Termination or Modification of This Contract. A. Pursuant to the provisions of this Subsection IV., the Group or BCI may unilaterally terminate this Contract. BCI may unilaterally modify the terms of this Contract, including but not limited to, benefits, Copayments, premiums, and other provisions. Unless specified otherwise in this Contract, such termination or modification may be accomplished by giving written notice to the other party at least sixty(60) days in advance of the effective date of the termination or modification. Except for modifications resulting from statutory and/or regulatory changes affecting benefits, BCI may modify benefits only at the time of the Group’s annual renewal of coverage. B. This Contract may be unilaterally terminated by BCI for any of the following: 1. For the Group’s fraud or intentional misrepresentation of a material fact. 2. For the Group’s failure to maintain the enrollment percentage specified in the Application for Group Coverage. BCI may randomly audit enrollment to insure compliance. Failure to provide information requested in the audit may also result in termination. 3. For the Group’s failure to make the employer premium contribution specified in the Application for Group Coverage. 4. In the case where this Contract is available to the Group only through an association as defined in Idaho Code §41-2202, the membership of the Group in the association (on the basis of which the coverage of this Contract is provided) ceases but only if the coverage is terminated under this paragraph uniformly without regard to any health status-related factor relating to any Member. 5. If BCI elects not to renew all of its Benefit Plans delivered or issued for delivery to Large Employers in the state of Idaho. In which case, BCI will provide notice to the Group and its Members of such nonrenewal at least one hundred eighty (180) days in advance of the date of nonrenewal. C. If the Group fails to pay premiums as agreed in the Eligibility and Enrollment Section, this Contract will terminate without notice at the end of the period for which the last premiums were paid. A payer financial institution's return of or refusal to honor a check or draft constitutes nonpayment of premiums. This Contract does not have a grace period; however, if the Group makes premium payments within thirty (30) days after the due date, BCI will reinstate this Contract as of the due date. No benefits are available during this thirty
Appears in 1 contract
Samples: Group Contract
Termination or Modification of This Contract. A. Pursuant to the provisions of this Subsection IV., the Group or BCI may unilaterally terminate this Contract. BCI may unilaterally modify the terms of this Contract, including but not limited to, benefits, Copayments, premiums, and other provisions. Unless specified otherwise in this Contract, such termination or modification may be accomplished by giving written notice to the other party at least sixty(60forty (40) days in advance of the effective date of the termination or modification. Except for modifications resulting from statutory and/or regulatory changes affecting benefits, BCI may modify benefits only at the time of the Group’s annual renewal of coverage.
B. This Contract may be unilaterally terminated by BCI for any of the following:
1. For the Group’s fraud or intentional misrepresentation of a material fact.
2. For the Group’s failure to maintain the enrollment percentage specified in the Application for Group Coverage. BCI may randomly audit enrollment to insure compliance. Failure to provide information requested in the audit may also result in termination.
3. For the Group’s failure to make the employer premium contribution specified in the Application for Group Coverage.
4. In the case where this Contract is available to the Group only through an association as defined in Idaho Code §41-2202, the membership of the Group in the association (on the basis of which the coverage of this Contract is provided) ceases but only if the coverage is terminated under this paragraph uniformly without regard to any health status-related factor relating to any Member.
5. If BCI elects not to renew all of its Benefit Plans delivered or issued for delivery to Large Employers in the state of Idaho. In which case, BCI will provide notice to the Group and its Members of such nonrenewal at least one hundred eighty (180) days in advance of the date of nonrenewal.
C. If the Group fails to pay premiums as agreed in the Eligibility and Enrollment Section, this Contract will terminate without notice at the end of the period for which the last premiums were paid. A payer financial institution's return of or refusal to honor a check or draft constitutes nonpayment of premiums. This Contract does not have a grace period; however, if the Group makes premium payments within thirty (30) days after the due date, BCI will reinstate this Contract as of the due date. No benefits are available during this thirtythirty (30)-day period unless all premiums are properly paid before expiration of the thirty (30)-day period. BCI reserves the right to apply a twelve percent (12%) annualized interest fee on any portion of the balance owed by the Group to BCI that remains unpaid thirty (30) days or more beyond the original due date.
