Potential Sanctions. 1. Civil money penalties limited to twenty-five thousand dollars ($25,000) for each determination. 2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause. 3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination. 4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 5 contracts
Samples: Contract for Dental Services and Coverage, Contract for Dental Services and Coverage, Contract for Dental Services and Coverage
Potential Sanctions. 1. Civil money penalties limited to twenty-five one hundred thousand dollars ($25,000100,000) for each determination.
2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause.
3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination.
4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 5 contracts
Samples: Contract for Dental Services and Coverage, Contract for Dental Services and Coverage, Contract for Dental Services and Coverage
Potential Sanctions. 1. Civil money penalties limited to the greater of twenty-five thousand dollars ($25,000) for each determinationor double the amount of the excess charges.
2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause.
3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination.
4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 5 contracts
Samples: Contract for Dental Services and Coverage, Contract for Dental Services and Coverage, Contract for Dental Services and Coverage
Potential Sanctions. 1. Civil money penalties limited to twenty-five thousand dollars (the greater of $25,000) for each determination25,000 or double the amount of the excess charges.
2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause.
3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination.
4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 3 contracts
Samples: Medical Services Agreement, Medical Services Agreement, Medical Services Agreement
Potential Sanctions. 1. Civil money penalties limited to twenty-five thousand dollars ($25,000) 25,000 for each determination.
2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause.
3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination.
4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 3 contracts
Samples: Medical Services Agreement, Medical Services Agreement, Medical Services Agreement
Potential Sanctions. 1. Civil money penalties limited to twenty-five thousand dollars ($25,000) 100,000 for each determination.
2. Granting and notifying Enrollees of the right to terminate enrollment with Insurer without cause.
3. Suspension of new enrollment, including default enrollment, after the date FHKC or the Secretary of HHS notifies Insurer of this determination.
4. Suspension of payment for beneficiaries enrolled after the effective date of the sanction and until FHKC or CMS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur.
Appears in 3 contracts
Samples: Medical Services Agreement, Medical Services Agreement, Medical Services Agreement