Common use of Network Disruptions Clause in Contracts

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California as defined in 3.3.3 c) i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California as defined in 4.3.3 c) i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

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Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California as defined in 3.3.3 c) i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California as defined in 4.3.3 c) i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California and State Regulators as defined in 3.3.3 c) i. 3.3.3c)i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change QHPs or Participating Providers, as detailed in the QHP Network Disruption Reporting TemplateProviders or QHPs, Contractor agrees to provide prior notice to Covered California and State Regulators as defined in 4.3.3 c) i.3.3.2c)i, in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, rules and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 1 contract

Samples: Covered California for Small

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California as defined in 3.3.3 c) i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to Enrolleesto change Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California as defined in 4.3.3 34.3.3 c) i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California and State Regulators as defined in 3.3.3 c) i. 3.3.3c)i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting TemplateProviders or QHPs, Contractor agrees to provide prior notice to Covered California and State Regulators as defined in 4.3.3 c) i.3.3.3c)i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 1 contract

Samples: Covered California Qualified Health Plan Issuer Contract

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California as defined in 3.3.3 c) i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California as defined in 4.3.3 c) i.4.3.3c)i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.11366. 1.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

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Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California as defined in 3.3.3 c) i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California as defined in 4.3.3 c) i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California and State Regulators as defined in 3.3.3 c) i. 3.3.3c)i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region Enrollees to change Participating Providers or QHPs or Participating Providers, as detailed in the QHP Network Disruption Reporting Template, Contractor agrees to provide prior notice to Covered California and State Regulators as defined in 4.3.3 c) i.3.3.3c)i., in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1. .

Appears in 1 contract

Samples: Covered California Qualified Health Plan Issuer Contract

Network Disruptions. If Contractor experiences any network hospital with a pending contract termination, including any hospitals that may experience a break in maintaining a continuous contract, Contractor shall provide prior notice to Covered California and State Regulators as defined in 3.3.3 c) i. 3.3.3c)i. If Contractor experiences any other provider network disruptions or other similar circumstances that make it necessary for at least ten percent (10%) % of Enrollees residing within any county of an affected region to change Participating Providers, as detailed in the QHP Network Disruption Reporting TemplateProviders or QHPs, Contractor agrees to provide prior notice to Covered California and State Regulators as defined in 4.3.3 c) i.3.3.2c)i, in accordance with advance notice, meeting, and other requirements set forth in applicable laws, rules, rules and regulations, including Insurance Code § 10199.1 and Health and Safety Code §§ 1367.23 and 1366.1.

Appears in 1 contract

Samples: Covered California for Small

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