Common use of Resident Agents Clause in Contracts

Resident Agents. Resident hereby appoints as Resident’s Designated Representative. Resident represents (knowing that Facility will rely upon such representation) that has been validly appointed as Resident’s Health Care Proxy, and has been validly appointed as Resident’s Power of Attorney. These individuals are each a “Resident Agent” and collectively “Resident Agents.” You agree to promptly notify Facility of any and all changes in address, phone number or identity of any Agent. You direct all current and future Agents to (1) meet all payment obligations under this Agreement from Resident’s assets and/or insurance coverage, including by signing additional authorizations as required, (2) cooperate in applying for and obtaining Medicaid and recertification of Medicaid for Resident, if needed, (3) manage Resident’s assets responsibly so that Facility will not be denied payment for the cost of care from Resident’s assets and from Medicaid, and (4) sign Attachment A (Personal Agreement) to this Agreement. You agree to fulfill the financial obligations set forth in this Section if they cannot be performed by an Agent and you personally agree to ensure that your assets, income, and other resources are not used or transferred in any way to prevent you from qualifying for Medicaid or other insurance benefits. Resident authorizes Facility and its agents, including but not limited to, the Facility’s attorneys and debt collectors, to communicate directly with Resident Agents and family members regarding any issues arising under this Agreement and with any third parties for the purposes of collecting any unpaid charges or bills. See also Attachment B for designations for Agents.

Appears in 2 contracts

Samples: Palatine Nursing Home Admission Agreement, Palatine Nursing Home Admission Agreement

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Resident Agents. Resident hereby appoints as Resident’s Designated Representative. Resident represents (knowing that Facility will rely upon such representation) that has been validly appointed as Resident’s Health Care Proxy, and has been validly appointed as Resident’s Power of Attorney. These individuals are each a “Resident Agent” and collectively “Resident Agents.” You agree to promptly notify Facility of any and all changes in address, phone number or identity of any Agent. You direct all current and future Agents to (1) meet all payment obligations under this Agreement from Resident’s assets and/or insurance coverage, including by signing additional authorizations as required, (2) cooperate in applying for and obtaining Medicaid and recertification of Medicaid for Resident, if needed, (3) manage Resident’s assets responsibly so that Facility will not be denied payment for the cost of care from Resident’s assets and from Medicaid, and (4) sign Attachment Schedule A (Personal Agreement) to this Agreement. You agree to fulfill the financial obligations set forth in this Section if they cannot be performed by an Agent and you personally agree to ensure that your assets, income, and other resources are not used or transferred in any way to prevent you from qualifying for Medicaid or other insurance benefits. Resident authorizes Facility and its agents, including but not limited to, the Facility’s attorneys and debt collectors, to communicate directly with Resident Agents and family members regarding any issues arising under this Agreement and with any third parties for the purposes of collecting any unpaid charges or bills. See also Attachment Schedule B for designations for Agents.

Appears in 1 contract

Samples: Resident Admission Agreement

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Resident Agents. Resident hereby appoints as Resident’s Designated Representative. Resident represents (knowing that Facility will rely upon such representation) that has been validly appointed as Resident’s Health Care Proxy, and _ has been validly appointed as Resident’s Power of Attorney. These individuals are each a “Resident Agent” and collectively “Resident Agents.” You agree to promptly notify Facility of any and all changes in address, phone number or identity of any Agent. You direct all current and future Agents to (1) meet all payment obligations under this Agreement from Resident’s assets and/or insurance coverage, including by signing additional authorizations as required, (2) cooperate in applying for and obtaining Medicaid and recertification of Medicaid for Resident, if needed, (3) manage Resident’s assets responsibly so that Facility will not be denied payment for the cost of care from Resident’s assets and from Medicaid, and (4) sign Attachment Schedule A (Personal Agreement) to this Agreement. You agree to fulfill the financial obligations set forth in this Section if they cannot be performed by an Agent and you personally agree to ensure that your assets, income, and other resources are not used or transferred in any way to prevent you from qualifying for Medicaid or other insurance benefits. Resident authorizes Facility and its agents, including but not limited to, the Facility’s attorneys and debt collectors, to communicate directly with Resident Agents and family members regarding any issues arising under this Agreement and with any third parties for the purposes of collecting any unpaid charges or bills. See also Attachment Schedule B for designations for Agents.

Appears in 1 contract

Samples: R Esident Admission Agreement

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