Appears in 1 contract
Samples: Group Contract
Termination or Modification of This Contract. A. Pursuant to the provisions of this Subsection IVIII., the Group or BCI may unilaterally terminate this Contract. BCI may unilaterally modify the terms of this Contract, including but not limited to, benefits, Copayments, premiums, and other provisions. Unless specified otherwise in this Contract, such termination or modification may be accomplished by giving written notice to the other party at least sixty(60forty (40) days in advance of the effective date of the termination or modification. Except for modifications resulting from statutory and/or regulatory changes affecting benefits, BCI may modify benefits only at the time of the Group’s annual renewal of coverage.
B. This Contract may be unilaterally terminated by BCI for any of the following:
1. For the Group’s nonpayment of the appropriate premiums when due. A payer financial institution’s return of or refusal to honor a check or draft constitutes nonpayment of premiums.
2. For the Group’s fraud or intentional misrepresentation of a material fact.
23. For the Group’s failure to maintain the enrollment percentage specified in the Application for Group Coverage. BCI may randomly audit enrollment to insure compliance. Failure to provide information requested in the audit may also result in termination.
34. For the Group’s failure to make the employer premium contribution specified in the Application for Group Coverage.
45. If the Group no longer qualifies as a Large Employer under this Contract or any applicable statutes, rules or regulations.
6. In the case where this Contract is available to the Group only through an association as defined in Idaho Code §41-2202, the membership of the Group in the association (on the basis of which the coverage of this Contract is provided) ceases but only if the coverage is terminated under this paragraph uniformly without regard to any health status-related factor relating to any Member.
57. If BCI elects not to renew all of its Benefit Plans delivered or issued for delivery to Large Employers in the state of Idaho. In which case, BCI will provide notice to the Group and its Members of such nonrenewal at least one hundred eighty (180) days in advance of the date of nonrenewal.
C. If the Group fails to pay premiums as agreed in the Eligibility and Enrollment Section, this Contract will terminate without notice at the end of the period for which the last premiums were paid. A payer financial institution's return of or refusal to honor a check or draft constitutes nonpayment of premiums. This Contract does not have a grace period; however, if the Group makes premium payments within thirty (30) days after the due date, BCI will reinstate this Contract as of the due date. No benefits are available during this thirtythirty (30)-day period unless all premiums are properly paid before expiration of the thirty (30)-day period. BCI reserves the right to apply a twelve percent (12%) annualized interest fee on any portion of the balance owed by the Group to BCI that remains unpaid thirty (30) days or more beyond the original due date.
Appears in 1 contract
Samples: Managed Care Group Contract
Termination or Modification of This Contract. A. Pursuant to the provisions of this Subsection IV.V., the Group or BCI may unilaterally terminate this Contract. BCI may unilaterally modify the terms of this Contract, including but not limited to, benefits, Copayments, premiums, and other provisions. Unless specified otherwise in this Contract, such termination or modification may be accomplished by giving written notice to the other party at least sixty(60sixty (60) days in advance of the effective date of the termination or modification. Except for modifications resulting from statutory and/or regulatory changes affecting benefits, BCI may modify benefits only at the time of the Group’s annual renewal of coverage.
B. This Contract may be unilaterally terminated by BCI for any of the following:
1. For the Group’s nonpayment of the appropriate premiums when due. A payer financial institution’s return of or refusal to honor a check or draft constitutes nonpayment of premiums.
2. For the Group’s fraud or intentional misrepresentation of a material fact.
23. For the Group’s failure to maintain the enrollment percentage specified in the Application for Group Coverage. BCI may randomly audit enrollment to insure compliance. Failure to provide information requested in the audit may also result in termination.
