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2015-025E
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2015-025E
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Last modified
4/26/2016 1:20:46 PM
Creation date
4/26/2016 1:19:49 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/17/2015
Control Number
2015-025E
Agenda Item Number
8.I
Entity Name
BlueMedicare Group Florida Blue
Subject
Master Agreement
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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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