Termination of Delegation. (a) In the event that Blue Shield is dissatisfied for any reason with Group’s performance of delegated activities, Blue Shield may, in its sole discretion, modify Group’s status (with respect to all or a particular delegated activity) from fully delegated to delegated with corrective action. Such notice of delegation with corrective action shall set forth the deficiencies perceived by Blue Shield in Group’s performance of delegated activities, and Group shall have ninety (90) days to correct such deficiencies to the reasonable satisfaction of Blue Shield. In the event such deficiencies are not corrected to the reasonable satisfaction of Blue Shield, Blue Shield may, in its sole discretion, terminate the delegation or extend the period given Group to correct such deficiencies.
(b) In lieu of the notice of delegation with corrective action and opportunity to correct deficiencies, as set forth in Paragraph 4.3(a) above, Blue Shield may at anytime within its sole discretion, terminate all or portions of the delegation granted to Group hereunder by providing no less than sixty (60) days prior written notice. Blue Shield may also terminate all or portions of the delegation granted to Group hereunder if Blue Shield determines, after consultation with Group, that Group either no longer meets all criteria or is not performing (or is reasonably not likely to perform) the delegated activities in full compliance with the standards. In such event, Blue Shield shall give to Group no less than thirty (30) days prior notice of such termination of delegation, and if Group, during such notice period, cures such deficiencies to Blue Shield’s reasonable satisfaction, Blue Shield may, in its sole discretion, withdraw such termination. The reduction amount set forth in Exhibit F. is intended solely as a penalty and will cease when Group has demonstrated successful implementation of the corrective action plan.
(c) Upon termination of all or part of the delegation pursuant to this Article IV, Blue Shield may, in its sole discretion, reduce the Capitation amount otherwise payable to Group hereunder by a per member amount as set forth in Exhibit F. for each delegated service, which amount is not intended to represent the portion of the capitation amounts that are allocated to cover the cost of performance of the delegate service by Group nor an estimate of the costs incurred by Blue Shield as a result of the termination of such delegation; rather, the amounts set forth in Exhibit F...
Termination of Delegation. FHS shall have the right to audit PPG’s performance of utilization management, quality improvement, credentialing and recredentialing, Member grievance and appeal, medical record review, and capitation and claims adjudication functions from time to time. If FHS determines that deficiencies exist in PPG’s performance, PPG shall accept consulting assistance from FHS. Failure to cure any identified deficiencies within a reasonable period of time as defined by FHS policies, or if FHS determines PPG does not have the ability to perform delegated functions, or is not effectively performing delegated functions, FHS may revoke delegation of all or any of these functions in accordance with procedures set forth in the Operations Manual and re-assume the performance of such functions itself. Should it become necessary for FHS to reassume delegated functions, FHS shall charge the following administrative fees: utilization management *** of PPG Capitation; quality improvement *** of PPG Capitation; claims processing *** of PPG Capitation.
Termination of Delegation. The Master Servicer may suspend, revoke or terminate the appointment of any Delegate (subject to the terms of that appointment).
Termination of Delegation. The Maximum Permitted Delegation under this Agreement commences on the Effective Date and shall continue in effect until the occurrence of the earliest of any of the following, at which time the delegation of power and authority by the General Partner to Management shall cease and terminate as provided below:
9.1. All outstanding Listed Shares shall become owned by the General Partner or its Affiliates (including, without limitation, Kindxx Xxxxxx, Xxc. ("KMI") or its Affiliates) and such termination of delegated power and authority shall have been approved by the General Partner and Management at which time the delegation shall cease as to all Partnerships; or
9.2. The General Partner shall withdraw or shall be removed as general partner of any of the Partnerships, at which time the delegation shall cease as to those Partnerships from which the General Partner shall have withdrawn or shall have been removed; or
9.3. Such termination of delegated power and authority shall have been approved by (i) the General Partner, (ii) Management and (iii) holders (other than the General Partner and its Affiliates, including KMI and its Affiliates) of a majority of the outstanding Listed Shares (excluding any Listed Shares owned by the General Partner and its Affiliates, including KMI). The General Partner hereby covenants and agrees that it shall not withdraw as general partner of any of the Partnerships so long as any of the Listed Shares are owned by any persons other than KMI or its Affiliates.
