Termination for Ineligibility. 1. The Member is no longer a Qualified Individual eligible to enroll in a Qualified Health Plan through the Exchange. If the Subscriber is no longer eligible for coverage under this Agreement, the Agreement will be terminated. Any Dependents of the terminated Subscriber who remain eligible to enroll in a Qualified Health Plan through the Exchange may do so.
2. A Dependent is no longer eligible for coverage as a Dependent due to a change in the Dependent’s age, status or relationship to the Subscriber.
3. The Effective Date of Termination.
a) Under Sections 4.2A.1 and 4.2A.2, the effective date of termination will be the last day of the month that the Member is no longer eligible for coverage unless otherwise instructed by the Exchange, except when a Dependent is no longer eligible for coverage under this Agreement due to reaching the Limiting Age. The Member, as applicable, may request an earlier termination date as provided in Section 4.1
b) When a Dependent is no longer eligible due to reaching the Limiting Age, the effective date of termination will be December 31 of the Calendar Year in which the Dependent reaches the Limiting Age, unless otherwise instructed by the Exchange.
4. The Subscriber is responsible for notifying the Exchange of any changes in the status of a Member as a Qualified Individual or his or her eligibility for coverage, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber knows of a Member’s ineligibility for coverage and intentionally fails to notify the Exchange, CareFirst has the right to seek Rescission of the coverage of the Member or the Agreement under Section 4.3 as of the initial date of the Member’s ineligibility. In such a case, CareFirst has the right to recover the full value of the services and benefits provided during the period of the Member’s ineligibility. CareFirst can recover these amounts from the Subscriber and/or any terminated Member, at the option of CareFirst, less any Premium paid for the Member’s enrollment during the period of ineligibility.
Termination for Ineligibility. 1. The Subscriber’s enrollment shall be terminated if he or she is no longer eligible for coverage under this Agreement or is no longer a Qualified Individual eligible to enroll in a Qualified Health Plan through the Exchange. In such a case, the enrollment of the Subscriber and all Dependents will be terminated.
2. The Subscriber or Member no longer meets the eligibility requirements stated in Section 2.1C because, at the beginning of a Calendar Year:
a) The Subscriber or Member is over the age of thirty (30); or
b) The Subscriber or Member has not received a certificate of exemption from the Exchange for the reasons identified Section 1302(e)(2)(B)(i) or
Termination for Ineligibility. 1. The Subscriber’s enrollment shall be terminated if he or she is no longer eligible for coverage under this Agreement or is no longer a Qualified Individual eligible to enroll in a Qualified Health Plan through the Exchange. In such a case, the enrollment of the Subscriber and all Dependents will be terminated.
2. A Dependent is no longer eligible for coverage as a Dependent due to a change in the Dependent’s age, status or relationship to the Subscriber, or the Dependent is no longer a Qualified Individual.
3. The date of termination under Sections 4.2A.1 and 4.2A.2 will be the last day of the month following the month in which the Exchange gives notice to the Subscriber that the Subscriber and/or Dependent is no longer eligible for coverage, unless the Subscriber or Member, as applicable, requests an earlier termination date.
4. The Subscriber is responsible for notifying the Exchange of any changes in the status of a Member as a Qualified Individual or his or her eligibility for coverage, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber knows of a Member’s ineligibility for coverage and intentionally fails to notify the Exchange, CareFirst BlueChoice has the right to seek Rescission of the coverage of the Member under Section 4.3 as of the initial date of the Member’s ineligibility. In such a case, CareFirst BlueChoice has the right to recover the full value of the services and benefits provided during the period of the Member’s ineligibility. CareFirst BlueChoice can recover these amounts from the Subscriber and/or from any terminated Member, less any Premium paid for the Member’s enrollment during the period of eligibility.
Termination for Ineligibility. Broadlane may immediately terminate this Agreement if Supplier or any of Supplier’s key personnel is convicted of an offense related to health care or listed by a federal agency as being debarred, excluded, or otherwise ineligible for federal program participation.
Termination for Ineligibility. On the fifth (5th) day after Banning sends notice of ineligibility to Customer, if Banning determines that Customer was not eligible for Schedule ED when the Agreement was signed, that Customer has become ineligible for Schedule ED, or that any material statement in Customer’s Affidavit of Eligibility pursuant to Section 3 submitted to the Electric Utility Director was untrue.
Termination for Ineligibility. 1. The Member is no longer a Qualified Individual eligible to enroll in a Qualified Health Plan through the Exchange. If the Subscriber is no longer eligible for coverage under this Agreement, the Agreement will be terminated. Any Dependents of the terminated Subscriber who remain eligible to enroll in a Qualified Health Plan through the Exchange may do so.
