Benefit Package and Non-covered Services Descriptions Sample Clauses

Benefit Package and Non-covered Services Descriptions. Due to the fact that at the time of the execution of this Agreement PRHIA has not received the approved PBP from CMS, all the terms and conditions of this Agreement are subject to PRIHA determination (at its sole discretion) that the PBP complies with all the requirements of Medicare Platino 2012 adopted by PRHIA. If PRHIA determines that the PBP does not comply with Platino 2012 requirements, the CONTRATOR is responsible to request the necessary changes and obtain final approval from CMS. Until PRHIA determines, and confirms to the CONTRATOR in writing that the PBP complies with all the requirements, the CONTRATOR will be prohibited from conducting any soliciting, enrollment or publication of any marketing material. The Medicare Platino Benefit Package and Non-Covered Services agreed to by the Contractor and the PRHIA are contained in: Appendix C-1 (13) • Appendix C-2 (13) • Appendix C-3 (13)- Appendix C-4 (13) Medicare Advantage Product (PBP) submitted toCMS Medicaid Wraparound Services not covered by Medicare Platino but provided by the Department of Health which are hereby made a part of this agreement as if set forth fully herein. Summary of Benefits Report - The Summary Benefits (SB) included as Appendix C-4 (13) was submitted by the Medicare Advantage Organization (MAO) and has yet to be Appendix C-5 (13) Appendix C-6 (13) Appendix C-7 (13) approved by PRHIA Compliance Office. The Parties agree that the inclusion of the SB does not mean that the same have already been approved and that, if necessary, changes could be requested. Therefore, since the SB needs the approval of the PRIHA, this Section could be amended subject to PRHIA, review. Coordinated Care Model Norms 2013 Certification Co-payments Certifications Benefit Non-Covered by Wrap-Around and Value Added Benefits Certification
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Benefit Package and Non-covered Services Descriptions. The Medicare and Medicaid Advantage Benefit Packages and Non-Covered Services agreed to by the Contractor and the SDOH are contained in Appendix K, which is hereby made a part of this Agreement as if set forth fully herein.
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Benefit Package and Non-covered Services Descriptions. Due to the fact that at the time of the execution of this Agreement PRHIA has not received the approved PBP from CMS, all the terms and conditions of this Agreement are subject to PRIHA determination (at its sole discretion) that the PBP complies with all the requirements of Medicare Platino 2011 adopted by PRHIA. If PRHIA determines that the PBP does not comply with Platino 2011 requirements, the CONTRATOR is responsible to request the necessary changes and obtain final approval from CMS. Until PRHIA determines, and confirms to the CONTRATOR in writing that the PBP complies with all the requirements, the CONTRATOR will be prohibited from conducting any soliciting, enrollment or publication of any marketing material. The Medicare Platino Benefit Package and Non-Covered Services agreed to by the Contractor and the PRHIA are contained in:
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Related to Benefit Package and Non-covered Services Descriptions

  • Covered Services Services to be performed by Contractor under this Agreement may involve the performance of trade work covered by the provisions of Section 6.22(e) [Prevailing Wages] of the Administrative Code or Section 21C [Miscellaneous Prevailing Wage Requirements] (collectively, “Covered Services”). The provisions of Section 6.22(e) and 21C of the Administrative Code are incorporated as provisions of this Agreement as if fully set forth herein and will apply to any Covered Services performed by Contractor and its subcontractors.

  • Compensation for Providing Information The Party requesting information agrees to reimburse the other Party for the reasonable costs, if any, of creating, gathering, copying, transporting and otherwise complying with the request with respect to such information (including any reasonable costs and expenses incurred in any review of information for purposes of protecting the Privileged Information of the providing Party or in connection with the restoration of backup media for purposes of providing the requested information). Except as may be otherwise specifically provided elsewhere in this Agreement, any Ancillary Agreement or any other agreement between the Parties, such costs shall be computed in accordance with the providing Party’s standard methodology and procedures.

  • Services and Compensation Consultant agrees to perform for the Company the services described in Exhibit A (the “Services”), and the Company agrees to pay Consultant the compensation described in Exhibit A for Consultant’s performance of the Services.

  • Services to Other Clients; Certain Affiliated Activities (a) The relationship between the Asset Manager and the Series is as described in this Agreement and nothing in this Agreement, none of the services to be provided pursuant to this Agreement, nor any other matter, shall oblige the Asset Manager to accept responsibilities that are more extensive than those set forth in this Agreement.

  • SERVICE LEVEL DESCRIPTION The Fund Accounting Agreement is hereby amended by deleting the Service Level Description attached thereto and replacing it in its entirety with the Service Level Description attached hereto.

  • Specific Benefits During the term of this Agreement (and thereafter to the extent this Agreement shall require):

  • Service Level Agreement Subject to the terms and conditions of this Agreement, Bank agrees to perform the custody services provided for under this Agreement in a manner that meets or exceeds any service levels as may be agreed upon by the parties from time to time in a written document that is executed by both parties on or after the date of this Agreement, unless that written document specifically states that it is not contractually binding. For the avoidance of doubt, Bank’s Service Directory shall not be deemed to be such a written document.

  • Disaster Recovery and Business Continuity The Parties shall comply with the provisions of Schedule 5 (Disaster Recovery and Business Continuity).

  • Provision of Services by Third Parties The Administrator shall, to the extent it determines that it would be advisable in connection with or incidental to the activities contemplated hereby, arrange for and coordinate the services of other professionals, experts and consultants to provide any or all of the Services, in which case, the costs and expenses of such third parties for providing such services shall be borne by the Administrator other than as set forth in Section 3; it being understood that the Administrator shall not charge to the Issuer any fees in addition thereto with respect to such outsourced Painting-Level Services that are described in Section 1(a)(i) and Entity-Level Services described in Section 1(a)(ii), but the Administrator shall be entitled to reimbursement for third party costs incurred in connection with Non-Routine Services described in Section 1(a)(iii) as set forth in Section 3(b). Reimbursement for Non-Routine Services shall be reimbursed by the Issuer out of the proceeds from a sale of the Painting. In addition, Masterworks may determine to sell the Painting without engaging a third-party intermediary, in which event, the Administrator would charge the buyer of the Painting a reasonable fee not to exceed the lowest published buyer’s premium charged by Sotheby’s, Christie’s or Pxxxxxxx in effect at such time.

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