CAPITATED POINT OF SERVICE Sample Clauses

CAPITATED POINT OF SERVICE. Medical Group agrees that the financial arrangement under Section B of this Exhibit H will replace the financial arrangement under Section I of this Exhibit H following thirty (30) days notice of this decision to Medical Group by PacifiCare. Capitation payment for PacifiCare Point of Service plan subscribers will be determined in the same manner as for Commercial plan subscribers, as described in Exhibit C1, except for the following: MONTHLY CAPITATION PAYMENTS PacifiCare shall pay to Medical Group, as full payment for all Covered Services provided to each Point of Service Member who has selected or been assigned to Medical Group as his or her Primary Care Physician, a monthly Capitation Payment equal to the following: 65% of the Percent of Premium specified in Exhibit C1, less 65% of the ISL Premium rate specified for the ISL program as noted in Exhibit D1. The actual amount of the Capitation Payment payable to Medical Group will vary according to the mix of Medical Group Members under age, sex and Copayment plan categories. The Capitation Payment covers the Hospital Services listed in Section I of Exhibit A1 and the Medical Services listed in Section II of Exhibit A1. Prior to distribution of the Capitation Payment, PacifiCare shall deduct the premium for the Individual-Stop Loss program as specified in Exhibit D1. The Capitation Payment also includes payment of the Hospital Control Utilization Budget.
Sample 1
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Related to CAPITATED POINT OF SERVICE

  • Scope of Service See Appendix 1 for the scope of relevant technology service provided by Party B to Party A.

  • Standard of Service The Service Provider shall perform the Services in a competent and professional manner according to standards agreed upon by the Service Provider and the Company. The Service Provider agrees that it will exercise due diligence to abide by and comply with all laws, statutes, rules, regulations, and orders of any governmental authority in the performance of its Services under this Agreement. The Service Provider will conduct its business and perform its obligations in a manner which will not cause the possible revocation or suspension of the Company's Certificate(s) of Authority or cause the Company to sustain any fines, penalties, or other disciplinary action of any nature whatsoever.

  • Extent of Service Executive agrees to use Executive’s best efforts to carry out Executive’s duties and responsibilities under Section 1.1 hereof and, consistent with the other provisions of this Agreement, to devote substantially all of Executive’s business time, attention and energy thereto. The foregoing shall not be construed as preventing Executive from making investments in other businesses or enterprises, provided that Executive agrees not to become engaged in any other business activity which, in the reasonable judgment of the Board, is likely to interfere with Executive’s ability to discharge Executive’s duties and responsibilities to the Company.

  • Term of Service Except as otherwise provided in this Agreement, Atlas shall serve as the Managing General Partner of the Partnership until either it:

  • Years of Service (i) A Participant’s Years of Service shall include all service performed for the Employer and ¨ Shall ¨ Shall Not include service performed for the Related Employer.

  • Standard of Services All services to be rendered by SCM hereunder shall be performed in a professional, competent and timely manner subject to the supervision of the Board of Directors of the Corporation on behalf of the Funds. The details of the operating standards and procedures to be followed by SCM in the performance of the services described above shall be determined from time to time by agreement between SCM and the Corporation.

  • Interruption of Service The service of the Director shall not be deemed to have been terminated or interrupted due to his absence from active service on account of illness, disability, during any authorized vacation or during temporary leaves of absence granted by the Bank for reasons of professional advancement, education, health or government service, or during military leave for any period if the Director is elected to serve on the Board following such interruption.

  • Terms of Service 1.1 Party A hereby agrees to engage Party B as Party A’s exclusive education technology service provider, and Party B hereby agrees to accept such engagement.

  • Engagement of Services 1.1. The Company hereby engages the Consultant to provide the Services and assist the Company with its Work as an independent contractor to the Company.

  • Termination of Service Termination of Service shall mean the Executive's voluntary resignation of service by the Executive or the Bank's discharge of the Executive without cause, prior to the Early Retirement Date (Subparagraph I [K]).

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