Retroactive Termination. Retroactive adjustments in coverage will only be made for up to a 60-day period from the date of notification. In the event of retroactive termination due to the Subscribing Group's nonpayment of Premiums, or failure of the Subscribing Group or Members to timely notify AvMed of Member ineligibility, AvMed will not be responsible for Claims we incur in arranging for the provision of benefits to Members under the terms of this Contract after the effective date of such retroactive termination.
Retroactive Termination. We will make retroactive adjustments in coverage only up to 30 days from the date we receive a request for retroactive termination. If we receive Premiums for any Member after the date on which that Member's eligibility ceased we will refund them on a pro rata basis, limited to the total unearned Premiums paid for the Member, up to a maximum of 30 days from the date eligibility ceased, less any Claims incurred by us after the effective date of termination. If coverage is terminated due to non-payment of Premiums, or failure to timely notify us of a Member’s loss of eligibility, we will not be responsible for Claims we incur in providing benefits under the terms of this Contract after the retroactive effective date of the termination. In such event, we reserve the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment for any Health Care Services provided after the retroactive effective date of the termination, less any Premiums received by us for such Member’s coverage after such date.
Retroactive Termination. AvMed will provide the Subscribing Group with notice of cancellation prior to the 45th day after the Premium due-date. Such notice will be mailed to the Subscribing Group’s last address provided to AvMed, and may provide for retroactive cancellation back to 12:00 a.m. (midnight) on the date the Premium was due.
Retroactive Termination. A request for retroactive termination by Group may be granted as shown in the GEA.
