General Program Administration Sample Clauses

General Program Administration. (1) Contractor shall provide a dedicated claims team and sufficient claims personnel so that no claims adjuster will be required to handle more than 150 open indemnity claims. This caseload shall include future medical cases with every two future medical cases and medical only file counted as one indemnity case. The claims count shall be reviewed on a quarterly basis. Contractor shall provide quarterly reports to monitor and verify compliance with the caseload requirements. (2) Contractor shall hire temporary claims adjusters to replace Contractor’s staff that have been or are expected to be absent for more than two weeks. (3) Contractor shall have competent staff to effectively handle the County’s WC claims. Insurance Code Section 11761 requires the Contractor to certify that their personnel meet minimum standards. Contractor will insure that all claims personnel assigned to the County’s account shall meet the annual requirement for continuing education. In addition, the County requires that all personnel managing claims, contacting the public or employees must fluently speak and correctly write English for the effective administration of this Contract. The County expects and this Contract requires that claims staff will meet or exceed the experience and professional qualifications listed below and each must successfully complete a background check. (a) The Claims Manager, Claims Supervisor, and Claims Adjusters shall be state-certified, Self-Insurance Administrators as set forth in Title 8, California Code of Regulations, Section 15452. (b) The Claims Manager and Supervisor shall have a minimum of five years of WC claims experience with a California public agency with public safety employees and at least two years WC claims supervisory experience. Supervisors shall not carry caseloads, but may handle sensitive or conflict claims identified by RMU. (c) Claims Adjusters shall be state-certified and experienced with the competency to handle medical, indemnity, and litigated claims. The Claims Adjuster shall have a minimum of five years of WC claims experience and as part of that a minimum of two years’ WC claims experience with a California public agency with public safety employees. (d) Claims Adjusters handling future medical and medical-only claims shall be state-certified with a minimum of three years of WC claims handling experience. (e) No trainee shall be allowed to handle County claims. (4) Contractor shall be responsible for recruitment and selecti...
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General Program Administration. 1.2.1 The Vendor shall be responsible for program management services for an owner- occupied housing rehabilitation program in a manner that is satisfactory to the City of Xxxxxxxx and is in compliance with CDBG regulations. The Vendor will not be permitted to perform any construction work in the identified housing units. 1.2.2 Vendor shall provide services in compliance with all federal laws and regulations. 1.2.3 Vendor shall comply with the City’s policies and code. 1.2.4 Vendor acknowledges that the Program is reimbursement-based. The selected Vendor must have the financial capacity to carry all program costs on a month-to-month basis. City shall reimburse the Vendor monthly as stated in the Agreement.
General Program Administration 

Related to General Program Administration

  • Program Administration An activity relating to the general management, oversight and coordination of community development programs. Costs directly related to carrying out eligible activities are not included.

  • Grant Administration Grantee shall use the Grant funds only for the activities described in the approved Scope of Work. Grantee shall maintain financial records relating to the receipt and expenditure of all Grant funds in accordance with the terms set forth under this Agreement for a period of seven (7) years starting on the first day after final payment under the Agreement.

  • Administration Services When a medical prescription drug is administered by infusion, the administration of the prescription drug may be covered separately from the prescription drug. See Infusion Therapy - Administration Services in the Summary of Medical Benefits for benefit limits and the amount you pay. Prescription drugs that are self-administered are not covered as a medical benefit but may be covered as a pharmacy benefit. Please see Pharmacy Prescription Drugs and Diabetic Equipment or Supplies – Pharmacy Benefits section above for additional information. For some medical prescription drugs, after the first administration, coverage may be limited to certain locations (for example, a designated outpatient or ambulatory service facility, physician’s office, or your home), provided the location is appropriate based on your medical status. For a list of medical prescription drugs that are subject to this Site of Care Program, visit our website. Preauthorization may be required to determine medical necessity as well as appropriate site of care. If we deny your request for preauthorization, or you disagree with our determination for the appropriate site of care, you can submit a medical appeal. See Appeals in Section 5 for information on how to file a medical appeal.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

  • Construction Administration Redeveloper shall be responsible for all components of the Redeveloper Improvements constructed by Redeveloper including construction management, coordination of contractors and regulatory permitting and other requirements. Redeveloper and its contractor(s) shall reasonably cooperate with City contractors performing work in the vicinity of the Redevelopment Project Area including, but not limited to, Redeveloper's scheduling of its work to provide for a smooth sequence of operations. The Redeveloper will be solely responsible for payment of all construction costs for the Redeveloper Improvements as set forth in this Redevelopment Agreement.

