Reso 2010-1529 - Laserfiche WebLink

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1 VIII. 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: 8.02.01 8.02.02 ') AvMed Accounts Receivable Department Suite 510 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 Group. L) IX. TERMINATION All rights and benefits under this Contract shall cease as of the effective date of termination, unless otherwise 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 of termination. 9.01 Reasons for Termination: 9.01.01 9.01.02 A V-GIOO-2009 MP-5319 (10/09) ) Loss of eligibility. Subject to the conversion rights under Section 8.02: a) Upon a loss of the Subscriber's or Dependent's eligibility as defined in Part IV, including but not limited to the permanent relocation outside the Service Area, coverage shall autornatically terminate on the last day of the month for wbich the monthly premiurn was paid and during which the Subscriber and/or Dependent was eligible for coverage. b) Coverage for all Dependents shall automatically terminate on the last day of the month for which the rnonthly premium was paid upon a loss of the Subscriber's eligibility, as defmed in Part IV. Failure to make premium payment. Upon failure of the Subscribing Group to make payment of the monthly prernium provided in Part VII within ten days following the due date specified herein, benefits hereunder shall terminate, for all Subscribers and any Dependents for whom such payment has not been received, at 12:00 a.m. (midnight) on the last day of the month for which the monthly premium was paid. a) AvMed, regarding cancellation or non-renewal of this coverage, rnay retroactively cancel the policy to the date for which the Subscribing Group's premiums have been paid, when AvMed provides notice of cancellation or non-renewal to the Subscribing Group, prior to 45 days after the date the premium was due. AvMed will include a reason for the Contract termination in its written notification to the Subscribing Group. The Subscribing Group will forward such notification to all Subscribers when AvMed 'I I I 15