Part 11 – Group Policy (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 99 wish to enroll as a subscriber under an individual contract. Or, you may be able to enroll in another Blue Cross Blue Shield HMO Blue health plan or a health plan offered by Blue Cross and Blue Shield of Massachusetts, Inc. For help, you can call the Blue Cross Blue Shield HMO Blue customer service office. They will tell you which health plans are available to you.  You Turn Age 65 and Become Eligible for Medicare. Your coverage in this health plan under a group contract will end when you reach age 65 and become eligible for Medicare (Part A and Part B). However, as allowed by federal law, the subscriber (and the spouse and/or dependents) may have the option of continuing coverage in this health plan under a group contract when the subscriber remains as an actively working employee after reaching age 65. You should review all options available to you with the plan sponsor. (Medicare eligible subscribers who retire and/or their spouses are not eligible to continue coverage in this health plan under a group contract once they reach age 65.)  Your Group Fails to Pay Premiums. Your coverage in this health plan under a group contract will end when the plan sponsor fails to pay the group premium to Blue Cross Blue Shield HMO Blue within 30 days of the due date. In this case, Blue Cross Blue Shield HMO Blue will notify you in writing of the termination of your group coverage in accordance with the Code of Massachusetts Regulations. This notice will give you information about the termination of your group coverage and your options for coverage offered by Blue Cross Blue Shield HMO Blue or Blue Cross and Blue Shield of Massachusetts, Inc. (If you enrolled in this health plan through the Massachusetts Health Connector, the group makes payments to the Health Connector. The Health Connector will send all notices to the subscriber related to non-payment of your premium and termination.)  Your Group Cancels (or Does Not Renew) the Group Contract. Your coverage in this health plan under a group contract will end when the group terminates (or does not renew) the group contract. Termination of Group Coverage by the Subscriber Your coverage in this health plan under a group contract will end when the subscriber chooses to cancel their group contract as permitted by the plan sponsor. Blue Cross Blue Shield HMO Blue must receive the termination request not more than 30 days after the subscriber’s termination date. Termination of Group Coverage by Blue Cross Blue Shield HMO Blue Your coverage in this health plan under a group contract will not be canceled because you are using your coverage or because you will need more covered services in the future. In the event that Blue Cross Blue Shield HMO Blue cancels your coverage in this health plan under a group contract, a notice will be sent to your group that will tell your group the specific reason(s) that Blue Cross Blue Shield HMO Blue is canceling the group contract. Blue Cross Blue Shield HMO Blue will cancel your coverage in this health plan under a group contract only when one of the following situations occurs.  You Commit Misrepresentation or Fraud. Your coverage in this health plan will be canceled, or in some cases Blue Cross Blue Shield HMO Blue may limit your benefits, if you have committed misrepresentation or fraud. For example, you gave false or misleading information on the enrollment form. Or, you misused your ID card by letting another person who was not enrolled in this health plan attempt to get coverage. Your coverage in this health plan may be terminated when the fraud or misrepresentation is discovered or, as permitted by law, back to your effective date or the date of the misrepresentation or fraud. Your coverage in this health plan may be terminated retroactive to a date in the past (rather than on a current or future date) only if you committed fraud or made an intentional misrepresentation of a material fact. The termination date will be determined by Blue Cross Blue Shield HMO Blue.