DISPUTE PROVISIONS. 1. The parties shall deal in good faith and attempt to resolve disputes informally. If the dispute persists, Contractor shall submit a written dispute notice to the Agent Services within 15 business days after the date of the action causing the dispute. The written dispute notice shall contain the following information: a. The decision or issue under dispute; b. The reason(s) Contractor believes the decision or position taken by the Exchange is in error (if applicable, reference pertinent Contract provisions); c. Identification of all documents and substance of all oral communication which support Contractor’s position; and d. The dollar amount in dispute, if applicable. 2. Within fifteen (15) business days after receipt of the dispute notice, Agent Services shall issue a written decision regarding the dispute. The written decision shall include the following information: a. A description of the dispute; b. A reference to pertinent Contract provisions, if applicable; c. A statement of the factual areas of agreement or disagreement; and d. A statement of the State’s decision with supporting rationale 3. If the Contractor is not satisfied with the decision of the Exchange, the Contractor may, within fifteen (15) business days of the Exchange’s decision, submit a written appeal to the Exchange Executive Director. The Executive Director shall then issue a final decision on the dispute within thirty (30) business days after receiving Contractor’s written appeal. If the Executive Director fails to render a final decision within thirty (30) business days after receipt of Contractor’s written appeal, it shall be deemed a final decision adverse to the Contractor’s contentions. The Executive Director’s final decision shall be conclusive and binding regarding the dispute unless Contractor commences an action in a court of competent jurisdiction to contest such decision within thirty (30) calendar days following the date of the final decision. 4. Pending the final resolution of any dispute arising under, related to or involving this Agreement, Contractor agrees to diligently proceed with the performance of this Agreement, in accordance with the Exchange’s instructions. Contractor’s failure to diligently proceed in accordance with the Exchange’s instructions shall be considered a material breach of this Agreement.
Appears in 4 contracts
Samples: Health Insurance Agreement, Non Monetary Agreement, Health Insurance Agreement
DISPUTE PROVISIONS. 1. The parties shall deal in good faith and attempt to resolve disputes informally. If the dispute persists, Contractor shall submit a written dispute notice to the Agent Services within 15 business days after the date of the action causing the dispute. The written dispute notice shall contain the following information:
a. The decision or issue under dispute;
b. The reason(s) Contractor believes the decision or position taken by the Exchange is in error (if applicable, reference pertinent Contract provisions);
c. Identification of all documents and substance of all oral communication which support Contractor’s position; and
d. The dollar amount in dispute, if applicable.
2. Within fifteen (15) 15 business days after receipt of the dispute notice, Agent Services shall issue a written decision regarding the dispute. The written decision shall include the following information:
a. A description of the dispute;
b. A reference to pertinent Contract provisions, if applicable;
c. A statement of the factual areas of agreement or disagreement; and
d. A statement of the State’s decision with supporting rationale
3. If the Contractor is not satisfied with the decision of the Exchange, the Contractor may, within fifteen (15) 15 business days of the Exchange’s decision, submit a written appeal to the Exchange Executive Director. The Executive Director shall then issue a final decision on the dispute within thirty (30) 30 business days after receiving Contractor’s written appeal. If the Executive Director fails to render a final decision within thirty (30) 30 business days after receipt of Contractor’s written appeal, it shall be deemed a final decision adverse to the Contractor’s contentions. The Executive Director’s final decision shall be conclusive and binding regarding the dispute unless Contractor commences an action in a court of competent jurisdiction to contest such decision within thirty (30) 30 calendar days following the date of the final decision.
4. Pending the final resolution of any dispute arising under, related to or involving this Agreement, Contractor agrees to diligently proceed with the performance of this Agreement, in accordance with the Exchange’s instructions. Contractor’s failure to diligently proceed in accordance with the Exchange’s instructions shall be considered a material breach of this Agreement.
