Common use of PLAN COMPLIANCE EVALUATION PROGRAM Clause in Contracts

PLAN COMPLIANCE EVALUATION PROGRAM. 1. The ADMINISTRATION shall conduct periodical evaluations of the INSURER's compliance with all terms and conditions of this contract including, but not limited to, quality, appropriateness, timeliness and reasonableness of cost and administrative expenses, said evaluation to be defined as the Plan Compliance Evaluation Program.

Appears in 6 contracts

Samples: Health Insurance Contract (Triple-S Management Corp), Terms and Conditions (Triple-S Management Corp), Terms And (Triple-S Management Corp)

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