Other Fees or Credits Sample Clauses

Other Fees or Credits. Conversion right to an individual insured policy upon termination of coverage. Anthem Blue Cross Life and Health shall have no obligation to provide conversion rights in instances in which this Agreement is terminated for failure to pay any amounts due under this Agreement. The fee shall be:$1,500 per Member conversion
Sample 1
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Other Fees or Credits. Fee for Pharmacy Prior Authorization. $55.00 per authorization. Fee for Step Therapy. PBM shall charge a fee of $0.30 per pharmacy Claim. Fee for Quantity Limits. PBM shall charge a fee of $0.55 per pharmacy Claim for applying frequency and quantity limits to certain Prescription Drugs. Fee for Pharmacy Physician Review. $800.00 per review. Fee for Vaccine Administration. PBM shall charge a fee for the administration of vaccines at a retail pharmacy location of $2.50 per vaccine. Fee for Custom Communications. PBM shall charge a fee of $2.00 per custom communication requested by the Employer. Fee for Member-Submitted Claims. PBM shall charge a fee of $2.50 per Claim for each Member-submitted Claim. Fee for Specialty Cost Optimization. The charge to Employer for administration and management of the Specialty Cost Optimization Program is 50% of the shared savings attained through PBM’s Specialty Cost Optimization Program capped at $0.50 PMPM. PBM’s shared savings fee shall be deducted from the Medical Drug Rebate due Employer. In no event will PBM charge Employer a shared savings fee if the Medical Drug Rebate due to the Employer is less than the shared savings fee due to PBM. Employer’s receipt of Medical Drug Rebates under the Specialty Cost Optimization Program as set forth in Section 3(B)(5) of Exhibit A above is conditioned upon Employer maintaining at least 500 Subscribers on average during a 12 month contract year basis. Fee for Pharmacy Network Audit. The charge to Employer is 25.00% of the total amount recovered from periodic onsite or field audits of Network Pharmacies, including but not limited to, audits to determine compliance with billing requirements and the terms and conditions of the Network Pharmacy agreements. These audits are separate and distinct from Claims processing and financial accuracy audits. Unidentified Recoveries. PBM shall retain any funds received through recovery processes that are paid to PBM and, following good faith and reasonable efforts, cannot be tied to a specific Employer or Member. Fee for Pharmacy Coordination of Benefits. PBM shall charge a fee of $2.50 per secondary paid Claim for Coordination of Benefit services for pharmacy Claims.
Sample 1
Other Fees or Credits. Not applicable
Sample 1
Other Fees or Credits. Fee for Pharmacy Prior Authorization $55.00 per authorization. Fee for Step Therapy PBM shall charge a fee of $0.30 per pharmacy Claim. Fee for Quantity Limits PBM shall charge a fee of $0.55 per pharmacy Claim for applying frequency and quantity limits to certain Prescription Drugs. Fee for Pharmacy Physician Review $800.00 per review. Fee for Vaccine Administration PBM shall charge a fee for the administration of vaccines at a retail pharmacy location of $2.50 per vaccine. Fee for Medication Review Note PBM shall charge a fee of $0.25 per pharmacy Claim for clinical, quality and cost-of-care messages in personalized Member communications. Fee for Custom Communications PBM shall charge a fee of $1.00 per custom communication requested by the Employer. Fee for Member-Submitted Claims PBM shall charge a fee of $1.00 per Claim for each Member-submitted Claim. Fee for Pharmacy Network Audit Services The charge to Employer is 20.00% of the total amount recovered from periodic onsite or field audits of Network Pharmacies, including but not limited to, audits to determine compliance with billing requirements and the terms and conditions of the Network Pharmacy agreements.
Sample 1
Other Fees or Credits. Fee for Subrogation Services. The charge to Plan Sponsor is 25% of gross subrogation recovery, or, if Fee for Provider Audit Performed by External Vendors. The charge to Plan Sponsor is 0% of the amount recovered from Vendor audits of Provider activity, including but not limited to credit balance, hospital xxxx audits, DRG readmissions and high-cost drug audits. Fee for Overpayment Identification Provided by External Vendors. The charge to Plan Sponsor is 0% of the amount recovered from review of Claims and membership data to identify overpayments, including but not limited to COB, duplicates, contract compliance and eligibility. Fee for Collection Services Provided by External Vendors. The charge to Plan Sponsor is 0% of the amount recovered by a Vendor in collecting receivables. Fee for Independent Claims Review: $550.00 per independent review
Sample 1

Related to Other Fees or Credits

  • Other Fees (i) The Borrower shall pay to the Arranger and the Administrative Agent for their own respective accounts fees in the amounts and at the times specified in the Fee Letter. Such fees shall be fully earned when paid and shall not be refundable for any reason whatsoever. (ii) The Borrower shall pay to the Lenders such fees as shall have been separately agreed upon in writing in the amounts and at the times so specified. Such fees shall be fully earned when paid and shall not be refundable for any reason whatsoever.

