Private Insurer definition

Private Insurer means the third-party payor responsible: (i) for an Eligible Patient’s prescription coverage; and (ii) to reimburse Walgreens the Contracted Rate for pharmacy services. Covered Entity acknowledges and agrees that absent a request from Covered Entity to remove a Private Insurer from Covered Entity’s 340B Drug Program, all Private Insurers with whom Walgreens is in- network may be included in Covered Entity’s 340B Drug Program. Private Insurer does not include a state fee-for-service Medicaid program. Walgreens shall not be obligated to identify the Private Insurer to Covered Entity for any 340B transaction.

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Private Insurer means an insurer that is authorized or may be authorized in the future to underwrite in Puerto Rico, insurance against any loss, expense or liability for loss of or damage to persons or property, resulting from or incidental to the ownership, maintenance or use of any land vehicle, aircraft or draft or riding animal, all this in accordance with Article 4.070(1) of the Insurance Code of Puerto Rico, provided that the volume of premiums written for that kind of insurance by said insurer is greater than one (1) percent of the total volume of premiums underwritten in Puerto Rico for the same.

Private Insurer means an authorized insurer or that may be authorized in the future to underwrite insurance in Puerto Rico for any risk, expense, liability for loss or damages caused to persons or property, resulting from the possession, conservation or use of any land vehicle, aircraft or draft or riding animal, or incidental to such, all of which is in conformance with Section 4.070 (1) of the Code, provided that the volume of premium written for this class of insurance by such insurer is more than one (1) percent of the total volume of premiums written in of premiums in Puerto Rico for such class.

Examples of Private Insurer in a sentence

• Covered Entity may also provide each Eligible Patient whose prescriptions are not reimbursable by a Private Insurer with a voucher or similar document that sets forth the amount that Walgreens shall collect from the Eligible Patient at the time of dispensing.

• Notwithstanding the foregoing, unless otherwise provided for elsewhere in this Agreement or required by federal and state laws and regulations, Walgreens Records shall not include Walgreens’ usual and customary pricing data, any other financial and administrative records not related to Walgreens responsibilities under this Agreement, or any proprietary or confidential information related to Private Insurers or the Contracted Rate, including but not limited to the identity of a Private Insurer by claim.

• Eligible Patients may receive 340B Pharmacy Services from any Pharmacy Location as requested by the Eligible Patient, subject to Private Insurer benefit and coverage information and Walgreens’ customary business practice.

• Covered Entity will notify Walgreens at least sixty (60) calendar days prior to any changes to the amount that Walgreens shall collect at the time of dispensing from each Eligible Patient whose prescription is not reimbursable by a Private Insurer.

• For those Eligible Patients whose prescriptions are reimbursable by a Private Insurer, Walgreens is responsible to process and bill such Private Insurer at the existing Contracted Rates.

• Such disclosure of Citizens Policy Data must be necessary to effectuate the placement of risks and subject to a written confidentiality agreement between Agent and the Authorized Private Insurer.

• Agent may also disclose Citizens Policy Data to a Florida Authorized Private Insurer, for the sole purpose of allowing such insurer to consider writing the risks identified in the Citizens Policy Data.

More Definitions of Private Insurer

Private Insurer means a private insurer or an insurer that may be authorized in the future to underwrite motor vehicle liability insurance in Puerto Rico under the Puerto Rico Insurance Code.

Private Insurer means a private mortgage insurance company approved by the Agency and qualified (a) to transact business in the State and (b) to provide insurance on mortgages purchased by Fannie Mae or Freddie Mac.

Private Insurer means a private mortgage insurance company approved by the Authority and (i) qualified to transact business in the State, (ii) qualified to provide insurance on mortgages purchased by the Federal Home Loan Mortgage Corporation or ▇▇▇▇▇▇ ▇▇▇ and (iii) rated by each Rating Agency then rating the 2002 Series A Bonds, at the time each 2002 Series A Mortgage Loan subject to PMI provided by such Private Insurer is made or originated, AA- or better by S&P and Aa3 or better by Moody's.