102 Termination and Continuation of Coverage Termination Except as otherwise provided, your coverage may terminate in the following situations: • When the Administrative Services Agreement between the Employer and us terminates. If your coverage is through an association, your coverage will terminate when the Administrative Services Agreement between the association and us terminates, or when your Employer leaves the association. It will be the Employer’s responsibility to notify you of the termination of coverage. • If you choose to terminate your coverage. • If you or your Dependents cease to meet the eligibility requirements of the Plan, subject to any applicable continuation requirements. If you cease to be eligible, you must notify the Employer immediately. You shall be responsible for payment for any services incurred by you after you cease to meet eligibility requirements. • If you elect coverage under another carrier’s health benefit plan, which is offered by the Employer as an option instead of this Plan, subject to the consent of the Employer. The Employer agrees to immediately notify us that you have elected coverage elsewhere. • If you perform an act, practice, or omission that constitutes fraud or make an intentional misrepresentation of material fact, as prohibited by the terms of your Plan, your coverage and the coverage of your dependents can be retroactively terminated or rescinded if: 1) your coverage has been in force for less than two years, or 2) the fraud or intentional misrepresentation of material fact concerns eligibility. A rescission of coverage means that the coverage may be legally voided back to the start of your coverage under the Plan, just as if you never had coverage under the Plan. You will be provided with a thirty (30) calendar day advance notice with appeal rights before your coverage is retroactively terminated or rescinded. You are responsible for paying Us for the cost of previously received services based on the Maximum Allowed Amount for such services, less any Copayments made or Fees paid for such services. • If you fail to pay or fail to make satisfactory arrangements to pay your Fees, the Employer may terminate your coverage and may also terminate the coverage of your Dependents. • If you permit the use of your or any other Member’s Plan Identification Card by any other person; use another person’s Identification Card; or use an invalid Identification Card to obtain services, your coverage will terminate immediately upon written notice to the Employer. Anyone involved in the misuse of a Plan Identification Card will be liable to and must reimburse the Plan for the Maximum Allowed Amount for services received through such misuse. You will be notified in writing of the date your coverage ends by either us or the Employer. Removal of Members Upon written request through the Employer, you may cancel your coverage and/or your Dependent’s coverage from the Plan. If this happens, no benefits will be provided for Covered Services after the termination date.

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