Member Payment Liability Protection Sample Clauses
The Member Payment Liability Protection clause serves to limit or exclude the personal financial responsibility of individual members for the debts and obligations of an organization, such as an LLC. In practice, this means that if the organization incurs liabilities or is sued, only the assets of the organization are at risk, not the personal assets of its members. This clause is essential for protecting members from personal loss due to business-related financial issues, thereby encouraging participation and investment by reducing individual risk.
Member Payment Liability Protection. Pursuant to s. 1932 (b)(6), Social Security Act (as enacted by section 4704 of the Balanced Budget Act of 1997), the Health Plan shall not hold members liable for the following:
1. For debts of the Health Plan, in the event of the Health Plan’s insolvency;
2. For payment of covered services provided by the Health Plan if the Health Plan has not received payment from the Agency for the covered services, or if the provider, under contract or other arrangement with the Health Plan, fails to receive payment from the Agency or the Health Plan; and/or
3. For payments to a provider, including referral providers, that furnished covered services under a contract, or other arrangements with the Health Plan, that are in excess of the amount that normally would be paid by the enrollee if the covered services had been received directly from the Health Plan.
Member Payment Liability Protection. Pursuant to s. 1932 (b)(6), Social Security Act (as enacted by section 4704 of the Balanced Budget Act of 1997), the Health Plan shall not hold members liable for the following:
Member Payment Liability Protection. 1. Pursuant to Section 1932 (b)(6), Social Security Act (as enacted by Section 4704 of the Balanced Budget Act of 1997), the STP shall not hold Medicaid Beneficiaries liable for the following:
a. For debts of the STP, in the event of the STPs Insolvency;
b. For payment of Covered Services provided by the STP if the STP has not received payment from the Commission for the Covered Services, and/or,
c. For payments to a STP that furnished Covered Services under a contract, or other arrangement with the STP, that are in excess of the amount that normally would be paid by the Medicaid Beneficiary if the Covered Services had been received directly from the STP.
Member Payment Liability Protection. The PDHP shall not hold members liable for the following in accordance with Section 1932 (b)(6), Social Security Act (enacted by Section 4704 of the Balanced Budget Act of 1997):
a. For debts of the PDHP, in the event of the PDHP’s insolvency.
b. For payment of covered services provided by the PDHP if the PDHP has not received payment from the Agency for the services, or if the health care provider, under contract or other arrangement with the PDHP, fails to receive payment from the Agency or the PDHP.
c. For payments to the health care provider, including referral providers, that furnished covered services under a contract, or other arrangement with the PDHP, that are in excess of the amount that normally would be paid by the member if the service had been received directly from the PDHP.
Member Payment Liability Protection. The contractor shall not hold members liable for the following in accordance with Section 1932 (b)(6), Social Security Act (enacted by Section 4704 of the Balanced Budget Act of 1997):
Member Payment Liability Protection. Pursuant to s. 1932 (b)(6), Social Security Act (as enacted by section 4704 of the Balanced Budget Act of 1997), the Health Plan shall not hold members liable for the following:
1. For debts of the Health Plan, in the event of the Health Plan’s insolvency;
2. For payment of covered services provided by the Health Plan if the Health Plan has not received payment from the Agency for the covered services, or if the provider, under contract or other arrangement with the Health Plan, fails to receive payment from the Agency or the Health Plan; and/or
3. For payments to a provider, including referral providers, that furnished covered services under a contract, or other arrangements with the Health Plan, that are in excess of the amount that normally would be paid by the enrollee if the covered services had been received directly from the Health Plan. Unless otherwise stated, this amendment shall be effective upon execution by both Parties. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in this Contract. This amendment, and all its attachments, are hereby made part of this Contract. This amendment cannot be executed unless all previous amendments to this Contract have been fully executed.
Member Payment Liability Protection. The contractor shall not hold members liable for the following in accordance with Section 1932 (b)(6), Social Security Act (enacted by Section 4704 of the Balanced Budget Act of 1997):
A. For debts of the contractor, in the event of the contractor’s insolvency.
B. For payment of covered services provided by the contractor if the contractor has not received payment from the Agency for the services, or if the health care provider, under contract or other arrangement with the contractor, fails to receive payment from the Agency or the contractor.
C. For payments to the health care providers that furnished covered services under a contract, or other arrangement with the contractor, that are in excess of the amount that normally would be paid by the member if the service had been received directly from the contractor.