Common use of Terminations of Coverage Clause in Contracts

Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit. 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.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

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Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit. 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.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § §1365 and Insurance Code § §10273.6 for individuals not receiving advance payments of the premium tax credit. 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 mustwill notify Contractor send a termination transaction to the other party within ten five (105) business days of any individual Enrollee termination.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § 1365 and Insurance Code § 10273.6 for individuals not receiving advance payments of the premium tax credit. Contractor shall notify send the Agent or Agency of Record a late payment notification at the same time the Enrollee receives notification. at least 30 days prior to the termination effective date for all policies. The Exchange and Contractor must mustwill notify Contractor send a termination transaction to the other party within ten five (105) business days of any individual Enrollee termination.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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Terminations of Coverage. Contractor shall terminate coverage in a Contractor’s QHP in accordance with the requirements established by the Exchange pursuant to 10 CCR § 6506 and other applicable State and Federal laws, rules and regulations. Contractor shall terminate coverage for an individual Enrollee’s non-payment of premium as follows: (i) effective as of the last day of the first month of a three (3) month grace period in the event of nonpayment of premiums by individuals receiving advance payments of the premium tax credit; or (ii) effective the last day of coverage established by grace periods under applicable State law, including requirements relating to Health and Safety Code § §1365 and Insurance Code § §10273.6 for individuals not receiving advance payments of the premium tax credit. Contractor shall notify send 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.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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