Common use of Termination or Modification of a Member’s Coverage Under Clause in Contracts

Termination or Modification of a Member’s Coverage Under. This Contract A. If an Enrollee ceases to be an Eligible Employee or the Group does not remit the required premium, the Enrollee’s coverage and the coverage of any and all enrolled Eligible Dependents will terminate on the last day of the last month for which payment was made. B. Except as provided in this paragraph, coverage under this Contract will terminate on the date a Member no longer qualifies as a Member, as defined in the Eligibility and Enrollment Section. Coverage will not terminate because of age for a Member who is an unmarried dependent child incapable of self-sustaining employment by reason of mental handicap or physical handicap, who became so incapable prior to reaching the age limit, and who is chiefly dependent on the Enrollee for support and maintenance, provided the Enrollee, within thirty-one (31) days of when the dependent child reaches the age limit, has submitted to BCI (at the Enrollee’s expense) a Physician’s certification of such dependent child’s incapacity. BCI may require, at reasonable intervals during the two (2) years following when the child reaches the age limit, subsequent proof of the child’s continuing disability and dependency. After two (2) years, BCI may require such subsequent proof once each year. Coverage for the dependent child will continue so long as this Contract remains in effect, the child’s disability and financial dependency exists, and the child has not exhausted benefits. C. Termination or modification of this Contract automatically terminates or modifies all of the Member’s coverage and rights hereunder. It is the responsibility of the Group to notify all of its Members of the termination or any modification of this Contract, and BCI’s notice to the Group, upon mailing or any other delivery, constitutes complete and conclusive notice to the Members. D. Except as otherwise provided in this Contract, no benefits are available to a Member for Covered Dental Services rendered after the date of termination of a Member’s coverage. E. If BCI discovers that a Member has made any misrepresentation, omission, or concealment of fact in obtaining coverage under this Contract which was or would have been material to BCI’s acceptance of a risk, extension of coverage, provision of benefits or Covered Dental Services, or payment of any reimbursement benefit, BCI may take action against the Group, including but not limited to increasing the Group’s premiums. X. Xxxxx to legal finalization of an adoption, the coverage provided in this Contract for a child placed for adoption with an Enrollee continues as it would for a naturally born child of the Enrollee until the first of the following events occurs: 1. The date the child is removed permanently from placement and the legal obligation terminates, or 2. The date the Enrollee rescinds, in writing, the agreement of adoption or the agreement assuming financial responsibility. If one (1) of the foregoing events occurs, coverage terminates on the last day of the month in which such event occurs. G. Coverage under this Contract will terminate for an Eligible Dependent on the last day of the month he or she no longer qualifies as an Eligible Dependent due to a change in eligibility status.

Termination or Modification of a Member’s Coverage Under. This Contract A. If an Enrollee ceases to be an Eligible Employee or the Group does not remit the required premium, the Enrollee’s coverage and the coverage of any and all enrolled Eligible Dependents will terminate on the last day of the last month for which payment was made. B. Except as provided in this paragraph, coverage under this Contract will terminate on the date a Member no longer qualifies as a Member, as defined in the Eligibility and Enrollment Section. Coverage will not terminate because of age for a Member who is an unmarried dependent child incapable of self-sustaining employment by reason of mental handicap or physical handicap, who became so incapable prior to reaching the age limit, and who is chiefly dependent on the Enrollee for support and maintenance, provided the Enrollee, within thirty-one (31) days of when the dependent child reaches the age limit, has submitted to BCI (at the Enrollee’s expense) a Physician’s certification of such dependent child’s incapacity. BCI may require, at reasonable intervals during the two (2) years following when the child reaches the age limit, subsequent proof of the child’s continuing disability and dependency. After two (2) years, BCI may require such subsequent proof once each year. Coverage for the dependent child will continue so long as this Contract remains in effect, the child’s disability and financial dependency exists, and the child has not exhausted benefits. C. Termination or modification of this Contract automatically terminates or modifies all of the Member’s coverage and rights hereunder. It is the responsibility of the Group to notify all of its Members of the termination or any modification of this Contract, and BCI’s notice to the Group, upon mailing or any other delivery, constitutes complete and conclusive notice to the Members. D. Except as otherwise provided in this Contract, no benefits are available to a Member for Covered Dental Services rendered after the date of termination of a Member’s coverage. E. X. If BCI discovers that a Member has made any misrepresentation, omission, or concealment of fact in obtaining coverage under this Contract which was or would have been material to BCI’s acceptance of a risk, extension of coverage, provision of benefits or Covered Dental Services, or payment of any reimbursement benefit, BCI may take action against the Group, including but not limited to increasing the Group’s premiums.reimbursement X. Xxxxx to legal finalization of an adoption, the coverage provided in this Contract for a child placed for adoption with an Enrollee continues as it would for a naturally born child of the Enrollee until the first of the following events occurs: 1. The date the child is removed permanently from placement and the legal obligation terminates, or 2. The date the Enrollee rescinds, in writing, the agreement of adoption or the agreement assuming financial responsibility. If one (1) of the foregoing events occurs, coverage terminates on the last day of the month in which such event occurs. G. Coverage under this Contract will terminate for an Eligible Dependent on the last day of the month he or she no longer qualifies as an Eligible Dependent due to a change in eligibility status.

