Marketing to Potential Members Sample Clauses

Marketing to Potential Members a. Contractor shall apply the prohibitions of this paragraph to its agents, Subcontractors, and Subcontractor’s agents. b. Contractor and its Subcontractor’s communications that express participation in or support for the Contractor by its founding organizations or its Subcontractors shall not constitute an attempt to compel or entice a Potential Member’s enrollment c. Contractor has sole accountability for producing or distributing Marketing Materials following OHA approval. d. Contractor shall ensure that Potential Members are not intentionally misled about their options by Contractor’s staff, activities or materials. Contractor’s materials may not contain inaccurate, false, confusing or misleading information. e. Contractor shall provide copies of all written Marketing Materials to all DHS and OHA offices within Contractor’s Service Area. Pursuant to 42 CFR 438.104(b)(2), Contractor shall make no assertion or statement (whether written or oral) that: (1) The Potential Member must enroll with Contractor in order to obtain benefits or not to lose benefits; or (2) The Contractor is endorsed by CMS, the federal or State government, or similar entity. f. Contractor shall comply with the information requirements of 42 CFR 438.10, 438.100 and (1) Not distribute any Marketing Materials without first obtaining OHA approval; (2) Distribute the Marketing Materials to its entire Service Area as indicated in this Contract; (3) Not seek to compel or entice Enrollment in conjunction with the sale of or offering of any private insurance; and (4) Not directly or indirectly engage in door to door, emailing, texting, telephone or Cold Call Marketing activities; and g. Contractor shall comply with OHA Materials Submission and Approval Form. The form is located at on the Contract Reports Web Site. Submission of the form goes to XXX.Xxxxxxxxx@xxxxx.xx.xx. h. OHA will develop guidelines through a transparent public process, including input from Contractor and other stakeholders. The guidelines will include, but are not limited to: (1) A list of communication or Outreach Materials subject to review by OHA; (2) A clear explanation of OHA’s process for review and approval of Marketing Materials; (3) A process for appeals of XXX’s edits or denials; (4) A Marketing Materials submission form to ensure compliance with PHP Marketing rules; and (5) An update of plan availability information submitted to the OHA on a monthly basis for review and posting. 1. Integration and Coordination...
Sample 1See All (4)
AutoNDA by SimpleDocs
Marketing to Potential Members. ‌ a. In addition to Contractor’s obligations with respect to Marketing Materials as set forth in Sec. 4 above of this Ex. B, Part 3, Contractor’s Marketing Materials must comply with all the requirements set forth in 42 CFR §438.104 and this Sec. 13, Ex. B, Part 3. Under no circumstances shall Contractor directly or indirectly engage in door to door, emailing, texting, telephone or Cold Call Marketing activities. b. Contractor communications that express participation in or support for the Contractor by its founding organizations or its Subcontractors shall not constitute an attempt to compel or entice a Potential Member’s Enrollment. c. Contractor shall ensure that Potential Members are not intentionally misled about their options by Contractor’s staff, activities or materials. Contractor’s Marketing Materials shall not: (1) Contain inaccurate, false, confusing or misleading information; (2) Seek to entice Enrollment in conjunction with the sale of or offering of any private insurance (3) Assert or otherwise state (either in writing or orally) that: (a) The Potential Member must enroll with Contractor in order to obtain benefits or not to lose benefits; or (b) The Contractor is endorsed by CMS, the federal or State government, or similar entity. d. Contractor has sole accountability for producing or distributing Marketing Materials following OHA approval.
Sample 1
Marketing to Potential Members a. Contractor shall apply the prohibitions of this paragraph to its agents, delegated entities, Subcontractors, and Subcontractor’s agents. In addition to Contractor’s obligations with respect to Marketing Materials as set forth in Sec. 4 above of this Ex. B, Part 3, Contractor’s Marketing Materials must comply with all the requirements set forth in 42 CFR §438.104 and this Sec. 13, Ex. B, Part 3. Under no circumstances shall Contractor directly or indirectly engage in door to door, emailing, texting, telephone or Cold Call Marketing activities. b. Contractor and its Subcontractor’s communications that express participation in or support for the Contractor by its founding organizations or its Subcontractors shall not constitute an attempt to compel or entice a Potential Member’s enrollment c. Contractor has sole accountability for producing or distributing Marketing Materials following OHA approvalEnrollment.
Sample 1
Marketing to Potential Members. The terms and conditions of Section 13, Exhibit B, Part 3 in the Medicaid Contract are incorporated by reference and have the same force and effect as though they are fully set forth herein. 1. Integration and Coordination
Sample 1
