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2015-025D
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2015-025D
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Last modified
4/2/2018 3:40:21 PM
Creation date
4/26/2016 11:52:47 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/17/2015
Control Number
2015-025D
Agenda Item Number
8.G.
Entity Name
Blue Cross and Blue Shield of Florida
Subject
Administrative Services Agreement
Financial Arrangements
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5. Termination or Non -renewal of the CMS Contract. We will provide you with at least <br />ninety (90) calendar days' notice upon termination or non -renewal of our contract with <br />CMS. <br />Except as specifically provided in this Subsection 4.C, if we decide to terminate or not renew the <br />Agreement based on one or more of the circumstances mentioned above, we will give you at <br />least forty-five (45) calendar days advance written notice. <br />D. Notification of Termination to Covered Retirees <br />It is your obligation to immediately notify each Covered Person of any such termination of this <br />Agreement for any reason, consistent with the requirements of Section 3 of this Agreement. <br />E. Representations Made By, and Obligations of, the Group <br />In agreeing to provide coverage in accordance with the terms of this Agreement, we rely on the <br />representations you made when you applied for coverage with us and your representation that <br />you have authority to act on behalf of all Covered Persons with respect to this Agreement. <br />Consequently, every act by, agreement with, or notice given to, you will be binding on all <br />Covered Persons. You agree that you shall offer to all Eligible Retirees the opportunity to <br />become a Covered Person under this Agreement. You agree that, if requested by us, you will <br />distribute the Evidence of Coverage and other coverage materials to Covered Persons. <br />SECTION 5: PAYMENT PROVISIONS <br />A. Monthly Invoice <br />We will prepare a monthly invoice of the Premium due on or before the due date. This monthly <br />invoice will also reflect any prorated charges and credits resulting from changes in the number of <br />Covered Persons and changes in the types of coverage that took place in the previous or current <br />month. <br />If you become aware that a Covered Person will become ineligible, you must provide us with <br />written notice of such ineligibility as described in Section 3 of this Agreement. You shall be <br />liable to us for the Premium due for each individual enrolled in a Medicare Plan under this <br />Agreement until the effective date of disenrollment, which is set by CMS Requirements. <br />You must pay the total amount of the invoice. Do not add names to an invoice, change coverage <br />or pay for a retiree or dependent whose name does not appear on the invoice. No changes can be <br />made to a Group invoice unless a signed application form is on file and submitted to Florida <br />Blue. Payment shall be for the total amount of the Group invoice. <br />B. Payment Due Date <br />The first Premium payment is due before the Effective Date of the Agreement. Each following <br />payment is due monthly unless you agree with us in writing on some other method and/or <br />6 <br />
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