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2017-099A
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2017-099A
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Last modified
11/20/2017 4:23:58 PM
Creation date
10/25/2017 10:48:49 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/18/2017
Control Number
2017-099A
Agenda Item Number
8.H.
Entity Name
Blue Cross Blue Shield of Florida
Subject
Bluemedicare group master agreement
Medicare Plan coverage
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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 invoice <br /> will also reflect any prorated charges and credits resulting from changes in the number of Covered <br /> Persons and changes in the types of coverage that took place in the previous or current month. <br /> If you become aware that a Covered Person will become ineligible, you must provide us with written <br /> notice of such ineligibility as described in Section 3 of this Agreement. You shall be liable to us for the <br /> Premium due for each individual enrolled in a Medicare Plan under this Agreement until the effective <br /> 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 or pay <br /> for a retiree or dependent whose name does not appear on the invoice. No changes can be made to a <br /> Group invoice unless a signed application form is on file and submitted to Florida Blue. Payment shall <br /> 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 payment <br /> is due monthly unless you agree with us in writing on some other method and/or frequency of payment. <br /> The Premium is due and payable on or before the first day of each succeeding calendar month to which <br /> such payments apply. <br /> C. Grace Period <br /> This Agreement has a sixty (60) calendar day Premium payment Grace Period, which begins on the date <br /> the Premium payment is due. If we do not receive the required Premium payment on or before the date it <br /> is due, it may be paid during this Grace Period. Coverage will stay in force during the Grace Period. If <br /> Premium payments are not received by the end of the Grace Period, we will terminate this Agreement <br /> and proceed with the disenrollment of Covered Persons as described in Section 3 of this Agreement. <br /> D. Changes in Premium <br /> Premium rates may be changed on your Anniversary Date as described in Section 4.A above regarding <br /> renewal. <br /> E. Other Rules Regarding the Payment of Premiums <br /> 1. CMS rules govern the effective date of any disenrollment of a Covered Person under this <br /> Agreement, and we are not required to retroactively terminate this Agreement or coverage for <br /> any Covered Person. <br /> 2. If full payment of the Premium is not paid when due, this Agreement may be terminated as <br /> described in Section 4 of this Agreement. <br /> 6 <br />
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