Appears in 1 contract
Samples: Standard Agreement
DISPUTE PROVISIONS. 1. The parties shall deal in good faith and attempt to resolve disputes informally. If the dispute persists, Contractor shall submit a written dispute notice to the Agent Services Exchange Project Representative within 15 business calendar days after the date of the action causing the dispute. The written dispute notice shall contain the following information:
a. The decision or issue under dispute;
b. The reason(s) Contractor believes the decision or position taken by the Exchange is in error (if applicable, reference pertinent Contract provisions);
c. Identification of all documents and substance of all oral communication which support Contractor’s position; and
d. The dollar amount in dispute, if applicable.
2. Within fifteen (15) business The Exchange Project Representative, within 15 calendar days after receipt of the dispute notice, Agent Services shall issue a written decision regarding the dispute. The written decision shall include the following information:
a. A description of the dispute;
b. A reference to pertinent Contract provisions, if applicable;
c. A statement of the factual areas of agreement or disagreement; and
d. A statement of the Staterepresentative’s decision with supporting rationale
3. If the Contractor is not satisfied with the decision of the ExchangeExchange Project Representative, the Contractor may, within fifteen (15) business 15 calendar days of the ExchangeExchange Project Representative’s decision, submit a written appeal to the Exchange Executive Director. The Executive Director shall then issue a final decision on the dispute within thirty (30) business 30 days after receiving Contractor’s written appeal. If the Executive Director fails to render a final decision within thirty (30) business 30 days after receipt of Contractor’s written appeal, it shall be deemed a final decision adverse to the Contractor’s contentions. The Executive Director’s final decision shall be conclusive and binding regarding the dispute unless Contractor commences an action in a court of competent jurisdiction to contest such decision within thirty (30) calendar 30 days following the date of the final decision.
4. Pending the final resolution of any dispute arising under, related to or involving this Agreement, Contractor agrees to diligently proceed with the performance of this Agreement, in accordance with the Exchange’s instructions. Contractor’s failure to diligently proceed in accordance with the Exchange’s instructions shall be considered a material breach of this Agreement.
Appears in 1 contract
Samples: Standard Agreement
DISPUTE PROVISIONS. 1. The parties shall deal in good faith and attempt to resolve disputes informally. If the dispute persists, Contractor shall submit a written dispute notice to the Agent Services within 15 business days after the date of the action causing the dispute. The written dispute notice shall contain the following information:
a. The decision or issue under dispute;
b. The reason(s) Contractor believes the decision or position taken by the Exchange is in error (if applicable, reference pertinent Contract provisions);
c. Identification of all documents and substance of all oral communication which support Contractor’s position; and
d. The dollar amount in dispute, if applicable.
2. Within fifteen (15) business days after receipt of the dispute notice, Agent Services shall issue a written decision regarding the dispute. The written decision shall include the following information:
a. A description of the dispute;
b. A reference to pertinent Contract provisions, if applicable;
c. A statement of the factual areas of agreement or disagreement; and
d. A statement of the State’s decision with supporting rationale
3. If the Contractor is not satisfied with the decision of the Exchange, the Contractor may, within fifteen (15) business days of the Exchange’s decision, submit a written appeal to the Exchange Executive Director. The Executive Director shall then issue a final decision on the dispute within thirty (30) business days after receiving Contractor’s written appeal. If the Executive Director fails to render a final decision within thirty (30) business days after receipt of Contractor’s written appeal, it shall be deemed a final decision adverse to the Contractor’s contentions. The Executive Director’s final decision shall be conclusive and binding regarding the dispute unless Contractor commences an action in a court of competent jurisdiction to contest such decision within thirty (30) calendar days following the date of the final decision.
4. Pending the final resolution of any dispute arising under, related to or involving this Agreement, Contractor agrees to diligently proceed with the performance of this Agreement, in accordance with the Exchange’s instructions. Contractor’s failure to diligently proceed in accordance with the Exchange’s instructions shall be considered a material breach of this Agreement.’s
Appears in 1 contract
Samples: Health Insurance Agreement