Continuation of Covered Services Sample Clauses

Continuation of Covered Services. Dentist shall continue to provide Covered Services to Members as required under applicable state and federal laws. This provision shall survive the termination of the Agreement, regardless of the reason for termination, including the insolvency of MA Plan, and shall supersede any oral or written agreement between the Dentist and a Member.
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Continuation of Covered Services. 2.13.1 SelectCare shall develop a system to provide Provider with reasonable advance notice of impending ineligibility of a Medicare Member who is currently undergoing treatment from Provider. Upon receipt of notification of ineligibility of a Medicare Member, Provider shall use reasonable efforts (i) to advise such Medicare Member of alternative health care providers, programs or arrangements, if any, available to such Medicare Member; and (ii) to assist in the transfer of such Medicare Member whose responsibility for treatment is assumed by another health care provider. Nothing in the Agreement permits Provider to abandon any Member who is a patient. 2.13.2 Notwithstanding any other provision to the contrary, in the event a Medicare Member becomes ineligible or this Agreement terminates, Provider will continue to provide Covered Services to: (i) all such Medicare Members through the period for which payment from CMS to SelectCare has been paid; (ii) Medicare Members who are inpatients on the date of such event until their discharge. 2.13.3 Provider acknowledges that in the event of SelectCare’s insolvency or other cessation of operations, Provider will continue to provide covered services to Medicare Members through the period for which payment from CMS to SelectCare has been made and to Medicare Members who are inpatients in a hospital on the date of insolvency or other cessation of operations until their discharge. No changes in the insolvency protection or continuation of benefits provisions under this Section shall be made without prior written approval of CMS, if applicable. In the event Provider violates this Section, Provider agrees to pay any penalties or sanctions imposed by CMS or other government agency.
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Continuation of Covered Services. 2.12.1 Payer shall develop a system to provide Provider with reasonable advance notice of impending ineligibility of a Medicare Member who is currently undergoing treatment from Provider. Upon receipt of notification of ineligibility of a Medicare Member, Provider shall use reasonable efforts (i) to advise such Medicare Member of alternative health care providers, programs or arrangements, if any, available to such Medicare Member; and (ii) to assist in the transfer of such Medicare Member whose responsibility for treatment is assumed by another health care provider. Nothing in the Agreement removes the obligation of Provider to not abandon any Member who is a patient. 2.12.2 Notwithstanding any other provision to the contrary, in the event a Medicare Member under a Payer Plan becomes ineligible or a Payer Plan terminates, Provider will continue to provide Covered Services to: (i) all such Medicare Members through the period for which payment from CMS to Payer has been paid; (ii) Medicare Members who are inpatients on the date of such event until their discharge.
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Continuation of Covered Services. AHERF shall cause AHERF Providers to continue to perform Covered Services in accordance with this Agreement or the applicable Agreement then in effect by and between such AHERF Providers and AHERF during the Continuation Period. If termination of this Agreement occurs for any reason, any Covered Individual who is an inpatient as of the end of the Continuation Period shall continue to be provided all Covered Services by an AHERF Provider, and HealthAmerica shall pay such AHERF Provider for such inpatient Covered Services in accordance with this Agreement until such Covered Individual is transferred to another facility per HealthAmerica's request or is properly discharged.
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Continuation of Covered Services. In the event this Agreement is terminated for any reason by Provider or in the event this Agreement is terminated by UBH without cause, and a Member is receiving care from Provider under a prescribed treatment plan for a particular injury or sickness, Provider is obligated to continue the provision of Covered Services to that Member, if such services are determined by UBH to be medically necessary, for a period of sixty (60) days from the date the Member is notified of such termination or pending termination. Provider shall be reimbursed in accordance with this Agreement for all such Covered Services rendered during the sixty (60) day period.
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Continuation of Covered Services. In the event of dissolution or insolvency of an HMO Payor, CONTRACTING PROVIDER and Represented Providers agree to continue to provide Covered Services to such HMO's Members until the Member becomes covered under another health benefit plan or until the date for which premiums or other payments by or on behalf of the Member have been made, whichever occurs first, at no charge to the Member other than Cost Shares. This provision will survive the termination of this Agreement, regardless of the reason for termination.
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Continuation of Covered Services. In the event of HDS’ or applicable MCO’s insolvency or other cessation of operations, Provider shall continue to deliver covered services to Enrollees without balance billing until the earlier of: a. The termination of the Enrollee’s coverage under the MCO Plan, including any extension of coverage provided under the contract terms or applicable state or federal law for Enrollees who are in an active course of treatment or totally disabled; or b. The date the contract between HDS and Provider, including any required extension for covered persons in an active course of treatment, would have terminated if the HDS or MCO had remained in operation.
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Continuation of Covered Services. Unless the Provider is terminated for cause, Provider must continue an ongoing course of treatment of a Covered Person for up to 60 calendar days from the date the Covered Person is notified of the termination or pending termination, or for up to 60 calendar days from the date of Provider termination, whichever is greater. A Covered Person is considered to be receiving an ongoing course of treatment from Provider under the following circumstances: a. During the previous 12 months, the Covered Person was treated by the Provider for a condition that requires follow-up care or additional treatment, or the services have been prior authorized; b. An adult Covered Person with a previously scheduled appointment shall be determined to be in receipt of an ongoing course of treatment from the Provider, unless the appointment is for a well adult check-up; c. Any MississippiCAN EPSDT-eligible Covered Person with a previously scheduled appointment, including an appointment for well childcare, shall be determined to be in receipt of an ongoing course of treatment from Provider; or d. A Covered Person who is pregnant may continue to receive care from Provider through the completion of the Covered Person’s postpartum care.
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Related to Continuation of Covered Services

