Number of HMOs; HMO Rate Negotiation Sample Clauses

Number of HMOs; HMO Rate Negotiation. The configuration of HMOs offered by the State shall not be changed for the benefit period beginning July 1, 1994, except to the extent that a particular HMO does not meet the requirements of this contract and the State, therefore, declines to offer that HMO to State employees; and except that an additional HMO may be offered in the Northwest portion of the State where only one HMO option was available as of December 31, 1993. Prior to any open enrollment period, but not sooner than preparations for the benefit year beginning July 1, 1995, the Department of Administrative Services may reduce the number of HMOs available to State employees, provided that: 1. All HMOs offered to State employees are certified as meeting full compliance or significant compliance by the National Committee for Quality Assurance (NCQA). Such certification shall be a condition of an HMO's contract with the State. If an HMO has not been so certified but the NCQA states that the HMO is making significant progress toward such certification, this provision may be waived; 2. At least 65% of State employees have an HMO option available; 3. No qualified HMO is eliminated which is the sole HMO available in any county; 4. An analysis has been conducted regarding displacement of employees from their current providers, and such analysis has been reviewed and discussed with the JHCC; and 5. HMOs selected have sufficient capacity for the relevant service area(s). HMOs which do not satisfy the above criteria shall not be offered to State employees. At any time during this Agreement, the Department of Administrative Services may also conduct rate negotiations with HMOs. Negotiations shall only be concerning rates, and once begun, the State shall not accept new HMO proposals to amend their schedule of benefits, co-payments, deductibles, or out-of- pocket maximum. The State shall consult with the JHCC about the rate negotiations and inform the JHCC on the progress and results of said rate negotiations. If negotiations with a particular HMO do not result in rates which are satisfactory to the Department of Administrative Services, the Department may, after providing notice to the JHCC, refuse to permit any new enrollment in said HMO, or cancel the HMO contract. Effective with the benefit year beginning July 1, 1994, the State may also refuse to offer an HMO which is not undergoing certification proceedings of the National Committee for Quality Assurance (NCQA). Application for such certification sh...
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Related to Number of HMOs; HMO Rate Negotiation

  • Number of Stewards The Union may designate one (1), but no more than one (1), xxxxxxx on each shift for each of the Employer's principal work areas from among those employees who work therein.

  • Number of Hours enter the total number of hours worked during the report period by the Employees in the employment category. Amount Payable under the Contract: enter the total amount paid by the State to the State Contractor under the Contract, for work by the Employees in the employment category, for services provided during the report period.

  • Number of Interest Periods There may be no more than 6 different Interest Periods for LIBOR Loans outstanding at the same time.

  • Number of Copies This Agreement including its annexes is being made in two (2) copies, one for each Party.

  • Automatic Renewal Limitation for TIPS Sales No TIPS Sale may incorporate an automatic renewal clause that exceeds month to month terms with which the TIPS Member must comply. All renewal terms incorporated into a TIPS Sale Supplemental Agreement shall only be valid and enforceable when Vendor received written confirmation of acceptance of the renewal term from the TIPS Member for the specific renewal term. The purpose of this clause is to avoid a TIPS Member inadvertently renewing an Agreement during a period in which the governing body of the TIPS Member has not properly appropriated and budgeted the funds to satisfy the Agreement renewal. Any TIPS Sale Supplemental Agreement containing an “Automatic Renewal” clause that conflicts with these terms is rendered void and unenforceable.

  • Inability to Determine Eurodollar Rate In the event, prior to the commencement of any Interest Period relating to any Eurodollar Rate Loan, the Administrative Agent shall determine or be notified by the Required Lenders that adequate and reasonable methods do not exist for ascertaining the Eurodollar Rate that would otherwise determine the rate of interest to be applicable to any Eurodollar Rate Loan during any Interest Period, the Administrative Agent shall forthwith give notice of such determination (which shall be conclusive and binding on the Borrower and the Lenders) to the Borrower and the Lenders. In such event (a) any Loan Request or Conversion Request with respect to Eurodollar Rate Loans shall be automatically withdrawn and shall be deemed a request for Base Rate Loans, (b) each Eurodollar Rate Loan will automatically, on the last day of the then current Interest Period relating thereto, become a Base Rate Loan, and (c) the obligations of the Lenders to make Eurodollar Rate Loans shall be suspended until the Administrative Agent or the Required Lenders determine that the circumstances giving rise to such suspension no longer exist, whereupon the Administrative Agent or, as the case may be, the Administrative Agent upon the instruction of the Required Lenders, shall so notify the Borrower and the Lenders.

  • Additional Wet Weather Procedure 14.15.1 Remaining On Site a) for more than an accumulated total of four hours of ordinary time in any one day; or b) after the meal break, as provided for in clause 17.1 of the Award, for more than an accumulated total of 50% of the normal afternoon work time; or c) during the final two hours of the normal work day for more than an accumulated total of one hour, the Enterprise will not be entitled to require the employees to remain on site beyond the expiration of any of the above circumstances.

  • CFR Part 200 or Federal Provision - Xxxx Anti-Lobbying Amendment - Continued If you answered "No, Vendor does not certify - Lobbying to Report" to the above attribute question, you must download, read, execute, and upload the attachment entitled "Disclosure of Lobbying Activities - Standard Form - LLL", as instructed, to report the lobbying activities you performed or paid others to perform. Compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). (Contracts, subcontracts, and subgrants of amounts in excess of $100,000) Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members requires the proposer certify that in performance of the contracts, subcontracts, and subgrants of amounts in excess of $250,000, the vendor will be in compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). Does vendor certify compliance? Yes

  • Inability to Determine LIBOR Rate In the event, prior to the commencement of any Interest Period relating to any Libor Rate Loan, the Agent shall determine that adequate and reasonable methods do not exist for ascertaining the Libor Rate that would otherwise determine the rate of interest to be applicable to any Libor Rate Loan during any Interest Period, the Agent shall forthwith give notice of such determination (which shall be conclusive and binding on the Borrower) to the Borrower and the Lenders. In such event (a) any Loan Request with respect to Libor Rate Loans shall be automatically withdrawn and shall be deemed a request for Base Rate Loans, (b) each Libor Rate Loan will automatically, on the last day of the then current Interest Period applicable thereto, become a Base Rate Loan, and (c) the obligations of the Lenders to make Libor Rate Loans shall be suspended, in each case unless and until the Agent determines that the circumstances giving rise to such suspension no longer exist, whereupon the Agent shall so notify the Borrower and the Lenders.

  • Alternate Work Schedule An alternate work schedule is any work schedule where an employee is regularly scheduled to work five (5) days per week, but the employee’s regularly scheduled two (2) days off are NOT Saturday and Sunday.

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