Medical Claims. The Plan Sponsor shall pay to the Company: (i) an amount equal to the amount of the Plan Sponsor's maximum monthly and run-out claim liabilities for self-funded medical claims under the Plan as described in more detail in the Plan Sponsor's Payment Obligations Attachment (to be included as claims or claim money are costs and expenses of investigation of claims); and (ii) the Plan Sponsor's portion of provider incentive payments, if any, as determined by the Company, under fee arrangements negotiated by the Company with health care providers.
Appears in 3 contracts
Samples: Stop Loss Application and Administrative Services Agreement, Stop Loss Application and Administrative Services Agreement, Stop Loss Application and Administrative Services Agreement
Medical Claims. The Plan Sponsor shall pay to the Company: (i) an amount equal to the amount of the Plan Sponsor's ’s maximum monthly and run-out claim liabilities for self-funded medical claims under the Plan as described in more detail in the Plan Sponsor's ’s Payment Obligations Attachment (to be included as claims or claim money are costs and expenses of investigation of claims); and (ii) the Plan Sponsor's ’s portion of network access fees and provider incentive payments, if any, as determined by the Company, under fee arrangements negotiated by the Company with health care providers.
Appears in 2 contracts
Samples: Administrative Services Agreement, Stop Loss Application; Policy; And Administrative Services Agreement