Disclosure of Ownership. The MCO, as a “disclosing entity,” must supply BMS with full and complete information of each person (individual or corporation) with an ownership or control interest in the MCO or the MCO’s subcontractor in which the MCO has direct or indirect ownership of five percent or more, in accordance with 42 CFR 455.104. This disclosure must include for each person: The name and address of the person, including the primary business address, every business location, and P.O. Box address, as applicable; Date of birth and Social Security Number (in the case of an individual); Tax identification number for a corporation with an ownership or control interest in the MCO or for a subcontractor in which the MCO has a 5 percent or more interest; Whether the person (individual or corporation) with ownership or control interest in the disclosing entity and/or subcontractor is related to any other person with ownership or control interest such as a spouse, parent, child, or sibling; The name of any other organization in which a person with ownership or control interest in the MCO also has an ownership or control interest; and The name, address, date of birth, and Social Security Number of an agent or a managing employee of the disclosing entity. The disclosures must be submitted at the time of contract execution, contract renewal, or contract extension, within 35 days after any change in ownership of the MCO, and within 35 days of BMS request. The MCO must also submit to BMS a copy of any information it submits to the Department of Insurance regarding disclosure of ownership or control interest.
Appears in 2 contracts
Sources: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Disclosure of Ownership. The MCO, as a “disclosing entity,” must supply BMS with full and complete information of each person (individual or corporation) with an ownership or control interest in the MCO or the MCO’s subcontractor Subcontractor in which the MCO has direct or indirect ownership of five percent or more, in accordance with 42 CFR 455.104. This disclosure must include for each person: • The name and address of the person, including the primary business address, every business location, and P.O. Box address, as applicable; • Date of birth and Social Security Number (in the case of an individual); • Tax identification number for a corporation with an ownership or control interest in the MCO or for a subcontractor Subcontractor in which the MCO has a 5 five (5) percent or more interest; • Whether the person (individual or corporation) with ownership or control interest in the disclosing entity and/or subcontractor Subcontractor is related to any other person with ownership or control interest such as a spouse, parent, child, or sibling; • The name of any other organization in which a person with ownership or control interest in the MCO also has an ownership or control interest; and • The name, address, date of birth, and Social Security Number of an agent or a managing employee of the disclosing entity. The disclosures must be submitted at the time prior to award or award renewal of contract execution, contract renewal, or contract extensionthis Contract, within 35 thirty-five (35) days after any change in ownership of the MCO, and or within 35 thirty five (35) days of BMS request. The MCO must also submit to BMS a copy of any information it submits to the Department of Insurance regarding disclosure of ownership or control interest.
Appears in 2 contracts
Sources: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Disclosure of Ownership. The MCO, as a “disclosing entity,” must supply BMS with full and complete information of each person (individual or corporation) with an ownership or control interest in the MCO or the MCO’s subcontractor Subcontractor in which the MCO has direct or indirect ownership of five percent or more, in accordance with 42 CFR 455.104. This disclosure must include for each person: The name and address of the person, including the primary business address, every business location, and P.O. Box address, as applicable; Date of birth and Social Security Number (in the case of an individual); Tax identification number for a corporation with an ownership or control interest in the MCO or for a subcontractor Subcontractor in which the MCO has a 5 five (5) percent or more interest; Whether the person (individual or corporation) with ownership or control interest in the disclosing entity and/or subcontractor Subcontractor is related to any other person with ownership or control interest such as a spouse, parent, child, or sibling; The name of any other organization in which a person with ownership or control interest in the MCO also has an ownership or control interest; and The name, address, date of birth, and Social Security Number of an agent or a managing employee of the disclosing entity. The disclosures must be submitted at the time prior to award or award renewal of contract execution, contract renewal, or contract extensionthis Contract, within 35 thirty-five (35) days after any change in ownership of the MCO, and or within 35 thirty five (35) days of BMS request. The MCO must also submit to BMS a copy of any information it submits to the Department of Insurance regarding disclosure of ownership or control interest.
Appears in 1 contract
Disclosure of Ownership. The MCO, as a “disclosing entity,” must supply BMS with full and complete information of each person (individual or corporation) with an ownership or control interest in the MCO or the MCO’s subcontractor in which the MCO has direct or indirect ownership of five percent or more, in accordance with 42 CFR 455.104. This disclosure must include for each person: • The name and address of the person, including the primary business address, every business location, and P.O. Box address, as applicable; • Date of birth and Social Security Number (in the case of an individual); • Tax identification number for a corporation with an ownership or control interest in the MCO or for a subcontractor in which the MCO has a 5 percent or more interest; • Whether the person (individual or corporation) with ownership or control interest in the disclosing entity and/or subcontractor is related to any other person with ownership or control interest such as a spouse, parent, child, or sibling; • The name of any other organization in which a person with ownership or control interest in the MCO also has an ownership or control interest; and • The name, address, date of birth, and Social Security Number of an agent or a managing employee of the disclosing entity. The disclosures must be submitted at the time prior to award or award renewal of contract execution, contract renewal, or contract extensionthis Contract, within 35 (thirty five) days after any change in ownership of the MCO, and or within 35 (thirty five) days of BMS request. The MCO must also submit to BMS a copy of any information it submits to the Department of Insurance regarding disclosure of ownership or control interest.
Appears in 1 contract