Common use of Exclusion of Certain Individuals Clause in Contracts

Exclusion of Certain Individuals. Group certifies that neither Group nor its employees, any Subcontractor, any affiliated party or any Downstream Entity involved in the provision of a Delegated Activity under this MA PPO Addendum has been: (1) charged with a criminal offense in connection with obtaining, attempting to obtain, or performing of a public (Federal, state or local) contract or subcontract, (2) listed by a federal governmental agency as debarred, (3) proposed for debarment or suspension or otherwise excluded from federal program participation, (4) been convicted of or had a civil judgment rendered against them regarding dishonesty or breach of trust, including but not limited to, the commission of a fraud including mail fraud or false representations, violation of a fiduciary relationship, violation of Federal or state antitrust statutes, securities offenses, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; or (5) within a three (3) year period preceding the date of this MA PPO Addendum, had one or more public transactions (federal, state or local) terminated for cause or default. Group shall check appropriate databases at least annually to determine whether any of Group's employees, Subcontractors or affiliated parties or Downstream Entities involved in the provision of a Delegated Activity under this MA PPO Addendum have been suspended or excluded from participation in the Medicare Program, any other Federal health care program, state contracts or state medical assistance programs. Databases include, without limitation, the HHS Office of Inspector General List of Excluded Individuals- Entities (xxxx://xxxxxxxxxx.xxx.xxx.xxx/), the Healthcare Integrity and Protection Data Bank (xxxx://xxx.xxxx-xxxxx.xxxx.xxx/), and the General Service Administration List of Parties Excluded from Federal Procurement and Non-procurement Programs (xxxxx://xxx.xxxx.xxx/). Group acknowledges and agrees that it has a continuing obligation to notify The Plan in writing within seven (7) business days if any of the above-referenced representations change. Group further acknowledges and agrees that any misrepresentation of its status or any change in its status at any time during the term of this MA PPO Addendum may be grounds for immediate termination of this MA PPO Addendum, at the sole discretion of The Plan.

Exclusion of Certain Individuals. Group certifies that neither Group nor its employees, any Subcontractor, any affiliated party or any Downstream Entity involved in the provision of a Delegated Activity under this MA PPO HMO Addendum has been: (1) charged with a criminal offense in connection with obtaining, attempting to obtain, or performing of a public (Federal, state or local) contract or subcontract, (2) listed by a federal governmental agency as debarred, (3) proposed for debarment or suspension or otherwise excluded from federal program participation, (4) been convicted of or had a civil judgment rendered against them regarding dishonesty or breach of trust, including but not limited to, the commission of a fraud including mail fraud or false representations, violation of a fiduciary relationship, violation of Federal or state antitrust statutes, securities offenses, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; or (5) within a three (3) year period preceding the date of this MA PPO HMO Addendum, had one or more public transactions (federal, state or local) terminated for cause or default. Group shall check appropriate databases at least annually to determine whether any of Group's employees, Subcontractors or affiliated parties or Downstream Entities involved in the provision of a Delegated Activity under this MA PPO HMO Addendum have been suspended or excluded from participation in the Medicare Program, any other Federal health care program, state contracts or state medical assistance programs. Databases include, without limitation, the HHS Office of Inspector General List of Excluded Individuals- Entities (xxxx://xxxxxxxxxx.xxx.xxx.xxx/), the Healthcare Integrity and Protection Data Bank (xxxx://xxx.xxxx-xxxxx.xxxx.xxx/), and the General Service Administration List of Parties Excluded from Federal Procurement and Non-procurement Programs (xxxxx://xxx.xxxx.xxx/). Group acknowledges and agrees that it has a continuing obligation to notify The Plan BlueLincs HMO in writing within seven (7) business days if any of the above-referenced representations change. Group further acknowledges and agrees that any misrepresentation of its status or any change in its status at any time during the term of this MA PPO HMO Addendum may be grounds for immediate termination of this MA PPO HMO Addendum, at the sole discretion of The PlanBlueLincs HMO.