Responsibility for Members at Termination Sample Clauses

The 'Responsibility for Members at Termination' clause defines how obligations toward members are handled when an agreement or membership ends. Typically, this clause clarifies which party is responsible for outstanding duties, such as final payments, benefits, or notifications to members, upon termination. For example, it may specify whether the organization or the departing member must fulfill certain requirements before the relationship is fully concluded. Its core function is to ensure a clear allocation of responsibilities at the end of the agreement, thereby preventing disputes and ensuring a smooth transition for all parties involved.
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty (60) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless ▇▇▇▇▇ or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. ▇▇▇▇▇ shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreement. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should ▇▇▇▇▇ and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.
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Responsibility for Members at Termination. Pursuant to Title 11 NCAC 20.0202(5), in the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), or in the event that ▇▇▇▇▇ and/or Plan(s) become insolvent, PROVIDER shall cooperate with ▇▇▇▇▇ in the transition of administrative duties and records and shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty (60) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless ▇▇▇▇▇ or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. ▇▇▇▇▇ shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreement. (a) Pursuant to 11 NCAC 20.0202(5), in the case of insolvency with health maintenance organization or of ▇▇▇▇▇, PROVIDER’s continuing obligations after termination of this Agreement shall, after the health maintenance organization or ▇▇▇▇▇’ insolvency, include the transition of administrative duties and records and the continuation of the provision of Covered Services to Enrollee(s) for the duration of the period for which premium payment has been made and, if applicable, until the Enrollee’s discharge from inpatient facilities. (b) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the parties agree all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (c) Should ▇▇▇▇▇ and/or Plan(s) initiate termination of this Agreement, or should ▇▇▇▇▇ and/or Plan(s) become insolvent, PROVIDER acknowledges and agrees PROVIDER’s obligations as set for...
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Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a patient), unless ▇▇▇▇▇ or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. ▇▇▇▇▇ shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated in this Agreement for Covered Services.
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Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of ninety (90) days, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless ▇▇▇▇▇ or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. ▇▇▇▇▇ shall compensate PROVIDER for those Medically Appropriate, Covered Services provided to a Member pursuant to this Section VII.4 (prior to and following the effective termination date of this Agreement) at the rates for Covered Services indicated in Exhibit 1 of this Agreement. Any dispute arising from this paragraph shall be resolved in accordance with the then current ▇▇▇▇▇ Vision Care Plan Provider Manual. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents, with accrediting standards, or with TX HMO Act §843.362 regarding Member(s) who have a “special circumstance” and in accordance with the dictates of medical prudence. For the purposes of this Section VII.4, “special circumstance” means a condition regarding which a PROVIDER reasonably believes that discontinuing care would cause harm to a Member/patient. Examples of a Member who has a “special circumstance” include, but are not limited to, a Member with a disability, acute condition, life-threatening illness, or who is past the twenty-fourth (24th) week of pregnancy. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should ▇▇▇▇▇ and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.
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Responsibility for Members at Termination. Specialists affiliated with Provider Group shall continue to provide Covered Services to a Member who is receiving Covered Services from Provider Group on the effective termination date of this Agreement until the Covered Services being rendered to the Member by Specialist's are completed (consistent with existing medical ethical/legal requirements for providing continuity of care to a patient), unless MHG or a Plan makes reasonable and medically appropriate provision for the assumption of such Covered Services by another physician or other appropriate healthcare professional. MHG shall compensate Provider Group for those Covered Services provided to a Member pursuant to this Section 8.6 (prior to and following the effective termination date of this Agreement) in accordance with a fee-for-service basis established by MHG from time to time using the Medicare allowable fee schedule.
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Responsibility for Members at Termination. In the event of termination of this Agreement other than as provided in subsection 9.4(1) above, BJC and BJC Providers shall continue to provide Covered Services to Members in accordance with this Agreement for one year from the effective date of termination. Any such Covered Services rendered by BJC or BJC Providers to Members on a post-termination basis pursuant to this Section shall be reimbursed by the Plan or the appropriate Payor at the rate at which BJC and BJC providers are compensated during the period immediately preceding such termination.
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Responsibility for Members at Termination. In the event the Agreement is terminated for any reason except the failure to comply with legal requirements or the loss of licensure (as set forth in Section V of the Agreement), where medically necessary for the Member to continue treatment with PROVIDER, PROVIDER shall be continue to provide Covered Services as provided in Section VII.4 of the Agreement for up to one hundred twenty (120) days after such termination of the Agreement.
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Related to Responsibility for Members at Termination

