Examples of Third Party Plan in a sentence
Notwithstanding subparagraph (i), GCX may consider an unsolicited Third Party Plan if and only if the Court finds that (A) the Third Party Plan would provide for a material increase in the aggregate value of the consideration being paid for all of the GCX Business and Assets compared to the Plan, (B) the Third Party Plan is fully-financed and the third party is otherwise capable of performing its obligations thereunder, and (C) GCX may consider the Third Party Plan.
The Services are not reimbursable by any federal, state, or private health care benefit program or insurance plan (each a “Third- Party Plan”), and each Party agrees that it will not submit claims to or seek reimbursement from any Third- Party Plan for any portion of the Services.
The MEUHP will obtain appropriate business associate agreements between the MEUHP and the Claims Administrator, between MEUHP and the Stop Loss Reinsurer and between the MEUHP and the Third Party Plan Administrator.
With the exception of retiree enrollees and COBRA enrollees, the Member District is responsible for collecting any enrollee- paid premiums and for transmitting the full premium due to the Third Party Plan Administrator.
The Member District may obtain a copy of the administrative services agreement between the Third Party Plan Administrator and the MEUHP upon request.
Upon notification to the Third Party Plan Administrator of any termination information, the Third Party Plan Administrator will provide the Member District’s terminating enrollees with all necessary public sector COBRA notifications.
The estimated future costs of restoration are reviewed annually and adjusted as appropriate.
Actual services to be provided by the Third Party Plan Administrator to the MEUHP and the Member Districts is set forth in a written agreement between the Third Party Plan Administrator and the MEUHP.
The Member District agrees and acknowledges that all funds in the MEUHP accounts belong to the MEUHP, and that the MEUHP has authorized the Third Party Plan Administrator access to MEUHP accounts for payment of claim expenses, administrative service fees, stop loss policy premiums, and other plan expenses per written Plan documents, administrative agreements and policies in effect with the MEUHP.
The Member District shall provide prompt notice to the Third Party Plan Administrator of such a determination, and the Third Party Plan Administrator will notify the Claims Administrator of such a determination.