Marketing to Potential Members a. Contractor shall apply the prohibitions of this paragraph to its agents, delegated entities, Subcontractors, and Subcontractor’s agents. b. Contractor and its Subcontractor’s communications that express participation in or support for the Contractor by its founding organizations or its Subcontractors shall not constitute an attempt to compel or entice a Potential Member’s Enrollment c. Contractor has sole accountability for producing or distributing Marketing Materials following OHA approval, which shall be made in accordance with P. g. below of this S. 8, Ex. B-Part 8. d. Contractor shall ensure that Potential Members are not intentionally misled about their options by Contractor’s staff, activities or materials. Contractor’s materials may not contain inaccurate, false, confusing or misleading information. e. Contractor shall provide, upon approval under P. g. below of this S. 8, Ex. B-Part 8 from OHA copies of all written Marketing Materials to all DHS and OHA offices within Contractor’s Service Area. Pursuant to 42 CFR §438.104(b)(2), Contractor shall make no assertion or statement (whether written or oral) that: (1) The Potential Member must enroll with Contractor in order to obtain benefits or not to lose benefits; or (2) The Contractor is endorsed by CMS, the federal or State government, or similar entity. f. Contractor shall comply with the information requirements of 42 CFR §438.10, §438.100 and (1) Not distribute any Marketing Materials without first obtaining OHA approval under P. g. below of this S.8, Ex. B-Part 3;
Sample 1
Marketing to Potential Members a. Contractor shall apply the prohibitions of this paragraph to its agents, delegated entities, Subcontractors, and Subcontractor’s agents. b. Contractor and its Subcontractor’s communications that express participation in or support for the Contractor by its founding organizations or its Subcontractors shall not constitute an attempt to compel or entice a Potential Member’s enrollment c. Contractor has sole accountability for producing or distributing Marketing Materials following OHA approval. d. Contractor shall ensure that Potential Members are not intentionally misled about their options by Contractor’s staff, activities or materials. Contractor’s materials may not contain inaccurate, false, confusing or misleading information. e. Contractor shall provide copies of all written Marketing Materials to all DHS and OHA offices within Contractor’s Service Area. Pursuant to 42 CFR 438.104(b)(2), Contractor shall make no assertion or statement (whether written or oral) that: (1) The Potential Member must enroll with Contractor in order to obtain benefits or not to lose benefits; or (2) The Contractor is endorsed by CMS, the federal or State government, or similar entity. f. Contractor shall comply with the information requirements of 42 CFR 438.10, 438.100 and (1) Not distribute any Marketing Materials without first obtaining OHA approval;
Sample 1
Marketing to Potential Members. To the extent applicable, Subcontractor shall comply, and ensure its subcontractors and agents comply, with the marketing requirements in Exhibit B-Part 3 to the OHP Contract. Without limiting the foregoing, Subcontractor shall: (a) ensure that, before enrolling, the Potential Member receives the accurate oral and written information the Potential Member needs to make an informed decision on whether to enroll with Contractor; (b) not distribute any Marketing Materials without first obtaining OHA approval; (c) distribute the Marketing Materials to its entire Service Area as indicated in the Contract; (d) not seek to compel or entice Enrollment in conjunction with the sale of or offering of any private insurance; (e) not seek to initiate contact nor Market independently to potential Clients, directly or through any agent or independent contractor, in an attempt to influence an OHP Client’s Enrollment with Contractor, without the express written consent of OHA; (f) not conduct, directly, door-to-door, telephonic, mail, electronic, or other Cold Call Marketing practices to entice a Client to enroll with Contractor, or to not enroll with another OHP contractor. Furthermore, Subcontractor understands that OHA must approve, prior to distribution, any written communication by Subcontractor that (a) is intended solely for Members, and (b) pertains to provider requirements for obtaining coordinated care services, care at service site or benefits. Notwithstanding anything to the contrary in this paragraph 27, Subcontractor may post a sign listing all OHP Coordinated Care Organizations to which Subcontractor belongs and display Coordinated Care Organization- sponsored health promotional materials. Subcontractor’s communications that express participation in or support for Contractor shall not constitute an attempt to compel or entice a Potential Member’s enrollment. Subcontractor shall comply with OHA Materials Submission and Approval Form. Subcontractor understands that OHA will develop guidelines through a transparent public process, and that the guidelines will include, but are not limited to: (1) a list of communication or Outreach Materials subject to review by OHA; (2) a clear explanation of OHA’s process for review and approval of Marketing Materials; (3) a process for appeals of OHA’s edits or denials; (4) a Marketing Materials submission form to ensure compliance with PHP Marketing rules; and (5) an update of plan availability information submitted to the OHA...
Sample 1
AutoNDA by SimpleDocs