Termination of Delegation. We may in our sole discretion immediately terminate any Delegate’s ability to access Story or any Feature. You may revoke and terminate a Delegate’s authority to access Story as your Delegate by providing us notice of your revocation or contacting Story support via the means that we designate on Story. The revocation will be effective once we have received notice and have had a reasonable time to effect the revocation. Notwithstanding the revocation of any Delegate’s authorities, all authorized acts attributed to a Delegate prior to such revocation shall remain authorized, and your duty to indemnify us and hold us harmless under this Agreement for such prior actions or inactions of the Delegate shall continue and remain in full force and effect and survive the termination of this Agreement.
Termination of Delegation. The Maximum Permitted Delegation under this Agreement commences on the Effective Date and shall continue in effect until the occurrence of the earliest of any of the following, at which time the delegation of power and authority by the General Partner to Management shall cease and terminate as provided below:
Termination of Delegation is added to read as follows: In the event Blue Shield terminates the delegation granted to the Group for all claims payment and invokes the All Claims Payment withhold stated in Exhibit F, Group shall have the option to terminate the contract with ninety (90) calendar days written notice of termination. The termination shall become effective the first day of the month following the expiration of the notice period.
Termination of Delegation. FHS shall have the right to audit PPG’s performance of utilization management, credentialing and recredentialing, Member grievance and appeal, medical record review, and capitation and claims adjudication functions from time to time. If FHS determines that deficiencies exist in PPG’s performance, PPG shall accept consulting assistance from FHS. Failure to cure any identified deficiencies within a reasonable period of time as defined by FHS policies, or if FHS determines PPG does not have the ability to perform delegated functions, or is not effectively performing delegated functions. FHS may revoke delegation of all or any of these functions in accordance with procedures set forth in the Operations Manual and re-assume the performance of such functions itself. Should it become necessary for FHS to reassume delegated functions, FHS shall charge the following administrative fees: utilization management 5% of PPG Capitation. claims processing 4.5% of PPG Capitation.
Termination of Delegation. 3.1 In the event Health Plan is dissatisfied for any reason with Physician Group’s performance of delegated activities, Health Plan may, in its sole discretion, modify Physician Group’s status (in respect to all or a particular delegated activity) from fully delegated to delegated with corrective action. Such notice of delegation with corrective action shall set forth the deficiencies perceived by Health Plan in Physician Group’s performance of delegated activities, and Physician Group shall have ninety (90) days to correct such deficiencies to the reasonable satisfaction of Health Plan. In the event such deficiencies are not corrected to the reasonable satisfaction of Health Plan, Health Plan may, in its sole discretion, terminate the delegation or extend the period given Physician Group to correct such deficiencies.
3.2 In lieu of the notice of delegation with corrective action and opportunity to correct deficiencies, as set for in paragraph 3.1 above, Health Plan may at anytime, *** and within its sole discretion terminate all or portions of the delegation granted to Physician Group hereunder by providing no less than sixty (60) days prior written notice. Plan may also terminate all or portions of the delegation granted to the Physician Group hereunder in Health Plan determines, after consultation with Physician Group, that Physician Group either no longer meets all Criteria or is not performing (or is reasonably not likely to perform) the delegated activities in full compliance with the Standards. In such event, Health Plan shall give to Physician Group not less than thirty (30) days prior notice of such termination of delegation, and if Physician Group during such notice period, cures such deficiencies to Health Plan’s reasonable satisfaction, Health Plan may in its sole discretion, withdraw such termination. All other provisions of the Agreement and its Amendments not specifically revised by this Amendment remain in full force and effect.
Termination of Delegation
