TIME AND MANNER OF PREMIUM PAYMENT. (e) For the period beginning February 1, 2004 and ending August 31, 2004, CONTRACTOR will be entitled to a payment in accordance with this subsection (e). CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures, (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. The Management Services Contractor will pay CONTRACTOR by the first business day following the 14th day of each month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR’s account. For the period beginning February 1, 2004 and ending August 31. 2004, the premium rates are: CSA # Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 CSA #2 $ 328.47 $ 68.21 $ 45.26 $ 88.35 CSA #6 $ 333.84 $ 69.30 $ 46.00 $ 90.52 CONTRACTOR does not bxxx HHSC, the Administrative Services, Contractor, other state agencies, or institutions for the monthly premium payment.”
TIME AND MANNER OF PREMIUM PAYMENT. CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. The Management Services Contractor will pay CONTRACTOR by the first business day following the 14th day of each month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR's account. For the first year of the Initial Term, these premium rates are: -------------------------------------------------------------------------------------------- CSA # Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 -------------------------------------------------------------------------------------------- CSA #2 $424.00 $86.30 $56.51 $112.44 -------------------------------------------------------------------------------------------- CSA #6 $484.57 $98.63 $64.63 $129.58 -------------------------------------------------------------------------------------------- CONTRACTOR does not bill XXXC, the Administrative Services Contractor, other state agencies, or institutions for the monthly premium payment.
TIME AND MANNER OF PREMIUM PAYMENT. (c) For the period beginning October 1, 2002 and ending August 31, 2003 CONTRACTOR will be entitled to a payment in accordance with this subsection (c). CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. The Management Services Contractor will pay CONTRACTOR by the first business day following the 14th day of each month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR’s account. For the period beginning October 1, 2002 and ending August 31, 2003, the premium rates are: CSA # Under Age 1 Ages 1-5 Ages 6-14 6 CONTRACTOR does not bxxx HHSC, the Administrative Services Contractor, other state agencies, or institutions for the monthly premium payment.
TIME AND MANNER OF PREMIUM PAYMENT. For the first year of the Initial Term, CONTRACTOR will be receiving supplemental reimbursement at the attachment level of $100,000. CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR's account. For the first year of the Initial Term, these premium rates are: CSA # Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 ----- ----------- -------- --------- ---------- CSA 1 $372.47 $75.88 $49.60 $ 98.20 CSA 4 $393.63 $80.30 $52.48 $103.92 CSA 7 $358.86 $73.41 $47.78 $ 94.14 CSA 11 $358.52 $73.04 $47.74 $ 94.04 CONTRACTOR does not bill HHSC, the Administrative Services Contractor, other state agencxxx, or institutions for the monthly premium payment. Claim costs incurred for any child with dates of service between May 1, 2000, and April 30, 2001 that exceed the selected supplemental reimbursement attachment level will be reimbursed to CONTRACTOR by HHSC. These claim costs must represent actual expenses incurred by CONTRACTOR for CHIP covered services. The supplemental reimbursement applies to all Members during the first year of the Initial Term. After the first year of the Initial Term, HHSC will review the supplemental reimbursement methodology and the attachment levels and determine whether it should continue after the first year and, if so, in the same manner. HHSC has final authority to decide whether the supplemental methodology will continue and, if so, in what manner. HHSC may audit all claims for an individual whose costs have exceeded the supplemental reimbursement attachment level.
TIME AND MANNER OF PREMIUM PAYMENT. (b) For the second year of the Initial Term, CONTRACTOR will be entitled to a payment in accordance with this subsection (b). CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. The Management Services Contractor will pay CONTRACTOR by the first business day following the 14th day of each month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR's account. For the second year of the Initial Term, these premium rates are: ------------------------------------------------------------ CSA # 2 Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 ------------------------------------------------------------ $ 436.72 $ 88.89 $ 58.21 $ 115.81 ------------------------------------------------------------ ------------------------------------------------------------ CSA # 6 Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 ------------------------------------------------------------ $ 484.57 $ 98.63 $ 64.63 $ 129.58 ------------------------------------------------------------ CONTRACTOR does not bill HHSC, the Administrative Services Contractor, other state agencxxx, or institutions for the monthly premium payment.
TIME AND MANNER OF PREMIUM PAYMENT. (f) For the period beginning September 1, 2005, and ending August 31, 2006, CONTRACTOR will be entitled to a payment in accordance with this subsection (f). CONTRACTOR will be paid based on per member/per month premiums and new and current enrollment figures (including disenrollment adjustments to previous monthly enrollment totals). The Administrative Services Contractor will convey premiums payable information to CONTRACTOR for data reconciliation and to the Management Services Contractor. CONTRACTOR must reconcile the data and report any errors to the Management Services Contractor by the cut-off date of the next month. The Management Services Contractor will pay CONTRACTOR by the first business day following the 14th day of each month. CONTRACTOR must accept payment for premiums by direct deposit into CONTRACTOR'S account. For the period beginning September 1, 2005, and ending August 31, 2006, the premium rates are: CSA# Under Age 1 Ages 1-5 Ages 6-14 Ages 15-18 ---- ----------- -------- --------- ---------- CSA2 $378.14 $78.52 $52.11 $101.71 CSA6 $308.48 $64.04 $42.51 $ 83.64 CONTRACTOR does not bill HHSC, the Administrative Services Contractor, xxxer state agencies, or institutions for the monthly premium payment."
