Common use of Required Notice of Contractor Changes Clause in Contracts

Required Notice of Contractor Changes. Except as set forth below, 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 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 the 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 QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C—Qualified Health Plan Minimum Certification Standards); (e) Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QDPs and/or delivery of Specialized Health Care Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Required Notice of Contractor Changes. Except as set forth below, 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 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 partnership, or corporate organization that may reasonably be expected to have a material impact on Contractor’s performance of this Agreement or on the 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 QDP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C—Qualified Health Plan Minimum Certification Standards); (e) Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QDPs and/or delivery of Specialized Health Care Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Required Notice of Contractor Changes. Except as set forth below, such notice shall be provided by Contractor promptly within ten (10) days following Contractor’s 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 Contractor¶s business, partnership or corporate organization that may reasonably be expected to have a material impact on Contractor’s Contractor¶s performance of this Agreement or on the Exchange’s Exchange¶s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or and/or Contractor otherwise ceases to meet the requirements for a QDP Issuer, including including, those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C—C² Qualified Health Plan Minimum Certification Standards); (e) Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s Contractor¶s operation of QDPs and/or delivery of Specialized Health Care Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Required Notice of Contractor Changes. ‌ Except as set forth below, such notice 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 the Exchange’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or and/or Contractor otherwise ceases to meet the requirements for a QDP QHP Issuer, including including, those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart CC 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; f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. i. Contractor shall notify the Exchange with respect to any 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 the Contractor’s operation of QDPs QHPs and/or delivery of Specialized Health Care Covered Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and.

Required Notice of Contractor Changes. Except as set forth below, 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 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 the Exchange’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or and/or Contractor otherwise ceases to meet the requirements for a QDP Issuer, including including, those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart C—Qualified Health Plan Minimum Certification Standards); (e) Significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QDPs and/or delivery of Specialized Health Care Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and

Required Notice of Contractor Changes. Except as set forth below, such notice 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 Section shall contain sufficient information to permit the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 the 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 QDP QHP Issuer, including those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart CC Article 3—Qualified Health Plan Minimum Certification Standards); (e) Significant 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 the Exchange with respect to any significant changes in operations of Contractor that may reasonably be expected to significantly impair the Contractor’s operation of QDPs and/or QHPs or delivery of Specialized Health Care Covered Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and.

Required Notice of Contractor Changes. Except as set forth below, such notice 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 the Exchange to evaluate the events under the same criteria that were used by the Exchange in its award of this Agreement to Contractor. Contractor agrees to provide the Exchange with such additional information as the Exchange may request. If Contractor requests confidential treatment for any information it provides, the Exchange shall treat the information as confidential, consistent with Section 1.4.1. Contractor shall notify 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 the Exchange’s rights under this Agreement; (d) Breach by Contractor of any term set forth in this Agreement or and/or Contractor otherwise ceases to meet the requirements for a QDP QHP Issuer, including including, those set forth at and 45 C.F.R. § 156.200 et seq. (Subpart CC 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; f) Changes in Contractor’s Provider Network by notice consistent with Section 3.3. i. Contractor shall notify the Exchange with respect to any 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 the Contractor’s operation of QDPs QHPs and/or delivery of Specialized Health Care Covered Services to Enrollees; (f) Changes in its Provider Network by notice consistent with Section 3.3; and.