Rate Sheets Sample Clauses

Rate Sheets. A rate sheet may be provided, as highlighted in Exhibit B. As per negotiations, rates may increase, and may be administered and only upon written agreement between both parties. Any changes will be highlighted and enforced as part of this Agreement.
Sample 1
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Rate Sheets. A. 7/1/2017 – 6/30/2018 Rate Sheets 3.1(A) Rate Sheet for rating period 7/1/2017 through 6/30/2018 Capitation Rates Department of Human Services SFY 2018 Dental Wellness Plan Capitation Rate Development Gross and Net Capitation Rates Rate Cell SFY 2018 Gross Rate SFY 2018 Net Rate 1. Net SFY 2018 capitation rate developed by applying a 2% withhold. The Medical Loss Ratio applicable to the rating period is as follows: The Agency will provide a risk corridor based on the Contractor’s medical loss ratio (MLR) for the Contract period of State Fiscal Year 2018 (SFY18 – July 1, 2017 through June 30, 2018) (the “SFY18 Risk Corridor”). The SFY18 Risk Corridor will be applied to all members enrolled with the Contractor at any time during SFY18. The SFY18 Risk Corridor will result in a settlement of the payments previously made, which may result in payments due to the Contractor or the Agency. The settlement is the calculated gain or loss experienced by the Contractor for SFY18 determined when comparing the risk corridor MLR, developed after the end of SFY18, from the claims experience to the risk sharing corridor percentages in the table below. The risk corridor MLR is calculated as the total adjusted medical expenditures divided by the total adjusted capitation rate. Adjusted dental expenditures will be determined by the Agency or the Agency’s contracted actuaries based on encounter data and plan financial data submitted by Contractor. Adjusted dental expenditures only include services covered by the Agency and the Contractor and will exclude all expenditures that are in addition to those covered under the State Plan. The Agency reserves the right to audit claims expenditures. For purposes of the SFY18 Risk Corridor calculations, the Agency will limit the overall level of reimbursement to 121% of the fee schedule target and will sample the submitted encounter data to ensure compliance with that target. The data used by the Agency and its actuaries for the reconciliation will be the routine encounter data. The Agency and the Contractor agree that to the extent there are differences between claims expenditures as reflected in the encounter data and the financial data submitted by the Contractor, the Agency and Contractor will confer and make a good faith effort to reconcile those differences before the calculation of the final settlement as described below.
Sample 1
Rate Sheets. Following the initial Rate Sheet, rate changes shall apply if Customer commences using Voice Termination as of the effective date contained in the most recent Rate Notification. Unless otherwise agreed, Voice Termination rates are subject to change upon seven (7) days’ notice. Provider will send the Rate Notification to Customer via email to the email address provided by Customer at the time of registration and as updated per requirements.
Sample 1

Related to Rate Sheets

  • Financial Statements; Other Information It shall provide to the Administrative Agent or cause to be provided to the Administrative Agent (with enough additional copies for each Lender) with a copy to the Collateral Agent: (i) within ninety days after the end of each fiscal year of the BDC, the BDC’s audited consolidated balance sheet and related line item profit and loss statements (including (x) a consolidating schedule showing such statements for the Borrower and (y) the most recent quarterly valuation statement for the BDC) as of the end of and for such year, setting forth in each case in comparative form the figures for the previous fiscal year, all reported on by independent public accountants of recognized national standing (without a “going concern” or like qualification or exception and without any qualification or exception as to the scope of such audit) to the effect that such consolidated financial statements present fairly in all material respects the financial condition and results of operations of the BDC, and each of its consolidated subsidiaries on a consolidated basis in accordance with GAAP consistently applied; (ii) within sixty days after the end of each of the first three fiscal quarters of each fiscal year of the BDC, each of its unaudited consolidated balance sheet and related line item profit and loss statements (in the case of the BDC, including (x) a consolidating schedule showing such statements for the Borrower and (y) the most recent quarterly valuation statement for the BDC) as of the end of and for such fiscal quarter and the then elapsed portion of the fiscal year, in each case, to the extent produced, setting forth in each case in comparative form the figures for the corresponding period or periods of (or, in the case of the balance sheet, as of the end of) the previous fiscal year, all certified by a Responsible Officer as presenting fairly in all material respects the financial condition and results of operations of the BDC and each of its consolidated subsidiaries on a consolidated basis in accordance with GAAP consistently applied, subject to normal year-end audit adjustments and the absence of footnotes; (iii) [reserved]; (iv) within two Business Days after a Responsible Officer of the Collateral Manager or a Responsible Officer of the Borrower obtains actual knowledge of the occurrence and continuance of any (w) Default or (x) Event of Default, a certificate of a Responsible Officer of the Borrower setting forth the details thereof and the action which the Borrower is taking or proposes to take with respect thereto; (v) from time to time such additional information regarding the Borrower’s financial position or business and the Collateral (including reasonably detailed calculations of each Coverage Test and each Portfolio Quality Test) as the Administrative Agent or the Required Lenders (through the Administrative Agent) may reasonably request if reasonably available to the Borrower; (vi) promptly after the occurrence of any ERISA Event, notice of such ERISA Event and copies of any communications with all Governmental Authorities or any Multiemployer Plan with respect to such ERISA Event; (vii) promptly after the occurrence of any change in the Borrower’s taxpayer identification number, notice of such change on an IRS Form W-9; (viii) at least two (2) Business Days prior to doing so, the Borrower shall provide notice of any change in its chief place of business, its chief executive office or the office in which the Borrower maintains its books and records; (ix) within 15 days after each Determination Date, a Compliance Certificate in the form attached hereto as Exhibit J calculating each Coverage Test; (x) within 90 days after the last day of each fiscal year, a certificate in form and substance reasonably satisfactory to the Administrative Agent calculating the total net revenue of the Collateral Manager; and (xi) as soon as commercially practicable: (i) promptly upon request therefor by the Administrative Agent or any Lender, confirmation of the accuracy of the information set forth in the most recent Certificate of Beneficial Ownership provided to the Administrative Agent and Lenders; (ii) a new Certificate of Beneficial Ownership, in form and substance acceptable to the Administrative Agent and each Lender, when the individual(s) to be identified as a Beneficial Owner have changed; and (iii) such other information and documentation as may reasonably be requested by the Administrative Agent or any Lender from time to time for purposes of compliance by the Administrative Agent or such Lender with Applicable Laws (including without limitation the Patriot Act and other “know your customer” and anti-money laundering rules and regulations), and any policy or procedure implemented by the Administrative Agent or such Lender to comply therewith.

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