| C.__The person previously terminated plan coverage, unless | 12 months have elapsed since the person's last termination; |
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| D.__The person has met the lifetime maximum benefit amount | under the plan of $3,000,000; |
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| E.__The person is an inmate or resident of a public | institution; or |
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| F.__The person's premiums are paid for or reimbursed under | any government-sponsored program or by any government agency | or health care provider, except as an otherwise qualifying | full-time employee, or dependent thereof, of a government | agency or health care provider. |
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| | 5.__Termination of coverage.__The coverage of any person | ceases: |
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| A.__On the date a person is no longer a resident; |
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| B.__Upon the death of the covered person; |
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| C.__On the date state law requires cancellation of the | policy; or |
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| D.__At the option of the association, 30 days after the | association makes any inquiry concerning the person's | eligibility or place of residence to which the person does | not reply. |
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| The coverage of any person who ceases to meet the eligibility | requirements of this section may be terminated immediately. |
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| | 6.__Unfair trade practice.__It constitutes an unfair trade | practice for any insurer, producer, employer or 3rd-party | administrator to refer an individual employee or a dependent of | an individual employee to the association, or to arrange for an | individual employee or a dependent of an individual employee to | apply to the plan, for the purpose of separating such an employee | or dependent from a group health benefits plan provided in | connection with the employee's employment. |
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| §3912.__Actions against association or member insurers based upon |
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| joint or collective actions |
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| | Participation in the association, the establishment of rates, | forms or procedures or any other joint or collective action | required by this chapter may not be the basis of any legal action | or criminal or civil liability or penalty against the association | or a member insurer. |
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