Out-of-Network Professional Fund Deficit Sample Clauses

Out-of-Network Professional Fund Deficit. For any Agreement Year in which the POS Out-of-Network Professional Expenses exceed the POS Out-of-Network Professional Budget, Blue Shield shall offset *** of any out-of-network Professional deficit against any out-of-network Institutional surplus. If a deficit results, Blue Shield shall carry such deficit forward into future Agreement Years and the deficit carryover shall be offset against any Out-of-Network Professional or Institutional Fund Surpluses in future years. In the event the Deficit carried forward exceeds the Surplus in a future year, the remaining deficit shall continue to be carried forward and offset against any Surpluses in subsequent years.
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Out-of-Network Professional Fund Deficit. For any Agreement Year in which the POS Out-of-Network Professional Expenses exceed the POS Out-of- Network Professional Budget, forty percent (40%) of the amount by which the actual costs exceed the total allocation, not to exceed five percent (5%) of the POS Capitation Fees, shall be allocated to the Group and shall be handled as follows: Blue Shield shall offset any out-of-network Professional deficit against any out-of-network Institutional surplus. If a deficit results, Blue Shield shall carry such deficit forward into future Agreement Years and the deficit carryover shall be offset against any Out-of-Network Professional or Institutional Fund Surpluses in future years. In the event the Deficit carried forward exceeds the Surplus in a future year, the remaining deficit shall continue to be carried forward and offset against any Surpluses in subsequent years.
Out-of-Network Professional Fund Deficit. For any Agreement Year in which the POS Out-of-Network Professional Expenses exceed the POS Out-of-Network Professional Budget, Blue Shield shall offset forty percent (40%) of any out-of-network Professional deficit against any out-of-network Institutional surplus. Group shall not be obligated to pay to Blue Shield, from its own funds, all or any portion of Group’s share of the Deficit. If a deficit results, Blue Shield shall carry such deficit forward into future Agreement Years and the deficit carryover shall be offset against any Out-of-Network Professional or Institutional Fund Surpluses in future years. In the event the Deficit carried forward exceeds the Surplus in a future year, the remaining deficit shall continue to be carried forward and offset against any Surpluses in subsequent years. In no event, however, shall the aggregate total amount carried forward by Blue Shield from the Out-of-Network POS Professional Services Budget and the Out-of-Network POS Institutional Services Fund exceed five percent (5%) of the POS Capitation Fees paid to IPA during such Agreement Year.
Out-of-Network Professional Fund Deficit. For any Agreement Year in which the POS Out-of-Network Professional Expenses exceed the POS Out-of-Network Professional Budget, then *** of the amount by which the actual costs exceed the total allocation, not to exceed *** of POS Capitation, shall be allocated to the Group and shall be handled as follows: (I) the exceed shall be offset against any Out-Of-Network Institutional surplus, and, (ii) any remaining amounts shall be carried forward into future Agreement Years and shall be offset against any Out-of-Network Professional or Institutional Fund Surpluses in future years. In the event the Deficit carried forward exceeds the Surplus in a future year, the remaining deficit shall continue to be carried forward and offset against any Surpluses in subsequent years. Upon non-renewal or termination, such deficits shall not be collected by Blue Shield from Group.
Out-of-Network Professional Fund Deficit. For any Agreement Year in which the POS Out-of-Network Professional Expenses exceed the POS Out-of- Network Professional Budget, Blue Shield shall offset any out-of-network Professional deficit against any out-of-network Institutional surplus. If a deficit results, Blue Shield shall carry such deficit forward into future Agreement Years and the deficit carryover shall be offset against any Out-of-Network Professional or Institutional Fund Surpluses in future years. (However, the deficit amount carried forward for the current Agreement Year shall be limited to fifteen percent (15%) of the Capitation paid to Group for POS Members in that Agreement Year.) In the event the Deficit carried forward exceeds the Surplus in a future year, the remaining deficit shall continue to be carried forward and offset against any Surpluses in subsequent years.

Related to Out-of-Network Professional Fund Deficit

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  • Investment Sub-Advisory Services Sub-Adviser shall serve as investment sub-adviser and shall supervise and direct the investments of each series of Penn Series listed on Exhibit A attached hereto (each, a “Fund”), as such Exhibit may be amended by mutual agreement of the parties hereto, and to exercise all rights incidental to ownership in accordance with the investment objectives, program and restrictions applicable to the Fund as provided in Penn Series’ Prospectus and Statement of Additional Information (“SAI”), as amended from time to time, and such other limitations as may be imposed by law or as Penn Series or Adviser may impose with notice in writing to Sub-Adviser. To enable Sub-Adviser to fully exercise its discretion, Adviser hereby appoints Sub-Adviser as agent and attorney-in-fact for the Fund with full power and authority to buy, sell and otherwise deal in securities and contracts for the Fund. No investment will be made by Sub-Adviser for the Fund if the investment would violate the investment objectives, investment restrictions or limitations of the Fund set out in the Prospectus and the SAI delivered to the Sub-Adviser and as may be amended and delivered to Sub-Adviser in the future. Sub-Adviser shall not take custody of any assets of Penn Series, but shall issue settlement instructions to the custodian designated by Penn Series (the “Custodian”). Sub-Adviser shall, in its discretion, obtain and evaluate such information relating to the economy, industries, businesses, securities markets and securities as it may deem necessary or useful in the discharge of its obligations hereunder and shall formulate and implement a continuing program for the management of the assets and resources of the Fund in a manner consistent with the investment objectives of the Fund. In furtherance of this duty, Sub-Adviser, as agent and attorney-in-fact with respect to Adviser and Penn Series, is authorized, in its discretion and without prior consultation with Adviser or Penn Series, to:

  • Reimbursement of General Partner (a) Except as provided in this Section 6.5 and elsewhere in this Agreement (including the provisions of Articles 5 and 6 regarding distributions, payments, and allocations to which it may be entitled), the General Partner shall not be compensated for its services as general partner of the Partnership.

  • Tax Accounting Services (1) Maintain accounting records for the investment portfolio of the Fund to support the tax reporting required for “regulated investment companies” under the Internal Revenue Code of 1986, as amended (the “Code”).

  • Services and Duties of Investment Sub-Adviser Subject to the general supervision and oversight of the Adviser and the Board of Trustees of the Trust (the “Board”), the Sub-Adviser will:

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  • Management of the Partnership (a) Except as otherwise expressly provided in this Agreement, the General Partner shall have full, complete and exclusive discretion to manage and control the business of the Partnership for the purposes herein stated, and shall make all decisions affecting the business and assets of the Partnership. Subject to the restrictions specifically contained in this Agreement, the powers of the General Partner shall include, without limitation, the authority to take the following actions on behalf of the Partnership:

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