New Purchase: All new subscriptions go into effect from the time they are activated and not at the time of setup/purchase. A subscription can be activated immediately or any time thereafter. If your initial purchase consists of multiple courses (Qbank, Self-Assessment exam, CCS, etc.), each can be activated individually and independently via your account on our website. This process of activating a subscription after purchase allows you the flexibility to start a subscription when you are truly ready to use it. We recommend that all subscriptions be activated within 180 days of setup/purchase. Once a subscription is activated, it cannot be paused or suspended for any reason and will run continuously for the duration of the course material. Renewal: A renewal is an extension of time to continue access to a current activated subscription. Because a renewal is an extension to an already active subscription, it is effective from the existing expiration date, not from the day of purchase and cannot be deferred to start at a later date/time. Note: All of our subscriptions are based on the Eastern Time Zone (GMT/UTC -5 hours or New York Time), which may be different than your local time zone.