Xxxxx Period. This Contract has a 20-day grace period. This provision means that if any required Premium is not paid on or before the date it is due, it must be paid during the grace period. Acceptance of payment received after the grace period will be solely at AvMed’s discretion, and may be subject to late payment fees. i. Coverage will remain in force during the grace period. However, if payment is not received by the last day of the grace period, and XxXxx has provided the Subscribing Group written notice of termination within 45 days after the Premium due date, termination of this Contract for nonpayment of the Premium will be retroactive to 12:00 a.m. (midnight) on the last day for which the Premium was received by AvMed, unless Premium payment has otherwise been contractually adjusted and specified by the parties in a fully executed addendum to this Contract. ii. In the event of retroactive termination for any reason, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment for any Health Care Services provided after the effective date of such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed by the Subscribing Group for any Member after the date on which that Member's eligibility ceased or the Member was terminated will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, less any Claims incurred after the effective date of termination.
Appears in 10 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Xxxxx Period. This Contract has a 20ten-day grace periodGrace Period. This provision means that if any required Premium is not paid on or before the date it is due, it must be paid during the grace periodGrace Period. Acceptance of payment received after the grace period Grace Period will be solely at AvMedXxXxx’s discretion, and may be subject to late payment fees.
i. Coverage will remain in force during the grace periodGrace Period. However, if payment is not received by the last day of the grace periodGrace Period, and XxXxx has provided the Subscribing Group written notice of termination within 45 days after the Premium due date, termination of this Contract for nonpayment of the Premium will be retroactive to 12:00 a.m. (midnight) on the last day for which the Premium was received by AvMed, unless Premium payment has otherwise been contractually adjusted and specified by the parties in a fully executed addendum to this Contract.
ii. In the event of retroactive termination for any reason, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment Payable for any Health Care Services provided after the effective date of such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed by the Subscribing Group for any Member after the date on which that Member's eligibility ceased or the Member was terminated will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, less any Claims claims incurred after the effective date of termination.
Appears in 6 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Xxxxx Period. This Contract has a 20ten-day grace period. This provision means that if any required Premium is not paid on or before the date it is due, it must be paid during the grace period. Acceptance of payment received after the grace period will be solely at AvMed’s discretion, and may be subject to late payment fees.
i. Coverage will remain in force during the grace period. However, if payment is not received by the last day of the grace period, and XxXxx has provided the Subscribing Group written notice of termination within 45 days after the Premium due date, termination of this Contract for nonpayment of the Premium will be retroactive to 12:00 a.m. (midnight) on the last day for which the Premium was received by AvMed, unless Premium payment has otherwise been contractually adjusted and specified by the parties in a fully executed addendum to this Contract.
ii. In the event of retroactive termination for any reason, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment for any Health Care Services provided after the effective date of such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed by the Subscribing Group for any Member after the date on which that Member's eligibility ceased or the Member was terminated will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, less any Claims incurred after the effective date of termination.
Appears in 6 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract
Xxxxx Period. This Contract has a 20-day grace periodGrace Period. This provision means that if any required Premium is not paid on or before the date it is due, it must be paid during the grace periodGrace Period. Acceptance of payment received after the grace period Grace Period will be solely at AvMedXxXxx’s discretion, and may be subject to late payment fees.
i. Coverage will remain in force during the grace periodGrace Period. However, if payment is not received by the last day of the grace periodGrace Period, and XxXxx has provided the Subscribing Group written notice of termination within 45 days after the Premium due date, termination of this Contract for nonpayment of the Premium will be retroactive to 12:00 a.m. (midnight) on the last day for which the Premium was received by AvMed, unless Premium payment has otherwise been contractually adjusted and specified by the parties in a fully executed addendum to this Contract.
ii. In the event of retroactive termination for any reason, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment Payable for any Health Care Services provided after the effective date of such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed by the Subscribing Group for any Member after the date on which that Member's eligibility ceased or the Member was terminated will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, less any Claims claims incurred after the effective date of termination.
Appears in 3 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Xxxxx Period. This Contract has a 20-day grace periodGrace Period. This provision means that if any required Premium is not paid on or before the date it is due, it must be paid during the grace periodGrace Period. Acceptance of payment received after the grace period Grace Period will be solely at AvMedAvXxx’s discretion, and may be subject to late payment fees.
i. Coverage will remain in force during the grace periodGrace Period. However, if payment is not received by the last day of the grace periodGrace Period, and XxXxx has AvXxx xas provided the Subscribing Group written notice of termination within 45 days after the Premium due date, termination of this Contract for nonpayment of the Premium will be retroactive to 12:00 a.m. (midnight) on the last day for which the Premium was received by AvMed, unless Premium payment has otherwise been contractually adjusted and specified by the parties in a fully executed addendum to this Contract.
ii. In the event of retroactive termination for any reason, AvMed reserves the right to recover an amount equal to the Allowed Amount or Maximum Allowable Payment Payable for any Health Care Services provided after the effective date of such retroactive termination, less any Premiums received by us for such Member’s coverage after such date. Premiums paid to AvMed by the Subscribing Group for any Member after the date on which that Member's eligibility ceased or the Member was terminated will be refunded on a pro rata basis, and limited to the total excess Premium amounts paid, less any Claims claims incurred after the effective date of termination.
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