34. For the Group’s failure to make the employer premium contribution specified in the Application for Group Coverage.
45. If the Group no longer qualifies as a Large Employer under this Contract or any applicable statutes, rules or regulations.
6. In the case where this Contract is available to the Group only through an association as defined in Idaho Code §41-2202, the membership of the Group in the association (on the basis of which the coverage of this Contract is provided) ceases but only if the coverage is terminated under this paragraph uniformly without regard to any health status-related factor relating to any Member.
57. If BCI elects not to renew all of its Benefit Plans delivered or issued for delivery to Large Employers in the state of Idaho. In which case, BCI will provide notice to the Group and its Members of such nonrenewal at least one hundred eighty (180) days in advance of the date of nonrenewal.
C. If the Group fails to pay premiums as agreed in the Eligibility and Enrollment Section, this Contract will terminate without notice at the end of the period for which the last premiums were paid. A payer financial institution's return of or refusal to honor a check or draft constitutes nonpayment of premiums. This Contract does not have a grace period; however, if the Group makes premium payments within thirty (30) days after the due date, BCI will reinstate this Contract as of the due date. No benefits are available during this thirtythirty (30)-day period unless all premiums are properly paid before expiration of the thirty (30)-day period. BCI reserves the right to apply a twelve percent (12%) annualized interest fee on any portion of the balance owed by the Group to BCI that remains unpaid thirty (30) days or more beyond the original due date.
Appears in 1 contract
Samples: Dental Insurance Contract
Termination or Modification of This Contract. A. Pursuant to the provisions of this Subsection IV.V., the Group or BCI may unilaterally terminate this Contract. BCI may unilaterally modify the terms of this Contract, including but not limited to, benefits, Copayments, premiums, and other provisions. Unless specified otherwise in this Contract, such termination or modification may be accomplished by giving written notice to the other party at least sixty(60sixty (60) days in advance of the effective date of the termination or modification. Except for modifications resulting from statutory and/or regulatory changes affecting benefits, BCI may modify benefits only at the time of the Group’s annual renewal of coverage.
B. This Contract may be unilaterally terminated by BCI for any of the following:
1. For the Group’s nonpayment of the appropriate premiums when due. A payer financial institution’s return of or refusal to honor a check or draft constitutes nonpayment of premiums.
2. For the Group’s fraud or intentional misrepresentation of a material fact.
23. For the Group’s failure to maintain the enrollment percentage specified in the Application for Group Coverage. BCI may randomly audit enrollment to insure compliance. Failure to provide information requested in the audit may also result in termination.
34. For the Group’s failure to make the employer premium contribution specified in the Application for Group Coverage.
45. If the Group no longer qualifies as a Large Employer under this Contract or any applicable statutes, rules or regulations.
6. In the case where this Contract is available to the Group only through an association as defined in Idaho Code §41-2202, the membership of the Group in the association (on the basis of which the coverage of this Contract is provided) ceases but only if the coverage is terminated under this paragraph uniformly without regard to any health status-related factor relating to any Member.
57. If BCI elects not to renew all of its Benefit Plans delivered Plansdelivered or issued for delivery to Large Employers in the state of Idaho. In which case, BCI will provide notice to the Group and its Members of such nonrenewal at least one hundred eighty (180) days in advance of the date of nonrenewal.
C. If the Group fails to pay premiums as agreed in the Eligibility and Enrollment Section, this Contract will terminate without notice at the end of the period for which the last premiums were paid. A payer financial institution's return of or refusal to honor a check or draft constitutes nonpayment of premiums. This Contract does not have a grace period; however, if the Group makes premium payments within thirty (30) days after the due date, BCI will reinstate this Contract as of the due date. No benefits are available during this thirtythirty (30)-day period unless all premiums are properly paid before expiration of the thirty (30)-day period. BCI reserves the right to apply a twelve percent(12%) annualized interest fee on anyportion of thebalance owed by the Group to BCIthat remains unpaid thirty (30) days or more beyond the original due date.
Appears in 1 contract
Samples: Group Contract