Common use of Terminations of Coverage Clause in Contracts

Terminations of Coverage. Contractor shall terminate an Enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide the Exchange with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from the Exchange.

Terminations of Coverage. Contractor shall terminate an Enrolleeenrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide the Exchange with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from the Exchange.

Terminations of Coverage. Contractor shall terminate an Enrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten (10) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide the Exchange with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from the Exchange.

Terminations of Coverage. Contractor shall terminate an Enrolleeenrollee’s coverage in a Contractor’s QDP in accordance with the requirements established by the Exchange based on requirements set forth at 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall report information to the Exchange regarding delinquent full or partial payments of premium owing by Qualified Individuals in such format and intervals as is reasonably requested by the Exchange. Contractor shall notify the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. The Exchange and Contractor must send a termination transaction to the other party within ten five (105) business days of any individual Enrollee termination. Contractor shall request termination of an enrollee for fraud or misrepresentation through the Carrier Referral Process and provide the Exchange with supporting documentation for each request to terminate. Contractor may not terminate for fraud or misrepresentation without prior approval from the Exchange.