Retroactive Termination of Members Sample Clauses

Retroactive Termination of Members. When the Group fails to provide prospective notice of a Member’s termination, CareFirst BlueChoice will only retroactively terminate a Member’s coverage at 11:59 p.m., Eastern Time, [on the last day of the month] prior to the [month in] which the notice of termination is received by CareFirst BlueChoice or; if claims have been received and processed, the day after such processing. [For example, if CareFirst BlueChoice receives retrospective notice of termination on December 16, CareFirst BlueChoice will only retroactively terminate a Member’s coverage to [November 30]. However, if claims have been received and processed after such date, then CareFirst BlueChoice will terminate coverage the day after such processing. For example, if claims are received and processed December 5, termination will be December 6.] The Group agrees to indemnify and hold harmless CareFirst BlueChoice, its subsidiaries, officers, employees, agents and contractors from any and all claims, actions, damages, liabilities, and expenses whatsoever (including reasonable attorney fees) incurred or for which liability for the payment of has been determined, as a result of any act or omission on the part of the Group or its subsidiaries, officers, employees, agents and contractors in connection with or related to any failure to comply with any provisions of law, regulation or administrative directive, relating to or concerning the providing of timely and adequate certificates of creditable coverage and as the same is more fully addressed and set forth under the applicable provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any future amendments thereto.
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Retroactive Termination of Members. The Group may not retroactively terminate a Member except in cases of fraud or intentional misrepresentation of material fact. However, it may be possible for the Group to retroactively terminate a Member, if all of the following conditions are met: 1) the Contract covers only active employees (or those on COBRA); 2) the Member has paid no premium for coverage after the effective date of the cancellation; 3) the Member had no expectation of coverage after the requested effective date of cancellation; and 4) the retroactive cancellation is due to a delay in administrative record-keeping that occurred in the normal course of business. If a Member for which the Group requests retroactive termination incurs expenses and We pay claims after the requested termination date, premium is due and must be paid for that Member for the monthly period in which claims are incurred. PREMIUMS When are Premiums Due? All premium, any charges or fees for this Group Policy (hereinafter referred to as “premium”) must be paid to Us by You. The premium due under this Group Policy on each Premium Due Date will be the sum of the premium charges for the insurance provided under this Group Policy. It is Your responsibility to collect any premium contributions required by Covered Employees for their coverage under this Group Policy. If You do not pay premiums when due, this Group Policy will terminate subject to the Grace Period. The Premium Due Date is shown on the cover page of this Group Policy.
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Retroactive Termination of Members. The Group may not retroactively terminate a Member except in cases of fraud or intentional misrepresentation of material fact. However, it may be possible for the Group to retroactively terminate a Member, if all of the following conditions are met: 1) the Contract covers only active employees (or those on COBRA); 2) the Member has paid no premium for coverage after the effective date of the cancellation;
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Retroactive Termination of Members. The Group may not retroactively terminate a Member except in cases of fraud or intentional misrepresentation of material fact. However, it may be possible for the Group to retroactively terminate a Member, if all of the following conditions are met: 1) the Contract covers only active employees (or those on COBRA); 2) the Member has paid no premium for coverage after the effective date of the cancellation; 3) the Member had no expectation of coverage after the requested effective date of cancellation; and 4) the retroactive cancellation is due to a delay in administrative record-keeping that occurred in the normal course of business. If a Member for which the Group requests retroactive termination incurs expenses and We pay claims after the requested termination date, premium is due and must be paid for that Member for the monthly period in which claims are incurred. PREMIUMS The date the monthly premium is due is the Premium Due Date. The premium amount will usually depend on the number of persons in a family who are to be enrolled (e.g., a rate is charged based on whether one, two or three or more persons are covered). A group may instead use a single rate (called a unit rate) that does not change no matter how many people in a family are enrolled.
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Related to Retroactive Termination of Members

  • Termination of Membership You may terminate your membership by giving us written notice or by withdrawing your minimum required membership share(s), if any, and closing all your accounts. You may be denied services for causing a loss to the Credit Union, or you may be expelled for any reason as allowed by applicable law.

  • Membership Termination No Member may terminate its membership in the Sector 21 other than in accordance with this Section 12. A Member that has agreed to join the Sector prior to the 22 Effective Date may withdraw from Sector membership prior to the Effective Date without penalty or 23 prejudice. Thereafter, only a Member that is not in breach of this Agreement and that has no 24 outstanding Sector performance or payment obligations may terminate its membership in the Xxxxxx, 00 and may do so only in compliance with the terms and conditions of this Section 12. Notwithstanding the 26 foregoing, the Board may terminate the membership of a Member in breach of its payment or 27 performance obligations under this Agreement, as the Board deems appropriate in its sole discretion.

  • Retroactive Pay for Terminated Employees An employee who has retired or severed his/her employment between the termination date of this Agreement and the effective date of the new Agreement shall receive the full retroactivity of any increase in wages, salaries or other benefits.

  • CFR PART 200 Termination Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be eff ected and the basis for settlement. (All contracts in excess of $10,000) Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members reserves the right to terminate any agreement in excess of $10,000 resulting from this procurement process for cause after giving the vendor an appropriate opportunity an d up to 30 days, to cure the causal breach of terms and conditions. ESC Region 8 and TIPS Members reserves the right to terminate any agreement in excess of $10,000 resulting from this procurement process for convenience with 30 days notice in writing to the awarded vendor. The vendor would be compensated for work performed and goods procured as of the termination date if for convenience of the ESC Region 8 and TIPS Members. Any award under this procurement process is not exclusive and the ESC Region 8 and TIPS reserves the right to purchase goods and services from other vendors when it is in the best interest of t he ESC Region 8 and TIPS. Does vendor agree? Yes

  • Employee Termination A) Regular employees other than those serving a probationary period, shall give twenty-eight (28) calendar days written notice of termination to a representative designated by the Employer with the authority to accept such written notice.

  • Re-employment After Voluntary Termination or Dismissal for Cause Where an employee voluntarily leaves the Employer's service, or is dismissed for cause and is later re-engaged, seniority and all perquisites shall date only from the time of re-employment, according to regulations applying to new employees.

  • Effective Date of Benefit Termination Medical, dental and life coverage termination will take effect on the first of the month following the loss of eligible employee or dependent status. Disability benefit coverage terminations will take effect on the day following loss of eligible employee status.

  • Benefit Termination Any employee terminating employment shall be entitled to receive the District insurance contribution for the remainder of the calendar month in which the contribution is effective. In cases where separation occurs after completion of the employee’s full contract obligation (i.e. the end of the school/work year), benefit coverage will continue through August 31 of that year.

  • Employee’s Termination The Employee ☐ *shall ☐ shall not have the right to terminate this Agreement. *If allowed, the Employee shall be required to provide at least days’ notice. If the Employee should terminate this Agreement before the expiration date, he or she shall be entitled to severance, equal to their pay at the time of termination, for a period of .

  • Employer’s Termination The Employer ☐ *shall ☐ shall not have the right to terminate this Agreement. *If allowed, the Employer shall be required to provide at least days’ notice. If the Employer should terminate this Agreement, the Employee shall be entitled to severance, equal to their pay at the time of termination, for a period of .

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