Related to Marketing to Potential Members

  • Outside Activities of Limited Partners Subject to any agreements entered into by a Limited Partner or its Affiliates with the General Partner, Partnership or a Subsidiary, any Limited Partner and any officer, director, employee, agent, trustee, Affiliate or stockholder of any Limited Partner shall be entitled to and may have business interests and engage in business activities in addition to those relating to the Partnership, including business interests and activities in direct competition with the Partnership or that are enhanced by the activities of the Partnership. Neither the Partnership nor any Partners shall have any rights by virtue of this Agreement in any business ventures of any Limited Partner or Assignee. Subject to such agreements, none of the Limited Partners nor any other Person shall have any rights by virtue of this Agreement or the partnership relationship established hereby in any business ventures of any other Person, other than the Limited Partners benefiting from the business conducted by the General Partner, and such Person shall have no obligation pursuant to this Agreement to offer any interest in any such business ventures to the Partnership, any Limited Partner or any such other Person, even if such opportunity is of a character which, if presented to the Partnership, any Limited Partner or such other Person, could be taken by such Person.

  • Joint Research Committee The Parties hereby establish a committee to facilitate the Research Program as follows:

  • Professional Memberships Each employee is eligible for reimbursement for membership fees or dues paid for the maintenance of a license required to perform employee’s job and for dues paid for membership in one additional job related professional association.

  • Project Steering Committee 1. For a sound implementation and management of the project, a steering committee shall be set up in line with provisions of the programme manual. 2. The steering committee is the decision-making body of the project and it shall be composed by representatives of the LP and all PPs duly authorised to represent the respective LP and PP institutions. It shall be chaired by the LP and it shall meet on a regular basis. Associated partners shall be invited to take part in the steering committee in an advisory capacity. External key stakeholders may also be invited to take part to one or more meetings in an observer/advisory capacity. 3. The steering committee shall at least: a. be responsible for monitoring and validating the implementation of the project and the achievement of the planned results as in the approved application form; b. perform the financial monitoring of the project implementation and to decide on any budget modifications as in § 11 of this agreement; c. monitor and manage deviations of the project implementation; d. decide on project modifications (e.g. partnership, budget, activities, and duration) if needed; e. be responsible for the settlement of any disputes within the partnership (as stipulated in § 22 of this agreement). 4. Further aspects, including the creation of sub-groups or task forces, may be set out in the rules of procedure of the steering committee.

  • Initial Members The initial members of the LLC, their initial capital contributions, and their percentage interest in the LLC are: Initial Percentage Interest Capital Members in LLC Contribution

  • Nurse Representatives & Grievance Committee (a) The Hospital agrees to recognize Association representatives to be elected or appointed from amongst nurses in the bargaining unit for the purpose of dealing with Association business as provided in this Collective Agreement. The number of representatives and the areas which they represent are set out in the Appendix of Local Provisions. (b) The Hospital will recognize a Grievance Committee, one of whom shall be chair. This committee shall operate and conduct itself in accordance with the provisions of the Collective Agreement and the number of nurses on the Grievance Committee is set out in the Appendix of Local Provisions. (c) It is agreed that Union representatives and members of the Grievance Committee have their regular duties and responsibilities to perform for the Hospital and shall not leave their regular duties without first obtaining permission from their immediate supervisor. Such permission shall not be unreasonably withheld. If, in the performance of their duties, a union representative or member of the Grievance Committee is required to enter a unit within the hospital in which they are not ordinarily employed they shall, immediately upon entering such unit, report their presence to the supervisor or nurse in charge, as the case may be. When resuming their regular duties and responsibilities, such representatives shall again report to their immediate supervisor. The Hospital agrees to pay for all time spent during their regular hours by such representatives hereunder.

