Transparency in Coverage Sample Clauses

Transparency in Coverage. Contractor shall provide the Exchange and Enrollees with information reasonably necessary to provide transparency in Contractor’s coverage, in accordance with the requirements set forth at 45 C.F.R. § 156.220, including information relating to claims payment policies and practices, financial disclosures, enrollment, disenrollment, denials, rating practices, cost- sharing, out-of-network coverage, and Enrollee rights. Contractor shall timely respond to an Enrollee’s request for cost sharing information and shall make cost sharing information available to individuals through the internet and pursuant to other means for individuals without internet access in a timely manner upon request. Contractor shall provide information required under this Section to the Exchange and Enrollees in plain language, in accordance with 45 C.F.R. § 156.220(c).
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Transparency in Coverage. PBM shall comply with the group health plan disclosure requirements under the Transparency in Coverage Final Rules proposed by the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury in CMS-9915P and issued on October 29, 2020 (the “Final Rules”). In addition to the indemnification provision contained elsewhere in this Agreement, PBM shall indemnify and defend County and its past, present, and future employees and agents from any and all claims, causes of action, losses, fines, penalties, damages, judgments and liabilities of any kind, including attorney’s fees, litigation expenses, and court costs, relating to or arising out of PBM’s failure to comply with the obligations of this section, PBM’s nondisclosure of information required to be disclosed under the Final Rules, or PBM’s failure to make timely or full disclosure as required under the Final Rules.
Sample 1
Transparency in Coverage. Benefits Manager shall comply with the group health plan disclosure requirements under the Transparency in Coverage Final Rules proposed by the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury in CMS-9915P and issued on October 29, 2020 (the “Final Rules”). In addition to the indemnification provision contained elsewhere in this Agreement, Benefits Manager shall indemnify and defend County and its past, present, and future employees and agents from any and all claims, causes of action, losses, fines, penalties, damages, judgments and liabilities of any kind, including attorney’s fees, litigation expenses, and court costs, relating to or arising out of Benefits Manager’s failure to comply with the obligations of this section, Benefits Manager’s nondisclosure of information required to be disclosed under the Final Rules, or Benefits Manager’s failure to make timely or full disclosure as required under the Final Rules.
Sample 1
Transparency in Coverage. Plan Manager shall comply with the group health plan disclosure requirements under the Transparency in Coverage Final Rules proposed by the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury in CMS-9915P and issued on October 29, 2020 (the “Final Rules”). In addition to the indemnification provision contained elsewhere in this Agreement, Plan Manager shall indemnify and defend County and its employees and agents from any and all claims, causes of action, losses, fines, penalties, damages, judgments and liabilities of any kind, including attorneys’ fees, litigation expenses, and court costs, relating to or arising out of Plan Manager’s failure to comply with the obligations of this section, Plan Manager’s nondisclosure of information required to be disclosed under the Final Rules, or Plan Manager’s failure to make timely or full disclosure as required under the Final Rules.
Sample 1

Related to Transparency in Coverage

  • Transparency On request, the data exporter shall make a copy of these Clauses, including the Appendix as completed by the Parties, available to the data subject free of charge. To the extent necessary to protect business secrets or other confidential information, including the measures described in Annex II and personal data, the data exporter may redact part of the text of the Appendix to these Clauses prior to sharing a copy, but shall provide a meaningful summary where the data subject would otherwise not be able to understand the its content or exercise his/her rights. On request, the Parties shall provide the data subject with the reasons for the redactions, to the extent possible without revealing the redacted information. This Clause is without prejudice to the obligations of the data exporter under Articles 13 and 14 of Regulation (EU) 2016/679.

  • Federal Funding Accountability and Transparency Act (FFATA Subrecipient shall comply with the requirements of 2 CFR part 25 Universal Identifier and System for Award Management (XXX). Subrecipient must have an active registration in XXX, xxxxx://xxx.xxx.gov/XXX/ in accordance with 2 CFR part 25, appendix A, and must have a Data Universal Numbering System (DUNS) number xxxxx://xxxxxx.xxx.xxx/webform/ Subrecipient must also comply with provisions of the Federal Funding Accountability and Transparency Act, which includes requirements on executive compensation, 2 CFR part 170 Reporting Subaward and Executive Compensation Information.

  • Rights Protection Mechanisms and Abuse Mitigation ­‐ Registry Operator commits to implementing and performing the following protections for the TLD:

  • Employment Protection Provisions 9.1.1 ‘Restructuring’ is given the same definition as in section 69OI of the Employment Relations Act 2000 and includes:

  • Health Insurance Portability and Accountability Act Grantee certifies that it is in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law Xx. 000-000, 00 XXX Parts 160, 162 and 164, and the Social Security Act, 42 USC 1320d-2 through 1320d-7, in that it may not use or disclose protected health information other than as permitted or required by law and agrees to use appropriate safeguards to prevent use or disclosure of the protected health information. Grantee shall maintain, for a minimum of six (6) years, all protected health information.

  • Portability The Employer will credit an Employee additional Personal Leave credits up to those held at the date that Employee ceased previous employment provided that:

  • General Leave Provisions 21.1.1 Except where explicitly noted in Article 00 Xxxxx Xxxxx, the Employer may implement, modify, or eliminate the leaves of absence as outlined in this Article and consistent with all state and federal leave requirements. The Employer reserves the right to modify its Leave of Absence policies. The Employer will inform the Union of any material and substantial changes in its Leave of Absence policies prior to implementation.

  • Nondiscrimination Clause GRANTEE shall abide by the Unlawful Discrimination Ordinance, Article XIII of Chapter 2 of the Santa Xxxxxxx County Code, which is attached hereto as Attachment D (County Of Santa Xxxxxxx Unlawful Discrimination Ordinance) and incorporated herein by this reference.

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