Termination of Eligibility. A participant becomes ineligible to participate in the plan if the Participant transfers to an ineligible class of employees or terminates employment with the employer. Upon the termination of eligibility, the Participant's right to participate in the Plan terminates as of the date of such transfer or employment termination, except as specifically stated in the Plan or pursuant to the provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985 ("COBRA"), as amended.
Termination of Eligibility. If a member becomes ineligible for HIP, either during eligibility redetermination or at another time, the Contractor shall inactivate the member POWER Account. To allow for members that return to the program, the account will be held inactive through the end of the calendar year. One hundred and twenty (120) days following the end of the calendar year, the contractor will refund the State and member share of the remaining POWER Account balance, if any. This Section 5.9 is also applicable when an American Indian/ Alaska Native member elects to opt-out of managed care pursuant to 42 USC § 1396u–2(a)(2)(C) and transfer to fee-for-service benefits through the State. Any prepaid balance in excess of member’s pro rata share of the remaining POWER Account balance, as determined in accordance with Section 5.9.1, shall be refunded to the member within thirty (30) days of end of the termination. The State share shall be reported one hundred and twenty (120) calendar days following the end of the calendar year. The Contractor shall submit an initial reconciliation for the member termination thirty (30) days after the end of their benefit period. In performing the POWER Account reconciliation function when a member loses eligibility, the Contractor shall comply with the procedures set forth in this section and HIP MCE Policies and Procedures Manual. POWER Account technical requirements are updated from time to time. The Contractor shall be required to comply with these requirements as of their effective date. The Contractor shall have the capability to transmit the required reconciliation data electronically as of the effective date of the Contract. This capability will be tested during the readiness review.
Termination of Eligibility. Retired employees’ eligibility for participation in a group health and hospitalization program as defined in this Section shall cease upon qualification for Medicare.
Termination of Eligibility. I understand and agree that if:
Termination of Eligibility. I understand and agree that if:
6.7.1. any of the representations or statements made by me in this Application and Contract or any of its attachments is determined by the State or Local Organization to be false;
6.7.2. there is a change of circumstances that would affect my eligibility to participate fully in the competition or, if I am selected as the Titleholder, to complete my Year of Service, including, without limitation, changes in my ability to participate in all activities, citizenship, marital or parental status, good character and reputation, or behavior that is or that the State or Local Organization perceives as contrary to the Miss America Program or its elements as described in Paragraph 1.1 of this contract, or if relevant to my eligibility to participate in the competition, my residence, employment, or educational status;
6.7.3. I fail to conduct myself in a manner which, in the sole and exclusive judgment of the State or Local Organization, is consistent with the standards and dignity of the Program;
6.7.4. I do not abide by the Rules for the Local and State Competition Finals as set forth in the competition guidelines and limitations that will be applicable to my activities if I am selected as the Titleholder; or
6.7.5. I suffer any medical condition or disability, which, in the sole and exclusive judgment of the State or Local Organization, impairs my ability to perform the duties, expected of me as a Candidate; then
Termination of Eligibility. I understand and agree that if:
6.7.1. any of the representations or statements made by me in this Application and Contract
6.7.2. there is a change of circumstances that would affect my eligibility to participate fully in the competition or to complete my Year of Service, including without limitation changes in my ability to participate in all activities, citizenship, marital or parental status, good character and
6.7.3. I fail to conduct myself in a manner which, in the sole and exclusive judgment of the
6.7.4. I do not abide by the Rules for the State Competition Finals as set forth in Attachment
6.7.5. I suffer any medical condition or disability, which, in the sole and exclusive judgment of
Termination of Eligibility. In the event a Participant shall go from a classification of an Eligible Employee to an ineligible Employee, such Former Participant shall continue to vest in the Plan for each Year of Service (or Period of Service, if the Elapsed Time Method is used) completed while an ineligible Employee, until such time as the Participant's Account is forfeited or distributed pursuant to the terms of the Plan. Additionally, the Former Participant's interest in the Plan shall continue to share in the earnings of the Trust Fund in the same manner as Participants.
Termination of Eligibility. (1) In the event a Participant shall go from a classification of an Eligible Employee to an ineligible Employee, such Former Participant shall continue to vest in his interest in the Plan for each Year of Service completed while a noneligible Employee, until such time as his Participant's Account shall be forfeited or distributed pursuant to the terms of the Plan. Additionally, his interest in the Plan shall continue to share in the earnings of the Trust Fund.
(2) In the event a Participant is no longer a member of an eligible class of Employees and becomes ineligible to participate but has not incurred a one-year-Break-in-Service, such Employee will participate immediately upon returning to an eligible class of Employees.
(3) In the event an Employee who is not a member of an eligible class of Employees becomes ineligible to participate and has incurred a one-year Break-in-Service, such Employee shall be eligible to participate upon the next date a Salary Deferral Agreement may be executed upon returning to an eligible class of Employees.
Termination of Eligibility. (a) In the event a Participant shall go from a classification of an Eligible Employee to an ineligible Employee, such Former Participant shall continue to vest in his interest in the Plan for each Year of Service completed while a noneligible Employee, until such time as his Participant's Account shall be forfeited or distributed pursuant to the terms of the Plan. Additionally, his interest in the Plan shall continue to share in the earnings of the Trust Fund.
(b) In the event a Participant is no longer a member of an eligible class of Employees and becomes ineligible to participate but has not incurred a 1-Year Break in Service, such Employee will participate immediately upon returning to an eligible class of Employees. If such Participant incurs a 1-Year Break in Service, eligibility will be determined under the break in service rules of the Plan.
Termination of Eligibility. Eligibility for Benefits will terminate for all Members under this Contract at the earlier of:
1. The termination of this Contract; or
2. Midnight of the last day of the month for which payment has been made if the Contractor fails to make the payments required by this Contract. Eligibility of an individual Member will also terminate under the following circumstances:
1. The Member ceases to meet the definition of an Enrollee or a Dependent as defined by this Contract;
2. The Member fails to comply with the eligibility requirements of this Contract; or
3. The Member commits fraud or misrepresentation in the submission of any claim. A Member whose eligibility is terminated may not continue group coverage under this Contract, except as required by the continuation coverage provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, or comparable, non-preempted state law (“COBRA”). An affiliate of Delta Dental also may offer coverage under an individual direct payment policy to a Member whose eligibility is terminated.
