Common use of Retroactive Termination Clause in Contracts

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. We will make retroactive Retroactive adjustments in coverage will only be made for up to 30 days a 30-day period from the date we receive a request for of notification. In the event of 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 termination due 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 nonpayment of Premiums, or failure to timely notify us AvMed of a Member’s loss of eligibilityMember ineligibility, we AvMed will not be responsible for Claims we incur in providing benefits to Members under the terms of this Contract after the retroactive effective date of the such termination. In such event, we reserve AvMed reserves 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 such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed for any Member after the date on which that Member's eligibility ceased will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, up to a maximum of 30 days from the date of such ineligibility, less any Claims incurred after the effective date of termination.

Retroactive Termination. We will make retroactive Retroactive adjustments in coverage will only be made for up to 30 days a 30-day period from the date we receive a request for of notification. In the event of 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 termination due 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 nonpayment of Premiums, or failure to timely notify us AvMed of a Member’s loss of eligibilityMember ineligibility, we AvMed will not be responsible for Claims claims we incur in providing benefits to Members under the terms of this Contract after the retroactive effective date of the such termination. In such event, we reserve AvMed reserves 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 such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed for any Member after the date on which that Member's eligibility ceased will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, up to a maximum of 30 days from the date of such ineligibility, less any Claims incurred after the effective date of termination.