Common use of Obligations of Group Clause in Contracts

Obligations of Group. The Obligation set forth in Article II. Paragraph 2.6 of the Agreement is modified to add the following at the end of current text of Paragraph 2.6 and shall apply to Blue Shield 65 Plus Members: “Group will comply and have its Group Providers comply with state and federal laws and regulations including but not limited to physician incentives, and stop loss insurance requirements. Group shall include in its contracts with Group Providers all provisions required by federal and state laws, including the BBA and related regulations. Group shall ensure that, on or before December 31, 1999, all contracts with Group Providers comply with all applicable Medicare+Choice regulations as described in this Exhibit H. and as outlined in the Provider Manual. Further, to the extent Group subcapitates other provider organizations and the contracts with such organizations delegate to the organization responsibility for claims processing, including the right to pay or deny claims, Group’s contracts with such Group Providers shall require that they comply with the provisions of this Exhibit G-l. Further, Group shall comply with the provisions set forth in Exhibit F of this Agreement and in the Provider Manual.” The Obligation set forth in Article II. Paragraph 2.12 of the Agreement is modified to add the following at the end of the current text of Paragraph 2.12 and shall apply to Blue Shield 65 Plus Members:

Obligations of Group. The Obligation set forth in Article II. Paragraph 2.6 of the Agreement is modified to add the following at the end of current text of Paragraph 2.6 and shall apply to Blue Shield 65 Plus Members: “Group will comply and have its Group Providers comply with state and federal laws and regulations including but not limited to physician incentives, and stop loss insurance requirements. Group shall include in its contracts with Group Providers all provisions required by federal and state laws, including the BBA and related regulations. Group shall ensure that, on or before December 31, 1999, all contracts with Group Providers comply with all applicable Medicare+Choice regulations as described in this Exhibit H. H, and as outlined in the Provider Manual. Further, to the extent Group subcapitates other provider organizations and the contracts with such organizations delegate to the organization responsibility for claims processing, including the right to pay or deny claims, Group’s contracts with such Group Providers shall require that they comply with the provisions of this Exhibit G-l. G-1. Further, Group shall comply with the provisions set forth in Exhibit F of this Agreement and in the Provider Manual.” The Obligation set forth in Article II. Paragraph 2.12 of the Agreement is modified to add the following at the end of the current text of Paragraph 2.12 and shall apply to Blue Shield 65 Plus Members:

Obligations of Group. The Obligation set forth in Article II. , Paragraph 2.6 of the Agreement is modified to add the following at the end of current text of Paragraph 2.6 and shall apply to Blue Shield 65 Plus Members: “Group will comply and have its Group Providers comply with state and federal laws and regulations including but not limited to physician incentives, and stop *** Confidential Treatment Requested loss insurance requirements. Group shall include in its contracts with Group Providers all provisions required by federal and state laws, including the BBA and related regulations. Group shall ensure that, on or before December 31, 1999, all contracts with Group Providers comply with all applicable Medicare+Choice regulations as described in this Exhibit H. H and as outlined in the Provider Manual. Further, to the extent Group subcapitates other provider organizations organisations and the contracts with such organizations delegate to the organization responsibility for claims processing, including the right to pay or deny claims, Group’s contracts with such Group Providers shall require that they comply with the provisions of this Exhibit GH-l. Further, Group shall comply with the provisions set forth in Exhibit F of this Agreement and in the Provider Manual.” The Obligation set forth in Article II. , Paragraph 2.12 of the Agreement is modified to add the following at the end of the current text of Paragraph 2.12 and shall apply to Blue Shield 65 Plus Members:

Obligations of Group. The Obligation set forth in Article II. Paragraph 2.6 of the Agreement is modified to add the following at the end of current text of Paragraph 2.6 and shall apply to Blue Shield 65 Plus Members: “Group will comply and have its Group Providers comply with state and federal laws and regulations including but not limited to physician incentives, and stop loss insurance requirements. Group shall include in its contracts with Group Providers all provisions required by federal and state laws, including the BBA and related regulations. Group shall ensure that, on or before December 31, 1999, all contracts with Group Providers comply with all applicable Medicare+Choice regulations as described in this Exhibit H. and as outlined in the Provider Manual. Further, to the extent Group subcapitates other provider organizations and the contracts with such organizations delegate to the organization responsibility for claims processing, including the right to pay or deny claims, Group’s contracts with such Group Providers shall require that they comply with the provisions of this Exhibit G-l. G-1. Further, Group shall comply with the provisions set forth in Exhibit F of this Agreement and in the Provider Manual.” The Obligation set forth in Article II. Paragraph 2.12 of the Agreement is modified to add the following at the end of the current text of Paragraph 2.12 and shall apply to Blue Shield 65 Plus Members: