Common use of Required Notice of Contractor Changes Clause in Contracts

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 6 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

AutoNDA by SimpleDocs

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section such notice shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs or QDPs and/or delivery of Covered Specialized Health Care Services to Enrollees.; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Appears in 6 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices ‌ Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. .. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 4 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3-Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 4 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and (f) Changes in Contractor’s its Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant 4.3; i. Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs QDPs or delivery of Covered Specialized Health Care Services to Covered California Enrollees.

Appears in 3 contracts

Samples: Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract, Covered California Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 3 contracts

Samples: Covered California Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract, Covered California Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices nNotices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 2 contracts

Samples: Covered California Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California the Exchange to evaluate the events under the same criteria that were used by Covered California the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide Covered California the Exchange with such additional information as Covered California the Exchange may request. If Contractor requests confidential treatment for any information it provides, Covered California the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California the Exchange in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered Californiathe Exchange’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3-Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California the Exchange with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section section shall contain sufficient information to permit Covered California the Exchange to evaluate the events under the same criteria that were used by Covered California the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide Covered California the Exchange with such additional information as Covered California the Exchange may request. If Contractor requests confidential treatment for any information it provides, Covered California the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California the Exchange in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered Californiathe Exchange’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California the Exchange with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 2 contracts

Samples: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section such notice shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, , (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs or QDPs and/or delivery of Covered Specialized Health Care Services to Enrollees.; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section section shall contain sufficient information to permit Covered California the Exchange to evaluate the events under the same criteria that were used by Covered California the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide Covered California the Exchange with such additional information as Covered California the Exchange may request. If Contractor requests confidential treatment for any information it provides, Covered California the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California the Exchange in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered Californiathe Exchange’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including including, those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and; f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California the Exchange with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, such notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Covered California Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this section Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. If Contractor receives any preliminary or final reports, findings, or orders related to notices pursuant to this Section, it shall provide Covered California with copies of them within 48 hours of Contractor receiving them from State and Federal Regulators. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and (f) Changes in Contractor’s its Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant 4.3; i. Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs QDPs or delivery of Covered Specialized Health Care Services to Covered California Enrollees.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Covered California Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and (f) Changes in Contractor’s its Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant 4.3; i. Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs QDPs or delivery of Covered Specialized Health Care Services to Covered California Enrollees.

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

AutoNDA by SimpleDocs

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section such notice shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, , (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Covered California Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this Section section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: (a) Contractor is in breach of any of its obligations under this Agreement; (b) Change in the majority ownership, control, or business structure of Contractor; (c) Change in Contractor’s business, partnership partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3C—Qualified Health Plan Minimum Certification Standards); (e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California with respect to any significant Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QHPs or QDPs and/or delivery of Covered Specialized Health Care Services to Covered California Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3.; and

Appears in 1 contract

Samples: Qualified Dental Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified 3‑Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day Day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, Enrollees and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California the Exchange to evaluate the events under the same criteria that were used by Covered California the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide Covered California the Exchange with such additional information as Covered California the Exchange may request. If Contractor requests confidential treatment for any information it provides, Covered California the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California the Exchange in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered Californiathe Exchange’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and; f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California the Exchange with respect to any significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California the Exchange to evaluate the events under the same criteria that were used by Covered California the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide Covered California the Exchange with such additional information as Covered California the Exchange may request. If Contractor requests confidential treatment for any information it provides, Covered California the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California the Exchange in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered Californiathe Exchange’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. Contractor shall notify Covered California the Exchange with respect to any significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. .. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 1 contract

Samples: Covered California Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. . All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. . Contractor agrees to provide Covered California with such additional information as Covered California may request. . If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—Qualified 3‑Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. . i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 3.3; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Enrollees.

Appears in 1 contract

Samples: Qualified Health Plan Issuer Contract

Required Notice of Contractor Changes. Except as set forth below, notices Notices pursuant to this Section shall be provided by Contractor promptly within ten (10) days Days following Contractor’s knowledge of such occurrence; provided, however, (i) such notice shall be provided immediately if such occurrence may reasonably be deemed to adversely affect the quality of care or safety of Covered California Enrollees, and (ii) in no event shall notice be provided by Contractor beyond the thirty (30) day period following the date of occurrence. All written notices from Contractor pursuant to this Section shall contain sufficient information to permit Covered California to evaluate the events under the same criteria that were used by Covered California in its award of this Agreement to Contractor. Contractor agrees to provide Covered California with such additional information as Covered California may request. If Contractor requests confidential treatment for any information it provides, Covered California shall treat the information as confidential, consistent with Section 1.4.1. .. Contractor shall notify Covered California in writing upon the occurrence of any of the following events: a) Contractor is in breach of any of its obligations under this Agreement; b) Change in the majority ownership, control, or business structure of Contractor; c) Change in Contractor’s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on Covered California’s rights under this Agreement; d) Breach by Contractor of any term set forth in this Agreement or Contractor otherwise ceases to meet the requirements for a QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C Article 3—- Qualified Health Plan Minimum Certification Standards); e) Immediate notice in the event that Contractor files any federal bankruptcy action or state receivership action, any federal bankruptcy or state receivership action is commenced against Contractor, Contractor is adjudicated bankrupt, or a receiver is appointed and qualifies; and f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. 4.3. i. Contractor shall notify Covered California with respect to any significant material changes to its Essential Community Provider (ECP) contracting arrangements consistent with Section 4.3.4; and ii. Significant changes in operations of Contractor that may reasonably be expected to significantly impair Contractor’s operation of QHPs or delivery of Covered Services to Covered California Enrollees.

Appears in 1 contract

Samples: Covered California Qualified Health Plan Issuer Contract

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!