  • Alliance Managers Promptly following the Effective Date, each Party will designate an alliance manager to be reasonably available to the other Party to facilitate communication, respond to questions and otherwise oversee that the Parties’ activities hereunder are in line with this Agreement. Such alliance managers will regularly interact with each other on a frequency to be mutually agreed by the Parties and on an ad hoc basis if requested by the Joint Project Team or the Project Leaders. A Party may replace its alliance manager at any time by written notice to the other Party.

  • Joint Steering Committee Promptly after the Effective Date, the Parties will form a Joint Steering Committee (the “JSC”) composed of an equal number of employees of each of Curis and Genentech, but in no event to exceed four (4) members from each Party. The JSC shall determine the specific goals for the Collaboration, shall manage the ongoing research conducted under the Collaboration in accordance with the Research Plan, shall monitor the progress and results of such work, and shall oversee and coordinate the development and commercialization of Compounds (other than Collaboration Products); provided, however, that the JSC shall not have decision-making authority with respect to the development and commercialization of Collaboration Products, which shall be governed by the CSC. The presence of at least one (1) representative of each Party shall constitute a quorum for the conduct of any JSC meeting. All decisions of the JSC shall require unanimous approval, with the representatives of each Party collectively having one (1) vote, provided in the event of a deadlock, the issue shall be referred to the Chief Executive Officer of Curis and the Senior Vice President of Research of Genentech, or their respective designees, who shall promptly meet and attempt in good faith to resolve such issue within thirty (30) days. If such executives cannot resolve such matter, then Genentech shall have final decision-making authority with regard to decisions regarding the Collaboration (including, without limitation, the JSC’s designation of a Compound as either a Lead Product or Excluded Product); provided, however, that in no event shall Genentech have the right or power to take any of the following actions without the approval of Curis’ representatives on the JSC: (a) approve the initial Research Plan (an outline of which has been agreed upon by the Parties as of the Effective Date); (b) amend or modify this Agreement or the Research Plan; (c) resolve any such matter in a manner that conflicts with the provisions of this Agreement (including, without limitation, the Research Plan); (d) make any decision with respect to the development or commercialization of Curis Products; or (e) make any decision with respect to the prosecution, maintenance, defense or enforcement of any Curis Patents. The JSC shall meet at such frequency as the JSC agrees, except that, until the filing of the first IND for a Lead Product utilizing Systemic Delivery in a Major Market, the JSC shall meet on at least a quarterly basis. Meetings of the JSC, and JSC dispute resolution meetings between Curis’ Chief Executive Officer and Genentech’s Senior Vice President of Research (or their designees), may be conducted by videoconference, teleconference or in person, as agreed by the Parties, and the Parties shall agree upon the time and place of meetings. A reasonable number of additional representatives of a Party may attend meetings of the JSC in a non-voting capacity. The JSC shall exist for so long as either any work is being conducted under the Research Plan or any Compound is being developed or commercialized by Genentech, Curis, or any of their respective Affiliate(s) or sublicensee(s) in any Major Market. The JSC shall also be responsible for designating one or more representatives of each Party with expertise in patent law (which individuals need not be members of the JSC) to oversee intellectual property matters relating to the Collaboration, subject to the provisions of Article 10, and such patent committee shall coordinate with and report to the JSC.

  • Project Team To accomplish Owner’s objectives, Owner intends to employ a team concept in connection with the construction of the Project. The basic roles and general responsibilities of team members are set forth in general terms below but are more fully set forth in the Design Professional Contract with respect to the Design Professional, in the Program Management Agreement with any Program Manager, and in this Contract with respect to the Contractor.

  • Contract Negotiation Meetings When operational requirements permit, the Employer will grant leave without pay to an employee for the purpose of attending contract negotiation meetings on behalf of the Alliance. Preparatory Contract Negotiation Meetings

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!