  • Termination by the Company for Cause or by the Executive without Good Reason The Company may terminate the Executive’s employment pursuant to the terms of this Agreement at any time for Cause (as defined below) by giving the Executive written notice of termination. Such termination shall become effective upon the giving of such notice. Upon any such termination for Cause, or in the event the Executive terminates his employment with the Company without Good Reason (as defined in Section 6(c)), then the Executive shall have no right to compensation, or reimbursement under Section 4, or to participate in any Executive benefit programs under Section 5, except as may otherwise be provided for by law, for any period subsequent to the effective date of termination. For purposes of this Agreement, “Cause” shall mean: (i) the Executive is convicted of, or pleads guilty or nolo contendere to, a felony related to the business of the Company; (ii) the Executive, in carrying out his duties hereunder, has acted with gross negligence or intentional misconduct resulting, in any case, in material harm to the Company; (iii) the Executive misappropriates Company funds or otherwise defrauds the Company including a material amount of money or property; (iv) the Executive breaches his fiduciary duty to the Company resulting in material profit to him, directly or indirectly; (v) the Executive materially breaches any agreement with the Company and fails to cure such breach within 10 days of receipt of notice, unless the act is incapable of being cured; (vi) the Executive breaches any provision of Section 8 or Section 9; (vii) the Executive becomes subject to a preliminary or permanent injunction issued by a United States District Court enjoining the Executive from violating any securities law administered or regulated by the SEC; (viii) the Executive becomes subject to a cease and desist order or other order issued by the SEC after an opportunity for a hearing; (ix) the Executive refuses to carry out a resolution adopted by the Company’s Board at a meeting in which the Executive was offered a reasonable opportunity to argue that the resolution should not be adopted; or (x) the Executive abuses alcohol or drugs in a manner that interferes with the successful performance of his duties.

  • Termination by the Company for Cause or by Executive Without Good Reason If the Company terminates the Executive’s employment for Cause or the Executive terminates his employment without Good Reason, the Executive shall have no rights or claims against the Company except to receive the payments and benefits described in Section 6(a).

  • Termination by the Employee for Good Reason The Employee shall have the right to terminate for “Good Reason” upon thirty (30) days’ prior written notice. For purposes of this Agreement, “Good Reason” shall mean (i) the Company’s material breach of its obligations under this Agreement, including, without limitation, its obligation to pay salary to the Employee, (ii) a material and adverse diminution in the Employee’s job duties, responsibilities or authority, (iii) a change in the location where the Employee is required to perform his duties and responsibilities which exceeds fifty (50) miles from the location specified in Section 5 hereof, or (iv) a material reduction in the Employee’s base salary, it being intended that an individual or aggregate reduction of more than 10% from the Employee’s prior base salary level shall be considered material for purposes of this Agreement. Employee may not resign Employee’s employment for Good Reason unless (A) Employee gives the Company written notice of his objection to any event set forth above within 30 days following such event, (B) such event is not corrected, in all material respects, by the Company within 30 days following its receipt of such notice, and (C) Employee resigns his employment with the Company not more than 30 days following the expiration of the 30-day correction period described in the foregoing subclause (B). In the event of a termination pursuant to this Section, in addition to any other payments or benefits to which the Employee may be entitled under the Company’s benefit plans then in effect, the Company shall pay to the Employee, (i) his base salary through the date of termination, and (ii) provided that the Employee executes within 21 days after termination of employment and does not revoke a general release of claims against the Company and its affiliates, equityholders officers, directors, agents and employees as to employment, benefits and compensation related claims, in a form acceptable to the Company, an amount equal to one times (1.0x) the sum of Employee’s (a) base salary as of the date of termination and (b) Bonus Amount, payable in a single lump sum within 30 days after the date of termination. In the event a severance payment is made under this Section 7.E., the Company will pay to Employee a monthly payment on the first payroll date of each month equal to the COBRA cost of continued health and dental coverage under health and dental plans of the Company pursuant to Section 4980B of the Internal Revenue Code, less the amount that Employee would be required to contribute for health and dental coverage if Employee were an active employee, for a period of twelve (12) months from the termination date; provided, however, that this obligation shall cease at the end of the Benefits Period. These payments will commence on the Company’s first payroll date after the termination date and will continue until the end of the Benefit Period. For the avoidance of doubt, in the event of a termination under this Section 7.E., the Employee shall not be entitled to any other payments under this Agreement except for the Accrued Obligations or as set forth in the immediately preceding sentence.

  • Termination by the Employer for Cause If the Employer terminates this Agreement for cause, the Executive will be entitled to receive his Salary only through the date such termination is effective, but will not be entitled to any Incentive Compensation for the Fiscal Year during which such termination occurs or any subsequent Fiscal Year.

  • Termination by the Executive Without Good Reason The Executive may terminate his employment on his own initiative for any reason upon 30 days’ prior written notice to the Company; provided, however, that during such notice period, the Executive shall reasonably cooperate with the Company (at no cost to the Executive) in minimizing the effects of such termination on the Company Group. Such termination shall have the same consequences as a termination for Cause under Section 6.2.