Continuation and Transition of Care Sample Clauses

Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this Section. Contractor shall take any further action reasonably required by Covered California to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Employers and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QHP.
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Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this section. In the event that Contractor continues to offer coverage in the individual or small group market, Contractor shall comply with the same requirements found in Health and Safety Code § 1365(a)(6) and Insurance Code §§ 10713(e) and 10273.6(e). Contractor shall take any further action reasonably required by Covered California to provide Specialized Health Care Services to Enrollees and transition care following the Non- Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Covered California, Employers, and Employees in Covered California for Small Business and other stakeholders regarding the transition of Enrollees to another QDP.
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Continuation and Transition of Care. Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Covered Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements of this section. Contractor shall take any further action reasonably required by the Exchange to provide Covered Services to Enrollees and transition care following the Non-Recertification Election. Contractor shall coordinate and cooperate with respect to communications to Enrollees in the Individual Exchange and other stakeholders regarding the transition of Enrollees to another QHP.
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Continuation and Transition of Care. Contractor shall comply with the continuation and transition of coverage following Contractor’s withdrawal of the QHPs, whether voluntarily or due to decertification, including, without limitation, those relating to protocols and timing for the removal of Contractor from the listing of Certified QHPs prior to the commencement of coverage for new individuals and small groups, in accordance with Vermont Rule H-2009-03.
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Related to Continuation and Transition of Care

  • Continuation of Benefits (i) For a period of three years following the Termination of Employment (the “Benefit Continuation Period”), the Employee shall be treated as if he had continued to be an executive for all purposes under the Company’s health insurance plan and dental insurance plan; or if the Employee is prohibited from participating in such plans, the Company shall otherwise provide such benefits. Employee shall be responsible for any employee contributions for such insurance coverage. Following the Benefit Continuation Period, Employee shall be entitled to receive continuation coverage under Part 6 of Title I of ERISA (“COBRA Benefits”) by treating the end of this period as the applicable qualifying event (i.e., as a termination of employment) for purposes of ERISA Section 603(2)) and with the concurrent loss of coverage occurring on the same date, to the extent allowed by applicable law. (ii) For the Benefit Continuation Period, the Company shall maintain in force, at its expense, the Employee’s life insurance in effect under the Company’s voluntary life insurance benefit plan as of the Change-in-Control Date or as of the date of Termination of Employment, whichever coverage limits are greater. For purposes of clarification, the portion of the premiums in respect of such voluntary life insurance for which Employee and the Company are responsible, respectively, shall be the same as the portion for which the Company and Employee are responsible, respectively, immediately prior to the date of Termination of Employment or the Change-in-Control Date, as applicable. (iii) For the Benefit Continuation Period, the Company shall provide short-term and long-term disability insurance benefits to Employee equivalent to the coverage that the Employee would have had had he remained employed under the disability insurance plans applicable to Employee on the date of Termination of Employment, or, at the Employee’s election, the plans applicable to Employee as of the Change-in-Control Date. Should Employee become disabled during such period, Employee shall be entitled to receive such benefits, and for such duration, as the applicable plan provides. For purposes of clarification, the portion of the premiums in respect of such short-term and long-term disability benefits for which Employee and the Company are responsible, respectively, shall be the same as the portion for which Employee and the Company are responsible, respectively, immediately prior to the date of Termination of Employment or the Change-in-Control Date, as applicable. (iv) Notwithstanding anything in this Agreement to the contrary, in no event shall the provision of in-kind benefits pursuant to this Section 3 during any taxable year of Employee affect the provision of in-kind benefits pursuant to this Section 3 in any other taxable year of Employee.

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