RIGHT TO CHOOSE Clause Samples

RIGHT TO CHOOSE. 1. Each principal subscriber shall have the right to select an HCO from those available in the health Area/Region which at no time will be less than two (2) HCO's at each municipality, one of which has to be a privatized or non-privatized government or municipal facility if available, and subject to compliance with INSURER's requirements for HCO's. The selection of the HCO and primary care physician will be made by the beneficiaries at the INSURER's local or regional offices. The right of beneficiaries to transfer or change from an HCO shall be made at any time without cause during the first 90 days following the date of the

RIGHT TO CHOOSE. 1. Each principal subscriber shall have the right to select an HCO from those available in the health Area/Region which at no time will be less than two (2) HCOs at each municipality, one of which has to be a privatized or non-privatized government or municipal facility if available, and subject to compliance with INSURER's requirements for HCO's. The selection of the HCO or primary care physician will be made by the beneficiaries at the insurance regional offices. The right of beneficiaries to transfer or change from an HCO shall be made at any time without cause during the first 90 days following the date of the beneficiary's initial enrollment or the date of enrollment notice is sent, whichever is later, and at most once every twelve (12) months thereafter, and for any of the causes of disenrollment set forth on 42 CFR 438.56 at any time. 2. Each HCO will have available at least one of each specialist considered a primary care physician and shall meet the specification of the ratio specified in Article VI, and will have a sufficient number of primary care physicians to provide health care services to all beneficiaries according to the ratio specified in Article VI. Furthermore, the INSURER will provide to each HCO a network with a sufficient number of participating providers to render all services included under the basic, special and dental coverage to beneficiaries pursuant to the ratio specified in Article VI. 3. The beneficiary shall have the right to choose his or her primary care physician from those available within the HCO selected by the principal subscriber. Said right also encompasses the change of the selected primary physician at any time by making the proper administrative arrangements within the HCO in conformity with the HCO's established policy. The selected primary care physician or the substitute on-duty primary care physician within the HCO must be available on a 24 hour basis for emergencies and/or telephone consultations. Each HCO must have available all of the primary care physicians (family physicians, internists, general practitioners, pediatricians and obstetrician-gynecologist) subject to waivers in case of unavailability of a specific provider. 4. A primary care physician can only act as such in only one (1) municipality within the Health Area/Region subject of this contract and must be available to attend the health care needs of the beneficiary on a twenty four (24) hour basis, seven (7) days a week. 5. A primary care physi...

RIGHT TO CHOOSE. You have the right to decide not to receive services with me. If you wish, I will provide you with names of other qualified professionals.

RIGHT TO CHOOSE. 1. All employees shall have the right to choose the fund pursuant to this clause.

RIGHT TO CHOOSE. Employees have the right to choose a Fund. If employees do not make a choice, contributions will be made into a Fund nominated by Ego.

RIGHT TO CHOOSE. All employees have the right to choose the fund in respect of all superannuation contributions made on their behalf.

RIGHT TO CHOOSE. 3.2.1 Each principal subscriber must have the right to select an HCO from those available in the Metro-North Region. The right of beneficiaries to transfer or change from an HCO shall be exercised orally or in writing to TPA by the enrollee at any time, without cause, during the first 90 days following the date of the enrollee’s initial enrollment or the date enrollment notice is sent to THE ADMINISTRATION, whichever is later, and at most once every twelve (12) months thereafter. An enrollee may change his/her enrollment for cause, at any time, for the following reasons: (1) the enrollee moves out of the area of service of the HCO and is not within a reasonable distance from the area of service of the HCO; (2) the HCO does not cover the service because of moral or religious objections; (3) the enrollee needs related services to be performed at the same time; not all related services are available within the network; and the enrollee’s primary care provider or another provider determines that receipt of services separately would subject the enrollee to unnecessary risk; and, (4) other reasons, including but not limited to, poor quality of care and lack of access to experienced providers capable of handling the enrollee’s health care needs. The enrollee shall assure proper written or oral notification of his/her desire to exercise the right to change from HCO, in a standard form to be provided by TPA, at least 60 days prior to the end of each 12 month enrollment period. 3.2.2 Each HCO network will have available at least one of each specialist considered a primary care physician, and shall meet the network and ratio criteria specified in Section 3.3 for all the services specified in this Contract. Furthermore, the ADMINISTRATION expects that TPA establish and contract with networks of Medical Groups and Mental Health Care Providers for the region (HCOs, EPOs, and PPOs, as applicable; sufficient to satisfy the GHIP population needs. 3.2.3 The enrollee shall have the right to choose his or her primary care physician from those available within the HCO selected by the principal enrollee. Said right also encompasses the change of the selected primary physician at any time by making the proper administrative arrangements within the HCO in conformity with the HCO’s established policy. The TPA or HCO, as applicable, shall guarantee that providers, including, but not limited to, the selected primary care physician or the substitute on-duty primary care physician wit...

RIGHT TO CHOOSE. SCP shall in its absolute discretion have the right to choose whether to sell or not sell a product or line of products or to an industry / customer or any combination of them. SCP always shall have the first right of refusal to sell new product or lines of products or to new industry / customer or any combination of them. The parties agree that the products and services that are not subject to this Agreement shall be listed in Schedule C which will be revised, updated, and ratified from time to time as required.

RIGHT TO CHOOSE. If a party is entitled to bring a claim under more than one provision of Section 10.2 or Section 10.3, as the case may be, such party may choose in its sole and absolute discretion the provision or provisions under which it seeks indemnification.