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Res 1988-077
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Res 1988-077
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8/9/2007 11:15:13 AM
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8/9/2007 11:15:13 AM
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City Clerk
City Clerk - Document
Resolutions
City Clerk - Type
Contract
Number
1988-77
Date
7/11/1988
Volume Book
91
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<br />error, a~ appropriate adjUstMent in Health Services Fees shall be made. <br />However, no such adjustment in Health Services Fees or coverage shall be <br />granted by Health Plan to the Enrolling Unit for more than sixty (60) days <br />of coverage prior to the date Health Plan was notified of such clerical <br /> <br />et't'O!'. <br /> <br />Notice <br /> <br />Notice given by Health Plan to an authorized representative of the <br />Enrolling Unit shall be deemed notice to all affected enrollees in the <br />adllli.nish'.;.ticn \)f t!1is C:¡nt"r'i'1.ct, im:luding tet'fI1ination of this Conb'act or <br />the termination of individual coverage. <br /> <br />Covered Benefits <br /> <br />In no event shall any Covered Person be responsible to pay for benefits <br />received in accordance with this Contract except as otherwise provided in <br />t his COY-It t'act. <br /> <br />Certificates <br /> <br />Health Plan will issue <br />Certificate of Coverage <br />erlt it led. <br /> <br />to each Enrollee a copy of this Contract as <br />describing the coverage to which he or she is <br /> <br />Pronouns <br /> <br />All personal pronouns used in this Contract shall include either gender <br />unless the context indicates otherwise. <br /> <br />Conformity with Statutes <br /> <br />Any provision of this Contract which, on its effective date, is in conflict <br />with the statutes I')f the jlJt'Ìsdictil')n 'in which it is delivered, is het'eby <br />amended to conform to the minimum requirements of such statutes. <br /> <br />In-Service Area Conversion Privilege <br /> <br />In the event coverage under this Contract terminates due to: <br /> <br />(1) <br /> <br />The E~rollee's termination of full-time employment; or <br /> <br />(2) <br /> <br />The Enrollee's eligibility for Medicare; or <br /> <br />(3) <br /> <br />The death of the Enrollee; or <br /> <br />(4) <br /> <br />The divorce, dissolution or annulment of marriage of the Enrollee; or <br /> <br />(5) <br /> <br />The Family Dependent no longer qualifies as an Eligible Dependent, <br />except when the termination is due to the cancellation of the Contract <br />or the Family Dependent is eligible as an En~')llee; or <br /> <br />(6) <br /> <br />Tet'~11irlat icrl <br />Opl;iorl; arId <br /> <br />of <br /> <br />COVEt'age <br /> <br />provided under the Continuation of Coverage <br /> <br />GM-12-18 <br />
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