Common use of Measuring Performance Clause in Contracts

Measuring Performance. a. Performance shall be measured as per timeline and threshold provided in Schelue 12. b. Indicator performance results shall be reviewed in the quarterly review meetings and reasons for variances, if any, shall be presented by the Insurer. c. Insurers shall pay SHA all penalties imposed by the SHA in line with KPIs mentioned in Schedule 12 on the Insurer within 15 days of receipt Penalty Notice from SHA. SHA shall ensure that Penalty Notice contains all the details regarding penalties being imposed d. Penalty Notice shall be shared with Insurers in each quarter and calculation of penalties shall be as detailed in Schedule 12. e. If the Insurer wishes to contest the penalty levied by XXX, it may represent to the SHA along with necessary documentary proof within 7 days of receipt of the notice. f. XXX may examine the evidence and facts and arrive at final penalty amount/decision and shall convey the same to Insurer withing 7 days. g. Failure to pay penalty within the timeline will invite penal interest on the panalties as specified in Schedule 12.D. h. If the Insurer fails to pay Penalty within 90-day period and/ or the default interest thereon, the SHA shall be entitled to recover such amount along with applicable intrest, if any, as a debt due from the Insurer. Please refer to Clause 41 for details regarding Dispute Resolution i. Also, based on the review, the SHA shall have the right to issue rectification orders demanding the performance to be brought up to the levels desired as per the AB-PMJAY Guidelines. j. In the event of delay due to IT system downtime, KPI penalties shall not be applicable k. Along with monitoring of KPIs, SHA may issue rectification orders to Insurer. All such rectifications shall be undertaken by the Insurer within 30 days of the date of issue of such Rectification Order unless stated otherwise in such Order(s). l. At the end of the rectification period, the Insurer shall submit an Action Taken Report with evidences of rectifications done to the SHA. m. If the SHA is not satisfied with the Action Taken Report, it shall call for a follow up meeting with the Insurer and shall have the right to take appropriate actions within the overall provisions of the Insurance Contract between the SHA and the Insurer. n. SHA as policy holder can also approach to IRDAI for necessary action in case the Insurer persistently fails to meet contractual obligations. Such instances of default may related to - as not meeting baseline KPIs, not paying penalties in timely manner or fail to return premium etc.

Measuring Performance. a. Performance shall be measured as per timeline and threshold provided in Schelue Schedule 12. b. Indicator performance results shall be reviewed in the quarterly review meetings and reasons for variances, if any, shall be presented by the Insurer. c. Insurers shall pay SHA all penalties imposed by the SHA in line with KPIs mentioned in Schedule 12 on the Insurer within 15 days of receipt Penalty Notice from SHA. SHA shall ensure that Penalty Notice contains all the details regarding penalties being imposed d. Penalty Notice shall be shared with Insurers in each quarter and calculation of penalties shall be as detailed in Schedule 12. e. If the Insurer wishes to contest the penalty levied by XXX, it may represent to the SHA along with necessary documentary proof within 7 days of receipt of the notice. f. XXX may examine the evidence and facts and arrive at final penalty amount/decision and shall convey the same to Insurer withing within 7 days. g. Failure to pay penalty within the timeline will invite penal interest on the panalties penalties as specified in Schedule 12.D. h. If the Insurer fails to pay Penalty within 90-day period and/ or the default interest thereon, the SHA shall be entitled to recover such amount along with applicable intrestinterest, if any, as a debt due from the Insurer. Please refer to Clause 41 for details regarding Dispute Resolution i. Also, based on the review, the SHA shall have the right to issue rectification orders demanding the performance to be brought up to the levels desired as per the AB-PMJAY PMJAY, MA and MAV Guidelines. j. In the event of delay due to IT system downtime, KPI penalties shall not be applicable k. Along with monitoring of KPIs, SHA may issue rectification orders to Insurer. All such rectifications shall be undertaken by the Insurer within 30 days of the date of issue of such Rectification Order unless stated otherwise in such Order(s). l. At the end of the rectification period, the Insurer shall submit an Action Taken Report with evidences of rectifications done to the SHA. m. If the SHA is not satisfied with the Action Taken Report, it shall call for a follow up meeting with the Insurer and shall have the right to take appropriate actions within the overall provisions of the Insurance Contract between the SHA and the Insurer. n. SHA as policy holder can also approach to IRDAI for necessary action in case the Insurer persistently fails to meet contractual obligations. Such instances of default may related to - as not meeting baseline KPIs, not paying penalties in timely manner or fail to return premium etc.

Measuring Performance. a. Performance shall be measured as per timeline and threshold provided in Schelue Schedule 12. b. Indicator performance results shall be reviewed in the quarterly review meetings and reasons for variances, if any, shall be presented by the InsurerISA. c. Insurers ISAs shall pay SHA NHA all penalties imposed by the SHA NHA in line with KPIs mentioned in Schedule 12 on the Insurer ISA within 15 days of receipt Penalty Notice from SHANHA. SHA NHA shall ensure that Penalty Notice contains all the details regarding penalties being imposed d. Penalty Notice shall be shared with Insurers ISA in each quarter and calculation of penalties shall be as detailed in Schedule 12. e. If the Insurer ISA wishes to contest the penalty levied by XXXNHA, it may represent to the SHA NHA along with documentary necessary documentary proof within 7 days of receipt of the notice. f. XXX NHA may examine the evidence and facts and arrive at final penalty amount/decision and shall convey the same to Insurer ISA withing 7 days. g. Failure to pay penalty within the timeline will invite penal interest on the panalties as specified in Schedule 12.D. h. If the Insurer fails to pay Penalty within 90-day period and/ or the default interest thereon, the SHA shall be entitled to recover such amount along with applicable intrest, if any, as a debt due from the Insurer. Please refer to Clause 41 for details regarding Dispute Resolution i. Also, based on the review, the SHA shall have the right to issue rectification orders demanding the performance to be brought up to the levels desired as per the AB-PMJAY Guidelines. j. In the event of delay due to IT system downtime, KPI penalties shall not be applicable k. h. Along with monitoring of KPIs, SHA NHA may issue rectification orders to InsurerISA. All such rectifications shall be undertaken by the Insurer ISA within 30 days of the date of issue of such Rectification Order unless stated otherwise in such Order(s). l. i. At the end of the rectification period, the Insurer ISA shall submit an Action Taken Report with evidences of rectifications done to the SHANHA. m. j. If the SHA NHA is not satisfied with the Action Taken Report, it shall call for a follow up meeting with the Insurer ISA and shall have the right to take appropriate actions within the overall provisions of the Insurance Implementation Support Contract between the SHA NHA and the InsurerISA. n. SHA as policy holder can also approach to IRDAI for necessary action in case the Insurer persistently fails to meet contractual obligations. Such instances of default may related to - as not meeting baseline KPIs, not paying penalties in timely manner or fail to return premium etc.