Initial Term Fees. (a) Beginning thirty (30) days prior to the Commencement Date and on a monthly basis during the term of this Agreement following the Commencement Date, OurHealth will invoice Employer, and Employer agrees to pay to OurHealth within thirty (30) days following the date of each invoice, a monthly per employee fee based upon the number of Eligible Persons listed in Employer's Eligibility Files provided by Employer to OurHealth in accordance with Section 4.1. The parties acknowledge and agree that the first invoice will include a credit for the per employee per month fees and the “Activation Fee” further described in Exhibit D. (b) The Parties agree that all Eligible Persons shall be included on the Eligibility File. The monthly fee for Eligible Person included in the Eligibility File (the “PEPM Fee”) is set forth in Exhibit D. The total monthly fee for Eligible Persons (the "Monthly Fee") shall be equal to the number of employees listed on the Eligibility Files on the first (1st) day of each month of the Initial Term multiplied by the applicable PEPM Fee ($60.00, per month in year one (1) of this Agreement), at a minimum of 400 Eligible Persons. No employee of Employer, or any employee dependent, will be eligible to receive services under this Agreement during any month unless the employee (including any former employee receiving COBRA coverage) or dependent is listed in the Eligibility File and Employer has paid a PEPM Fee for the Eligible Person during that month; provided however, a PEPM Fee for the current month shall not be charged for any person added to the Eligibility File after the 15th day of the month as a result of new eligibility (new hire, newly added to COBRA coverage, etc.). Following the Commencement Date, OurHealth will invoice Employer monthly for all other services that Employer elects for Eligible Persons to receive (for example, lab services or drugs) by or before the 15th day of each month of the Initial Term, as described in Exhibit D, and Employer agrees to pay such invoices to OurHealth within thirty (30) days of the date of each such invoice. Any copays collected from Eligible Persons by OurHealth will be credited to Employer on the immediately subsequent month’s invoice. OurHealth will invoice Employer for employees who become Eligible Persons during and prior to the 15th day of the month but who are not included in that month's Eligibility File retroactively on the invoice for the following month. If a person becomes an Eligible Person during, and after the 15th day, of the month, a PEPM Fee shall not be charged for the partial month. If an employee is terminated during a month, the monthly fee for the terminated employees shall not be prorated, and Employer will not be entitled to any refund.
Appears in 1 contract
Sources: Participating Employer Agreement
Initial Term Fees. (a) Beginning thirty (30) 30 days prior to the Commencement Date and due on a the Commencement Date, and monthly basis during the term of this Agreement following the Commencement Date, OurHealth HRH will invoice Employer, and Employer agrees to pay to OurHealth HRH within thirty (30) days following the date of each invoice, a monthly per employee fee based upon the number of Eligible Persons Employees (as defined below) listed in the Employer's ’s Eligibility Files provided by Employer to OurHealth in accordance with Section 4.1File. The parties acknowledge and Parties agree that the first invoice Employer's Employees will include a credit for be listed on the Eligibility File as "Employees". The per employee per month fees and the “Activation Fee” further described in Exhibit D.
fee (b) The Parties agree that all Eligible Persons shall be included on the Eligibility File. The monthly fee for Eligible Person included in the Eligibility File (the “PEPM Fee”) is set forth in Exhibit D. C. The total monthly fee for Eligible Persons Employees (the "Monthly Fee") shall for a given month will be equal to the number of employees Employees listed on the Eligibility Files on File at the first (1st) day time Employer is invoiced times the current PMPM Fee. The Employee Minimum set forth in Exhibit C applies if the number of each month of Employees is less than the Initial Term multiplied by the applicable PEPM Fee ($60.00, per month in year one (1) of this Agreement), at a minimum of 400 Eligible PersonsEmployee Minimum. No employee of Employer, or any employee dependent, will be eligible to receive services under this Agreement during any month unless the employee (including any former employee receiving COBRA coverage) or dependent is listed in the Employer's Eligibility File and Employer has paid a PEPM Fee for the Eligible Person during that month; provided however, a PEPM Fee for the current month shall not be charged for any person added to the Eligibility File after the 15th day of the month as a result of new eligibility (new hire, newly added to COBRA coverage, etc.). Following the Commencement Date, OurHealth HRH will invoice Employer monthly for all other services that Employer elects for Eligible Persons to receive (for example, lab services or drugs) by or before the 15th day of each month of the Initial Term), as described in Exhibit DC, and Employer agrees to pay such invoices to OurHealth HRH within thirty (30) days of following the date of each such invoice. Any copays collected from Eligible Persons by OurHealth will be credited to Employer on the immediately subsequent month’s invoice. OurHealth will invoice Employer for employees who become Eligible Persons during and prior to the 15th day of the month but who are not included in that month's Eligibility File retroactively on the invoice for the following month. If a person becomes an Eligible Person during, and after the 15th day, of the month, a PEPM Fee shall not be charged for the partial month. If an employee is terminated during a month, the monthly fee for the terminated employees shall not be prorated, and Employer will not be entitled to any refund.
Appears in 1 contract
Sources: Participating Employer Agreement