Common use of Coverage Following Termination and Decertification Clause in Contracts

Coverage Following Termination and Decertification. (a) Upon the termination of the Agreement or decertification of one or more of Contractor’s QDPs, Contractor shall cooperate fully with the Exchange in order to effect an orderly transition of Enrollees to another QDP as directed by the Exchange. This cooperation shall include (i) attending post- termination meetings, (ii) providing or arranging for the provision of Specialized Health Care Services as may be deemed necessary by Participating Providers to assure the appropriate continuity of care, and (iii) communicating with affected Enrollees in cooperation with the Exchange and the succeeding contractor as applicable, as reasonably requested by the Exchange. (b) In the event the termination or expiration of the Agreement requires the transfer of some or all Enrollees into any other dental plan, the terms of coverage under Contractor’s QDP shall not be carried over to the replacement QDP but rather the transferred Enrollees shall be entitled only to the extent of coverage offered through the replacement QDP as of the effective date of transfer to the new QDP.

Appears in 2 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

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Coverage Following Termination and Decertification. (a) Upon the termination of the Agreement or decertification of one or more of Contractor’s QDPs, QDP Contractor shall cooperate fully with the Exchange in order to effect an orderly transition of Enrollees to another QDP as directed by the Exchange. This cooperation shall include (i) attending post- termination meetings, (ii) providing or arranging for the provision of Specialized Health Care Services as may be deemed necessary by Participating Providers to assure the appropriate continuity of care, and (iii) communicating with affected Enrollees in cooperation with the Exchange and the succeeding contractor as applicable, as reasonably requested by the Exchange. (b) In the event the termination or expiration of the Agreement requires the transfer of some or all Enrollees into any other dental plan, the terms of coverage under Contractor’s QDP shall not be carried over to the replacement QDP but rather the transferred Enrollees shall be entitled only to the extent of coverage offered through the replacement QDP as of the effective date of transfer to the new QDP.

Appears in 2 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

Coverage Following Termination and Decertification. (a) Upon the termination of the Agreement or xxxxx decertification of one or more of Contractor’s QDPs, QDP Contractor shall cooperate fully with the Exchange in order to effect an orderly transition of Enrollees to another QDP as directed by the Exchange. This cooperation shall include include, without limitation, (i) attending post- termination meetings, (ii) providing or arranging for the provision of Specialized Health Care Services as may be deemed necessary by Participating Providers to assure the appropriate continuity of care, and and/or (iii) communicating with affected Enrollees in cooperation with the Exchange and and/or the succeeding contractor as applicable, each as shall be reasonably requested by the Exchange. (b) In the event of the termination or expiration of the Agreement requires the transfer of some or all Enrollees into any other dental plan, the terms of coverage under Contractor’s QDP shall not be carried over to the replacement QDP but rather the transferred Enrollees shall be entitled only to the extent of coverage offered through the replacement QDP as of the effective date of transfer to the new QDP.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Coverage Following Termination and Decertification. (a) Upon the termination of the Agreement or xxxxx decertification of one or more of Contractor’s QDPs, Contractor¶s QDP Contractor shall cooperate fully with the Exchange in order to effect an orderly transition of Enrollees to another QDP as directed by the Exchange. This cooperation shall include include, without limitation, (i) attending post- termination meetings, (ii) providing or arranging for the provision of Specialized Health Care Services as may be deemed necessary by Participating Providers to assure the appropriate continuity of care, and and/or (iii) communicating with affected Enrollees in cooperation with the Exchange and and/or the succeeding contractor as applicable, each as shall be reasonably requested by the Exchange. (b) In the event of the termination or expiration of the Agreement requires the transfer of some or all Enrollees into any other dental plan, the terms of coverage under Contractor’s QDP Contractor¶sQDP shall not be carried over to the replacement QDP but rather the transferred Enrollees shall be entitled only to the extent of coverage offered through the replacement QDP as of the effective date of transfer to the new QDP.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

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Coverage Following Termination and Decertification. (a) Upon the termination of the Agreement or and decertification of one or more of Contractor’s QDPs, QDP Contractor shall cooperate fully with the Exchange in order to effect an orderly transition of Enrollees to another QDP as directed by the Exchange. This cooperation shall include include, without limitation, (i) attending post- termination meetings, (ii) providing or arranging for the provision of Specialized Health Care Services as may be deemed necessary by Participating Providers to assure the appropriate continuity of care, and and/or (iii) communicating with affected Enrollees in cooperation with the Exchange and and/or the succeeding contractor contractor, each as applicable, as shall be reasonably requested by the Exchange. (b) In the event of the termination or expiration of the Agreement requires the transfer of some or all Enrollees into any other dental plan, the terms of coverage under Contractor’s QDP shall not be carried over to the replacement QDP but rather the transferred Enrollees shall be entitled only to the extent of coverage offered through the replacement QDP as of the effective date of transfer to the new QDP.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

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