Enrollee Liability. (A) The Contractor shall not hold an Enrollee liable for the following: (1) The debts of the Contractor if it should become insolvent. (2) Payment for services provided by the Contractor if the Contractor received payment from the Department for the services or if a Participating Provider fails to receive payment from the Contractor. (3) The payments to Providers that furnish Covered Services under a contract or other agreement with the Contractor that are in excess of the amount that normally would be paid by the Enrollee if service had been received directly from the Contractor.
Appears in 16 contracts
Samples: Prepaid Mental Health Plan, Chip Dentaquest Amendment 2, Chip Select Health Amendment 1