2. The Member no longer meets the eligibility requirements stated in Section 2.1C because, at the beginning of a Calendar Year:
a) The Member is over the age of thirty (30); or
b) The Member has not received a certificate of exemption from the Exchange for the reasons identified Section 1302(e)(2)(B)(i) or (ii) of the Affordable Care Act. ]
3. A Dependent is no longer eligible for coverage as a Dependent due to a change in the Dependent’s age, status or relationship to the Subscriber.
4. The Effective Date of Termination.
a) Under Sections 4.2A.1 and 4.2A.2, the effective date of termination will be the last day of the month that the Member is no longer eligible for coverage unless otherwise instructed by the Exchange, except when a Dependent is no longer eligible for coverage under this Agreement due to reaching the Limiting Age. The Member, as applicable, may request an earlier termination date as provided in Section 4.1
b) When a Dependent is no longer eligible due to reaching the Limiting Age, the effective date of termination will be December 31 of the Calendar Year in which the Dependent reaches the Limiting Age, unless otherwise instructed by the Exchange.
5. The Subscriber is responsible for notifying the Exchange of any changes in the status of a Member as a Qualified Individual or his or her eligibility for coverage, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber knows of a Member’s ineligibility for coverage and intentionally fails to notify the Exchange, CareFirst BlueChoice has the right to seek Rescission of the coverage of the Member or the Agreement under Section 4.3 as of the initial date of the Member’s ineligibility. In such a case, CareFirst BlueChoice has the right to recover the full value of the services and benefits provided during the period of the Member’s ineligibility. CareFirst BlueChoice can recover these amounts from the Subscriber and/or from any terminated Member, less any Premium paid for the Member’s enrollment during the period of ineligibility at the option of CareFirst BlueChoice, less any Premiu...
Termination for Ineligibility. If Landlord determines that Tenant is no longer eligible for occupancy, Landlord shall notify Tenant that the Lease will be terminated thirty (30) days after Tenant’s receipt of the notice. Landlord will notify Tenant that Tenant has the right to request an explanation stating the specific grounds of the determination. If Tenant requests a meeting with Landlord to discuss the redetermination process, Landlord shall meet with Tenant and discuss ineligibility. If Tenant does not agree with the determination after explanation, Tenant shall have the right to request a hearing under the Grievance Procedure. See Exhibit E.
Termination for Ineligibility. Xxxxxx Valley may terminate this Agreement upon five business days’ notice if it determines that Business has become ineligible under the terms of this Agreement.
Termination for Ineligibility. 1. The Subscriber’s enrollment shall be terminated if he or she is no longer eligible for coverage under this Agreement or is no longer a Qualified Individual eligible to enroll in a Qualified Health Plan through the Exchange. In such a case, the enrollment of the Subscriber and all Dependents will be terminated.
2. A Dependent is no longer eligible for coverage as a Dependent due to a change in the Dependent’s age, status or relationship to the Subscriber, or the Dependent is no longer a Qualified Individual.
3. The date of termination under Sections 4.2A.1 and 4.2A.2 will be the last day of the month following the month in which the Exchange gives notice to the Subscriber that the Subscriber and/or Dependent is no longer eligible for coverage, unless the Subscriber or Member, as applicable, requests an earlier termination date.
4. The Subscriber is responsible for notifying the Exchange of any changes in the status of a Member as a Qualified Individual or his or her eligibility for coverage, except when the Dependent Child reaches the Limiting Age. These changes include a death or divorce. If the Subscriber knows of a Member’s ineligibility for coverage and intentionally fails to notify the Exchange, CareFirst has the right to seek Rescission of the coverage of the Member under Section 4.3 as of the initial date of the Member’s ineligibility. In such a case, CareFirst has the right to recover the full value of the services and benefits provided during the period of the Member’s ineligibility. CareFirst can recover these amounts from the Subscriber and/or from any terminated Member, less any Premium paid for the Member’s enrollment during the period of eligibility.
Termination for Ineligibility. Either Party may immediately terminate any Customer Order/Product Addendum and the Standard Agreement, as its sole remedy, if the other Party’s key personnel is convicted of an offense related to health care or listed by a federal agency as being debarred, excluded, or otherwise ineligible for federal healthcare program participation. In the event that an institution is no longer a Customer, BD may terminate immediately such institution’s access to any Customer Order/Product Addendums hereunder.
