Reso 2010-1529 - Laserfiche WebLink

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") ;) ) other benefits under this Contract. To be entitled to such services or benefits the holder of the card must, in fact, be a Member on whose behalf all applicable charges under this Contract have actually been paid and accepted by AvMed. 17.12 Membership Application. Members or applicants for membership shall complete and submit to AvMed such applications or other forms or statements as AvMed may reasonably request. If Member or applicant fails to provide accurate information which AvMed deems material then, upon ten days written' notice, AvMed may deny coverage andlor membership to such individual. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of Claim or an application containing any false, incomplete, or misleading information is guilty of a felony, punishable as provided by the Florida Statutes. 17.13 Non-waiver. The failure of AvMed to enforce any of the provisions of this Contract or to exercise any options herein provided or to require timely performance by any Member or Subscribing Group of any of the provisions herein, shall not be construed to be a waiver of such provisions nor shall it affect the validity of this Contract or any part thereof or the right of Av Med to thereafter enforce each and every such provision. 17.14 Notice. Any notice intended for and directed to a party to this Contract, unless otherwise expressly provided, should be sent by United States mail, postage prepaid, addressed as follows: If to AvMed, to: AvMed P. O. Box 749 Gainesville, Florida 32602-0749 (OR if from a Member to AvMed, see the Member's Service Area address listed on Page i.) If to a Member: to the last address provided by the Member and actually received by AvMed on the emollment application or change of address notification. If to Subscribing Group: To the address provided in the Group Master Application. 17.15 Plan administration. AvMed may from time to time adopt reasonable policies, procedures, rules, and interpretations to promote the orderly and efficient administration of this Contract. 17.16 Premium tax/surcharge. If any govermnent entity shall impose a premium tax or surcharge, then the sums due from the Subscribing Group under the terms of this Contract shall be increased by the amount of such premium tax or surcharge. ) 17.17 Rate letter. The 'rate letter' is AvMed's formal notice to the Subscribing Group of the premium rates applicable to the Subscribing Group, the conditions under which the rates are valid, the premium payment terms and due dates, the additional charge which will apply to all late premium payments, AvMed's reservation of the right to adjust (re-rate) the premium quote to account for changes in the group size or in the data supplied by the Subscribing Group to AvMed, the applicable employer- employee contribution to the premium payment and the charge for other optional, supplemental benefits selected by the Subscribing Group, if any. 17.18 Third party beneficiary. This Contract is entered into exclusively between the Subscribing Group and AvMed. This Contract is intended only to benefit the ~ubscribing Group and the Members and does not confer any rights on any other third parties. 17.19 Waiver. A Claim that has not been timely filed with AvMed within one year of date of service shall be considered waived. 46 A V-G 100-2009 MP-5319 (10/09)