Reso 2010-1529 - Laserfiche WebLink

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) 7.02 Individual Conversion Contracts may not include supplemental benefits, notwithstanding the supplemental benefits included under this Subscribing Group Contract, and may in other respects, as determined by AvMed, differ from this Group Contract. 7.03 The conversion privilege will not apply to a Subscriber or covered Dependent if termination of coverage under this Contract occurred for any of the following reasons: 7.03.01 7.03.02 7.03.03 7.03.04 7.03.05 7.03.06 ) Failure to pay any required premium or contribution unless such nonpayment of premium was dne to acts of an employer or person other than the individual; Replacement of any discontinned group coverage by similar group coverage within 31 days; Frand or material misrepresentation in applying for any benefits under this Contract; (See Subsection 8.01.05); Willful and knowing misnse of AvMed's identification card by the Member; Willfully and knowingly furnishing incorrect or incomplete information to AvMed for the purpose of fraudulently obtaining coverage or benefits from AvMed; or Termination from coverage under this Contract in accordance with Subsection 8.01.05. .) 7.04 Convc."sion after Continuation Coverage. When continuation coverage as provided under the provisions of the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) expires, the Subscriber or covered Dependent may be eligible for conversion coverage and may apply by completing an application for an Individual Conversion Contract, subject to the conditions described in this Part VII. The eligible Subscriber or Dependent must send a completed application and the applicable premium payment, postmarked not later than 63 days after the termination of COBRA coverage, directly to: 7.04.01 7.04.02 AvMed Accounts Receivable Department Suite510 9400 South Dadeland Blvd. Miami, Florida 33156 ) The Subscriber or Dependent may obtain an application form and a statement of current premium rates for the Individual Conversion Contract by calling AvMed Member Services. It is the responsibility of the Subscribing Group to notify Subscriber of Subscriber's rights under COBRA. For any specific questions concerning COBRA, contact the Subscribing Gronp. VIII. TERMINATION All rights and benefits under this Contract shall cease as of the effective date of termination, unless otherwisc provided herein. This Contract shall continue in effect for one year from the effective date hereof and may be renewed from year to year thereafter, subject to the following termination provisions. All rights to benefits under this Contract shall cease at 12:00 a.m. (midnight) on the effective date oftennination. 8.0 I Reasons for Tennination: 8.01.01 A V-CHOlCE-2009 MP-5320 (10/09) Loss of Eligibility. Subject to the conversion rights under Section 7.02: 15