples: myihopbenefits.com, myihopbenefits.com
Records and Information to be Furnished. The Employer shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Planplan, to determine the Dues dues and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents over forty-five (45) years of age, Subscriber employment status, Employer identification number and Employer size. All of the Employer's records which relate to eligibility for and Benefits of this Plan shall be made available for inspection by Blue Shield when and so often as reasonably required. Failure to provide any such information required by this Section may result in immediate Cancellation of this Contract.
Appears in 1 contract
Samples: cdn.cocodoc.com
Records and Information to be Furnished. The Employer Trust shall furnish Blue Shield with such information as Blue Shield may require to enable it to administer this Plan, to determine the Dues and to enable it to perform this Contract. CMS specifically requires Blue Shield to obtain the following information: Social Security numbers for Subscribers and dependents over forty-five (45) years of age, Subscriber employment status, Employer Trust identification number and Employer Trust size. Failure to provide any such information required by this Section may result in immediate Cancellation of this Contract.
Appears in 1 contract
Samples: www.eisb.org