Common use of Premiums for Coverage in the Individual Exchange Clause in Contracts

Premiums for Coverage in the Individual Exchange. Contractor shall not be entitled to collect from Enrollees or receive funds above the premium amounts except with respect to cost-sharing amounts or to the extent that such payment (i) is expressly authorized under the QHPs, such as out-of-network services that comply with the notice requirements set forth at Section 3.4.3, or (ii) relates to a charge for non-sufficient funds or transaction fees initiated by Enrollee at rates that are reasonable and customary for such transactions. Contractor shall not pursue collections of any said fees from the Exchange. Contractor shall not pursue collection of any delinquent premiums from the Exchange for an Enrollee enrolled in the Individual Exchange who is responsible for directly paying his or her premium to Contractor. Premium charged to individuals includes the assessment of the participation fee (see Sections 5.1.3 Participation Fee).

Premiums for Coverage in the Individual Exchange. Contractor shall not be entitled to collect from Enrollees or receive funds above the premium amounts except with respect to cost-sharing amounts or to the extent that such payment (i) is expressly authorized under the QHPs, such as out-of-network services that comply with the notice requirements set forth at Section 3.4.3, or (ii) relates to a charge for non-sufficient funds or transaction fees initiated by Enrollee at rates that are reasonable and customary for such transactions. Contractor shall not pursue collections of any said fees from the Exchange. Contractor shall not pursue collection of any delinquent premiums from the Exchange for an Enrollee Xxxxxxxx enrolled in the Individual Exchange who is responsible for directly paying his or her premium to Contractor. Premium charged to individuals includes the assessment of the participation fee fee, (see Sections 5.1.3 and 5.2.2 Participation Fee).

Premiums for Coverage in the Individual Exchange. Contractor shall not be entitled to collect from Enrollees or and/or receive funds above the premium amounts except with respect to cost-sharing amounts or to the extent that such payment (i) is expressly authorized under the QHPs, such as out-of-network services that comply with the notice requirements set forth at Section 3.4.3, or (ii) relates to a charge for non-sufficient funds or transaction fees initiated by Enrollee at rates that are reasonable and customary for such transactions. Contractor shall not pursue collections of any said fees from the Exchange. Contractor shall not pursue collection of any delinquent premiums from the Exchange for an Enrollee enrolled in the Individual Exchange who is responsible for directly paying his or her premium to Contractor. Premium charged to individuals includes the assessment of the participation fee fee, (see Sections 5.1.3 and 5.2.2 Participation Fee).