Termination or Modification of a Member’s Coverage Under. This Contract A. If an Enrollee ceases to be an Eligible Employee or the Group does not remit the required premium, the Enrollee’s coverage and the coverage of any and all enrolled Eligible Dependents will terminate on the last day of the last month for which payment was made. B. Except as provided in this paragraph, coverage under this Contract will terminate on the date a Member no longer qualifies as a Member, as defined in the Eligibility and Enrollment Section. Coverage will not terminate because of age for a Member who is an unmarried a dependent child incapable of self-sustaining employment by reason of mental handicap or physical handicap, who became so incapable prior to reaching the age limit, and who is chiefly dependent on the Enrollee for support and maintenance, provided the Enrollee, within thirty-one (31) days of when the dependent child reaches the age limit, has submitted to BCI (at the Enrollee’s expense) a Physician’s certification of such dependent child’s incapacity. BCI may require, at reasonable intervals during the two (2) years following when the child reaches the age limit, subsequent proof of the child’s continuing disability and dependency. After two (2) years, BCI may require such subsequent proof once each year. Coverage for the dependent child will continue so long as this Contract remains in effect, the child’s disability and financial dependency exists, and the child has not exhausted benefits. C. Termination or modification of this Contract automatically terminates or modifies all of the Member’s coverage and rights hereunder. It is the responsibility of the Group to notify all of its Members of the termination or any modification of this Contract, and BCI’s notice to the Group, upon mailing or any other delivery, constitutes complete and conclusive notice to the Members. D. Except as otherwise provided in this Contract, no benefits are available to a Member for Covered Dental Services rendered after the date of termination of a Member’s coverage. E. If BCI discovers that a Member has made any misrepresentation, omission, or concealment of fact in obtaining coverage under this Contract which was or would have been material to BCI’s acceptance of a risk, extension of coverage, provision of benefits or Covered Dental Services, or payment of any reimbursement benefit, BCI may take action against the Group, including but not limited to increasing the Group’s premiums. X. Xxxxx to legal finalization of an adoption, the coverage provided in this Contract for a child placed for adoption with an Enrollee continues as it would for a naturally born child of the Enrollee until the first of the following events occurs: 1. The date the child is removed permanently from placement and the legal obligation terminates, or 2. The date the Enrollee rescinds, in writing, the agreement of adoption or the agreement assuming financial responsibility. If one (1) of the foregoing events occurs, coverage terminates on the last day of the month in which such event occurs. G. Coverage under this Contract will terminate for an Eligible Dependent on the last day of the month he or she no longer qualifies as an Eligible Dependent due to a change in eligibility status.

Termination or Modification of a Member’s Coverage Under. This Contract A. If an Enrollee ceases to be an Eligible Employee or the Group does not remit the required premium, the Enrollee’s coverage and the coverage of any and all enrolled Eligible Dependents will terminate on the last day of the last month for which payment was made. B. Except as provided in this paragraph, coverage under this Contract will terminate on the date a Member no longer qualifies as a Member, as defined in the Eligibility and Enrollment Section. Coverage will not terminate because of age for a Member who is an unmarried dependent child incapable of self-sustaining employment by reason of mental handicap or physical handicap, who became so incapable prior to reaching the age limit, and who is chiefly dependent on the Enrollee for support and maintenance, provided the Enrollee, within thirty-one (31) days of when the dependent child reaches the age limit, has submitted to BCI (at the Enrollee’s expense) a Physician’s certification of such dependent child’s incapacity. BCI may require, at reasonable intervals during the two (2) years following when the child reaches the age limit, subsequent proof of the child’s continuing disability and dependency. After two (2) years, BCI may require such subsequent proof once each year. Coverage for the dependent child will continue so long as this Contract remains in effect, the child’s disability and financial dependency exists, and the child has not exhausted benefits. C. Termination or modification of this Contract automatically terminates or modifies all of the Member’s coverage and rights hereunder. It is the responsibility of the Group to notify all of its Members of the termination or any modification of this Contract, and BCI’s notice to the Group, upon mailing or any other delivery, constitutes complete and conclusive notice to the Members. D. Except as otherwise provided in this Contract, no benefits are available to a Member for Covered Dental Services rendered after the date of termination of a Member’s coverage. E. If BCI discovers that a Member has made any misrepresentation, omission, or concealment of fact in obtaining coverage under this Contract which was or would have been material to BCI’s acceptance of a risk, extension of coverage, provision of benefits or Covered Dental Services, or payment of any reimbursement benefit, BCI may take action against the Group, including but not limited to increasing the Group’s premiums. X. Xxxxx F. Prior to legal finalization of an adoption, the coverage provided in this Contract for a child placed for adoption with an Enrollee continues as it would for a naturally born child of the Enrollee until the first of the following events occurs: 1. The date the child is removed permanently from placement and the legal obligation terminates, or 2. The date the Enrollee rescinds, in writing, the agreement of adoption or the agreement assuming financial responsibility. If one (1) of the foregoing events occurs, coverage terminates on the last day of the month in which such event occurs. G. Coverage under this Contract will terminate for an Eligible Dependent on the last day of the month he or she no longer qualifies as an Eligible Dependent due to a change in eligibility status.