Other Health Coverage Clause Samples

Other Health Coverage. CONTRACTOR shall direct Clients with Other Health Coverage that includes behavioral health coverage to seek services through Network Providers who take the Other Health Coverage in which they are enrolled. a. CONTRACTOR shall direct Clients who obtain Other Health Coverage that includes behavioral health coverage, and who have been receiving services by an ASO Network Provider to seek services as soon as possible through other Providers who take Other Health Coverage in which they have become enrolled. b. CONTRACTOR shall direct Clients with Other Health Coverage that does not include behavioral health coverage to seek services through COUNTY for a level of care assessment and further treatment if medically necessary. c. CONTRACTOR shall direct Clients who obtain Other Health Coverage that does not include behavioral health coverage after they have been seeing an ASO Network Provider to seek services as soon as possible through COUNTY for a level of care assessment and further treatment if medically necessary. d. This is subject to change if the DHCS rules change regarding accepting claims for Other Health Coverage that does not include behavioral health coverage. e. CONTRACTOR shall direct inpatient providers who submit claims for Clients with Medicare to bill fee-for-service Medi-Cal directly as described in the Medi-Cal manual. f. CONTRACTOR shall direct inpatient providers who submit claims for Clients with Other Health Coverage other than Medicare to also send proof of denial or partial payment with the CMS1500 to CONTRACTOR who shall pay remainder up to what would have been paid if only Medi- Cal eligible.
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Other Health Coverage. CONTRACTOR shall direct beneficiaries 30 Other Health Coverage that includes behavioral health coverage to seek services 31 Providers who take the Other Health Coverage in which they are enrolled. through with 32 1) CONTRACTOR shall direct beneficiariesBeneficiaries who obtain Other Health 33 Coverage that includes behavioral health coverage after they have been seeing an ASO network 34 providerNetwork Provider to seek services as soon as possible through other Providers who take the 35 Other Health Coverage in which they become enrolled. 36 2) CONTRACTOR shall direct beneficiariesBeneficiaries with Other Health 37 Coverage that does not include behavioral health coverage to seek services through the county clinic for
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Other Health Coverage. Should Employee wish to seek other health care coverage in lieu of continuation coverage under COBRA and/or Cal-COBRA, the Company agrees to meet and confer with Employee to discuss such alternatives. Employee has no obligation to seek such alternative coverage, nor does the Company have any obligation to modify or amend its commitments under this Separation Agreement or the Employment Agreement regarding the costs of continuation coverage.
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Related to Other Health Coverage

  • Health Coverage The contribution model for employee health insurance premiums will be based on the City’s contribution of a percentage of those premiums and the employee’s payment of the balance (Percentage-Based Contribution Model), as described below:

  • Workers’ Compensation and Employer’s Liability Coverage The insurer shall agree to waive all rights of subrogation against the City, its directors, officials, officers, employees, agents and volunteers for losses paid under the terms of the insurance policy which arise from work performed by the Consultant.

  • Worker's Compensation and Employer's Liability Insurance The Contractor shall have in effect during the entire life of this Agreement Workers' Compensation and Employer's Liability Insurance providing full statutory coverage. In signing this Agreement, the Contractor certifies, as required by Section 1861 of the California Labor Code, that it is aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this Agreement.

  • Workers’ Compensation and Employer’s Liability (i) Workers’ Compensation insurance indicating compliance with any applicable labor codes, acts, Laws or statutes, state or federal, where Seller performs Work. (ii) Employers’ Liability insurance shall not be less than one million dollars ($1,000,000.00) for injury or death occurring as a result of each accident.

  • Workers’ Compensation Coverage Consultant certifies that Consultant has qualified for workers’ compensation as required by the State of Oregon. Consultant shall provide the Owner, within ten (10) days after execution of this Agreement, a certificate of insurance evidencing coverage of all subject workers under Oregon’s workers’ compensation statutes. The insurance certificate and policy shall indicate that the policy shall not be terminated by the insurance carrier without thirty (30) days’ advance written notice to City. All agents or Consultants of Consultant shall maintain such insurance.