  • Continuation of Coverage If your coverage is terminated, you may be eligible to continue your coverage in accordance with state or federal law. In accordance with R.I. General Laws §. 27-19.1, if your employment is terminated due to one of the following reason, your healthcare coverage may be continued, provided that you continue to pay the applicable premiums. • Involuntary layoff or death; • The workplace ceasing to exist; or • Permanent reduction in size of the workforce. The period of this continuation will be for up to eighteen (18) months from your termination date, but not to exceed the period of continuous employment preceding termination with your employer. The continuation period will end for any person covered under your policy on the date the person becomes employed by another group and is eligible for benefits under that group’s plan.

  • Continuation of Health Benefits An employee on an approved Military Caregiver Leave shall be entitled to continue participation in health plan coverage (medical, dental, and optical) as if on pay status during the leave.

  • Continuation of Agreement This Agreement shall become effective for each Fund as of the date first set forth above and shall continue in effect for each Fund until August 1, 2010, unless sooner terminated as hereinafter provided, and shall continue in effect from year to year thereafter for each Fund only as long as such continuance is specifically approved at least annually (i) by either the Board of Directors or by the vote of a majority of the outstanding voting securities of such Fund, and (ii) by the vote of a majority of the Directors, who are not parties to the Agreement or interested persons of any such party, cast in person at a meeting called for the purpose of voting on such approval. The annual approvals provided for herein shall be effective to continue this Agreement from year to year if given within a period beginning not more than 90 days prior to August 1st of each applicable year, notwithstanding the fact that more than 365 days may have elapsed since the date on which such approval was last given.

  • Continuation of Services The Contractor shall work with the current Subcontractor prior to cancellation date to ensure all consumer needs are identified and appropriate placements and transportation needs, as applicable, have been arranged. The Subcontractor shall maintain communication with the Contractor on the process of transferring consumers until all consumers are placed.

  • 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 Employee 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 Employee 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.

  • Duration of Coverage Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property, which may arise from or in connection with the performance of the work hereunder by Xxxxxxxxxx, his/her agents, representatives, employees, or subconsultants.

  • Continuation of Work Pending the resolution of any dispute or claim pursuant to this Article 11, the Parties agree that performance of all obligations will be pursued diligently.

  • Termination of Coverage This Contract may be terminated as follows:

  • CONTINUATION OF COMPANY In the event of an occurrence described in Section 1.04, if there is at least (1) one remaining Member, the remaining Member has the right to continue the business of the Company. The remaining Member’s successor, assignee, or transferee may continue the business of the Company, provided the successor, assignee, or transferee consents to the continuation in writing and submits any necessary filings to the office of the Secretary of State.

  • Continuation of Business Neither the Transfer of any Partnership Interest pursuant to Article 8 hereof nor the bankruptcy or withdrawal of a Partner shall cause the dissolution or termination of the Partnership or have any effect upon the continuance of the Partnership business. No Partner shall have a right to withdraw from the Partnership or to abandon any Partnership Interest.

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