  • Participation Fees Vendor or vendor assigned dealer Agreements to pay the participation fee for all Agreement sales to TIPS on a monthly scheduled report. Vendor must login to the TIPS database and use the “Submission Report” section to report sales. The Vendor or vendor assigned dealers are responsible for keeping record of all sales that go through the TIPS Agreement. Failure to pay the participation fee will result in termination of Agreement. Please contact TIPS at tips@tips- xxx.xxx or call (000) 000-0000 if you have questions about paying fees.

  • Program Fees Stripe will provide the Issuing Platform Services to you and the Stripe Issuing Services to Stripe Issuing Accountholders at the rates and for the fees described on the Stripe Pricing Page, unless you and Stripe otherwise agree in writing. In addition to the fees, you are also responsible for any penalties imposed on you or Stripe in relation to your use of the Issuing Platform Services. Fees and penalties may include periodic fees, foreign transaction fees, penalties for misuse, funds transfer fees, account maintenance fees, Card issuance or replacement fees, and penalties for late or failed payments. All fees or penalties you owe are in addition to amounts owed for Card Transactions and Card accounts associated with each Stripe Issuing Account. Stripe may change fees or penalties by providing Stripe Issuing Accountholder advance notice before revisions become applicable to Stripe Issuing Accountholder, subject to Law.

  • No Transfer Taxes or Other Fees There are no transfer taxes or other similar fees or charges under Federal law or the laws of any state, or any political subdivision thereof, required to be paid in connection with the execution and delivery of this Agreement or the issuance and sale by the Company of the shares.

  • Service to Other Companies or Accounts Each Fund understands that the Administrator now acts, will continue to act and may act in the future as administrator, co-administrator or administrative services agent to one or more other investment companies, and the Fund has no objection to the Administrator's so acting. Each Fund understands that the persons employed by the Administrator to assist in the performance of the Administrator's duties hereunder will not devote their full time to such service and nothing contained in this Agreement shall be deemed to limit or restrict the right of the Administrator or any affiliate of the Administrator to engage in and devote time and attention to other businesses or to render services of whatever kind or nature.

  • No Unlawful Contributions or Other Payments Neither the Company nor any of its subsidiaries nor, to the best of the Company’s knowledge, any employee or agent of the Company or any subsidiary, has made any contribution or other payment to any official of, or candidate for, any federal, state or foreign office in violation of any law or of the character required to be disclosed in the Registration Statement, the Time of Sale Prospectus or the Prospectus.

  • LC Fees The Borrower agrees to pay to the Administrative Agent, for the account of each Lender, a letter of credit fee at a rate per annum equal to the LC Fee Rate on such Lender’s Pro Rata Share of the undrawn stated amount of all Facility LCs for the period from the Effective Date to such Lender’s Termination Date (or, if later, the date on which such Lender has no participation interests in the Facility LCs), payable in arrears on the last day of each March, June, September and December and on the applicable Termination Date (and, if applicable, thereafter on demand). The Borrower also agrees to pay to the applicable LC Issuer for its own account (x) fronting fees in amounts and at times agreed upon between such LC Issuer and the Borrower and (y) documentary and processing charges in connection with the issuance or Modification of and draws under Facility LCs in accordance with such LC Issuer’s standard schedule for such charges as in effect from time to time.

  • Services to Other Companies or Accounts The services of the Sub-Advisor to the Advisor are not to be deemed to be exclusive, the Sub-Advisor being free to render services to others and engage in other activities, provided, however, that such other services and activities do not, during the term of this Agreement, interfere, in a material manner, with the Sub-Advisor's ability to meet all of its obligations hereunder. The Sub-Advisor shall for all purposes be an independent contractor and not an agent or employee of the Advisor or the Trust.

  • No Fees Except as disclosed to the Representative in writing, the Company has not made any direct or indirect payments (in cash, securities or otherwise) to (i) any person, as a finder’s fee, investing fee or otherwise, in consideration of such person raising capital for the Company or introducing to the Company persons who provided capital to the Company, (ii) any FINRA member, or (iii) any person or entity that has any direct or indirect affiliation or association with any FINRA member within the 12-month period prior to the date on which the Registration Statement was filed with the Commission (“Filing Date”) or thereafter.

  • Credits An employee shall earn sick leave credits at the rate of nine decimal three seven five (9.375) hours for each calendar month for which such employee receives pay for at least seventy-five (75) hours.

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