Payments for Covered Services Sample Clauses

Payments for Covered Services. Program Changes .............................................................................

Payments for Covered Services i. Network Attorney accepts the amounts listed in the fee schedule as payment in full for Covered services to Clients and will make no additional charges to the Client for attorney’s fees unless the Plan Document allows. Payments made by ARAG on behalf of the Client shall be deemed payment by Attorney when received. To the extent that benefits do not provide for the payment of costs and expenses incurred on behalf of a client, a Network ii. In the event Network Attorney is awarded attorney’s fees and/or costs in a judgment, settlement, order, or similar process, and the fees and/or costs are received by the Network Attorney, the Network Attorney shall reimburse the parties in accordance with the fees and costs awarded. For example, if costs are awarded which were paid by the Client and/or ARAG, attorney shall reimburse the client first and, if any award is remaining, reimburse ARAG up to the amount ARAG paid. The Network Attorney can retain any balance of the cost awarded. If attorney’s fees are awarded and Network Attorney has received attorney’s fees from Client and/or from ARAG, the Network Attorney shall reimburse the Client first and, if any award is remaining reimburse ARAG up to the amount ARAG paid. The Network Attorney can retain any balance of the fee awarded. iii. Network Attorneys who provide Covered services under the program will be paid directly by ARAG upon submission of claims in acceptable form. Said claims must be submitted within 180 days after the completion of the covered legal service in order to receive payment, or if capped hours are fulfilled. Network Attorneys will be paid subject to the exclusions, rules and conditions of payment in the Binding Documents. This Agreement limits the terms of payment and the maximum fee that may be received by a Network Attorney for services rendered to beneficiaries of ARAG plans. Wording of specific plans or policies will determine exclusions, coverage limitations and eligibility of Clients for Covered services. iv. If ARAG ceases doing business, a Network Attorney will not seek payment from a Client and will complete the representation of the Client for Covered services that are provided under an ARAG plan and in accordance with the terms of the ARAG plan and this Agreement. v. Billing Guidelines - The following are charges ARAG may deduct all or a portion of as they are not covered or considered part of overhead costs: vi. The entire section 4.B. shall survive termination of the Agreement.

Payments for Covered Services