Termination of Benefits Member Services Assistance Once enrolled, your coverage may be canceled only for the Disenrollment and Termination of Benefits reasons identified below. To voluntarily disenroll, contact your employer and complete and sign the appropriate paper- work. Your employer will notify you of your effective date of termination. If you or your Dependent(s) coverage is terminated involuntarily, you will receive notice of the date of termination. Until the effective date of your Disenrollment or Termination, you will remain a VHP Member and are responsible to: • continue to receive all Covered Services from Plan Providers (except in the event of an Emergency or Out of Network/Service Area Urgently Need Services); • pay for all applicable membership premiums; and • continue to adhere to all requirements of your VHP membership. Once your Disenrollment or Termination from the Benefit Plan becomes effective, your VHP Identification Card will no longer be valid. You may not be reinstated automatically if coverage is canceled or terminated. Fraudulent use of your VHP Identification Card, the services or facilities of VHP or its Plan Providers, and/or fraud or misrepresentation on the enrollment application form will result in an investigation and appropriate legal action. If you have additional questions about the Disenrollment or Termination process, please review the following sections and/or call your employer or a VHP Member Services Representative at 1.888.421.8444 (toll-free). Cancellation of Group Service Agreement Your employer may terminate your coverage upon written notice to VHP. If your employer terminates or does not renew the Group Service Agreement for any reason, or if VHP terminates the Agreement, your Coverage will cease on the date the Agreement terminates. You will not be able to convert to Individual Conversion unless you are disabled and eligible for continued coverage. Refer to “Continuation of Coverage for Totally Disabled Members.” Loss of Eligibility Recent health care reform requires VHP and its Groups to continue to offer Coverage to dependent children until the child turns 26 years of age (through age 25). Extended Coverage to Dependents will occur at the time of the Group’s renewal of their Agreement or as determined by the Group. For more information regarding the health care reform’s extension of Dependent Coverage, contact your employer or VHP Member Services at 1.888.421.8444 (toll-free). If you cease to meet VHP and/or your Group eligibility requirements, then your and your Dependent’s coverage will involuntarily terminate. (Subject to the provisions for continuation of coverage or conversion of benefits.) You and your employer must notify VHP immediately if you or your Dependent(s) cease to meet the eligibility requirements. Refer to the “Eligibility” section. You lose eligibility if: • you no longer work or reside within Santa Clara County and you have no intention of returning to the Santa Clara County for an uninterrupted period of more than 90 consecutive days.
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