  • Agreement Administration SBBC has delegated authority to the Superintendent of Schools or his/her designee to take any actions necessary to implement and administer this Agreement.

  • REGULATORY ADMINISTRATION SERVICES BNY Mellon shall provide the following regulatory administration services for each Fund and Series:  Assist the Fund in responding to SEC examination requests by providing requested documents in the possession of BNY Mellon that are on the SEC examination request list and by making employees responsible for providing services available to regulatory authorities having jurisdiction over the performance of such services as may be required or reasonably requested by such regulatory authorities;  Assist with and/or coordinate such other filings, notices and regulatory matters and other due diligence requests or requests for proposal on such terms and conditions as BNY Mellon and the applicable Fund on behalf of itself and its Series may mutually agree upon in writing from time to time; and

  • Reinsurance Administration A. Within thirty (30) days after the end of each calendar month, the Cedent shall take all reasonable and appropriate steps to furnish the Reinsurer with a seriatim electronic report, as detailed in Schedule C, for each Reinsured Contract, valued as of the last day of that month. On or before September 30, 2001, the Cedent shall provide the initial seriatim electronic report, which shall cover the period from the Effective Date hereof through August 31, 2001; provided, however, that the initial seriatim electronic report may omit Funding Vehicle Values by MorningStar designation. The Cedent shall provide complete seriatim electronic data, as required herein, on or before April 30, 2002. Failure to provide this information as required shall constitute a material breach within the scope of Article XX, Paragraph G. B. Additionally, within thirty (30) days after the end of each calendar month the Cedent shall furnish the Reinsurer with a separate Summary Statement containing the following: 1. Reinsurance Premiums due to the Reinsurer summarized separately for each premium class by GMDB, EPB, and Income Program, as shown in Exhibit II; 2. benefit claim recoverables due to the Cedent in total and, if applicable, broken down by VNAR, SCNAR, and EEMNAR and Income Program; and 3. the month end date for the period covered by the Summary Statement. C. If the net balance is due to the Reinsurer, the Cedent shall remit the amount due with the Summary Statement, but no later than thirty (30) days after the month end date for the period covered by the Summary Statement. If the net balance is due to the Cedent, the Reinsurer shall remit the amount due to the Cedent within ten (10) days after receipt of the Summary Statement. D. The payment of Reinsurance Premiums is a condition precedent to the liability of the Reinsurer under this Agreement. In the event that the Cedent does not pay the Reinsurance Premiums in a timely manner, as defined below, the Reinsurer may exercise the following rights: 1. The Reinsurer shall charge interest if Reinsurance Premiums are not paid within thirty (30) days of the due date, as defined in Paragraph C of this Article. The interest rate charged shall be based on the ninety-(90) day federal Treasury Xxxx, as published in The Wall Street Journal on the first business day in the month following the due date of the Reinsurance Premiums, plus one hundred (100) basis points. The method of calculation shall be simple interest (360-day year). 2. The Reinsurer may terminate this Agreement in the event that Reinsurance Premium payments are more than sixty (60) days past due after the due date, as described in Paragraph C of this Article, by giving sixty (60) day written notice of termination to the Cedent. As of the close of the last day of this sixty-(60) day notice period, the Reinsurer's liability with respect to the ceded liabilities shall terminate. If all Reinsurance Premiums that are the subject of a sixty (60) day termination notice shall have been received by the Reinsurer within the time specified, the termination notice shall be deemed vacated and the Agreement shall remain in effect.

  • Policy Administration The Company shall provide all required, necessary and appropriate claims, administrative and other services with respect to the Policies. The Company shall use reasonable care in its administration and claims practices with respect to the Policies and in administering and performing its duties under this Agreement and such practices, administration and performance shall (a) conform with Applicable Law; (b) not be fraudulent; and (c) be no less favorable than those used by the Company with respect to other policies of the Company not reinsured by the Reinsurer.

  • Plan Administration AvMed may from time to time adopt reasonable policies, procedures, rules and interpretations to promote the orderly and efficient administration of this Contract.

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