Common use of Termination of Coverage for Cause Clause in Contracts

Termination of Coverage for Cause. i. AvMed may terminate the coverage of any Member immediately upon written notice for the following reasons which lead to a loss of Member eligibility: 1) fraud, intentional Material Misrepresentation of fact, or intentional omission in applying for membership, coverage or benefits under this Contract. However, relative to a misstatement in the Application, after two years from the issue date, only fraudulent misstatements in the Application may be used to void the Contract or deny any Claim for a loss occurred or disability starting after the two year period; 2) misuse of XxXxx's Identification Card furnished to the Member; 3) furnishing to AvMed incorrect or incomplete information for the purpose of obtaining membership, coverage or benefits under this Contract; or 4) behavior which is disruptive, unruly, abusive or uncooperative to the extent that the Member's continuing coverage under this Contract seriously impairs AvMed's ability to administer this Contract or to arrange for the delivery of Health Care Services to the Member or other Members, after XxXxx has attempted to resolve the Member's problem.

Termination of Coverage for Cause. i. AvMed may terminate the coverage of any Member immediately upon written notice for the following reasons which lead to a loss of Member eligibility: 1) fraud, intentional Material Misrepresentation of fact, or intentional omission in applying for membership, coverage or benefits under this Contract. However, relative to a misstatement in the Application, after two years from the issue date, only fraudulent misstatements in the Application may be used to void the Contract or deny any Claim for a loss occurred or disability starting after the two two-year period; 2) misuse of XxXxx's Identification Card furnished to the Member; 3) furnishing to AvMed incorrect or incomplete information for the purpose of obtaining membership, coverage or benefits under this Contract; or 4) behavior which is disruptive, unruly, abusive or uncooperative to the extent that the Member's continuing coverage under this Contract seriously impairs AvMed's ability to administer this Contract or to arrange for the delivery of Health Care Services to the Member or other Members, after XxXxx has attempted to resolve the Member's problem.

Termination of Coverage for Cause. i. AvMed may terminate the coverage of any Member immediately upon written notice for the following reasons which lead to a loss of Member eligibilityeligibility of the Member: 1) fraud, intentional Material Misrepresentation of fact, or intentional omission in applying for membership, benefits or coverage or benefits under this Contract. However, relative to a misstatement in the Application, after two years from the issue date, only fraudulent misstatements in the Application may be used to void the Contract or deny any Claim for a loss occurred or disability starting after the two year period; 2) misuse of XxXxx's Identification Card furnished to the Member; 3) furnishing to AvMed incorrect or incomplete information for the purpose of obtaining membership, coverage or benefits under this Contract; or 4) behavior which is disruptive, unruly, abusive or uncooperative to the extent that the Member's continuing coverage under this Contract seriously impairs AvMed's ability to administer this Contract or to arrange for the delivery of Health Care Services to the Member or other Members, after XxXxx has attempted to resolve the Member's problem.