Administrative Operations. EmblemHealth shall conduct the day-to-day administrative operations of the Benefit Programs, including but not limited to: setting premiums; establishing new and revising existing Benefit Plans; making benefit determinations, claims adjudication and any other functions that are necessary and appropriate for the proper administration and support of the arrangement for Covered Services to be provided to Members.
Administrative Operations. The Board shall determine how to accomplish the administrative and other functions of the CMG in accordance with the CMG’s annual budget. In doing so, the Board may hire staff and delegate to such staff any decisions necessary to administer the day‐to‐day operations of the CMG. Such staff may include, without limitation, an executive director for the CMG, whose duties and responsibilities shall be set by the Board. All decisions by the Board with respect to the administrative operations of the CMG shall be made by the majority of the Board. CMG may conduct such documentary and physical inspections of the Project to audit Centennial’s compliance with the Agreement and to verify the accuracy of the Annual Reports, and Centennial shall comply with such inspection and audit requests in a timely fashion.
Administrative Operations. Unless otherwise directed by the Consortium, all administrative operations associated with the Consortium will be coordinated by MCIU under the direction of MCIU’s Director of Business Services.
Administrative Operations. Provider shall employ, in addition to the Plant manager, sufficient administrative assistance at the Site and at its home office for maintaining adequate files and records to support the administration and management of the logistics, operation, and maintenance activities. These records shall be in sufficient detail to support all Operations and Maintenance Services, including all actions and requests regarding inventory of Spare Parts and Consumables, operations, maintenance, performance records of each item of major equipment, Fuel consumption, and other required tasks under this Agreement.
Administrative Operations. (a) Except for Delegated Functions which are the subject of the Delegation Agreement, and as otherwise set forth in this Agreement, the Plan, either directly or through its Affiliates, shall conduct the day-to-day administrative operations of the Coverage Plans, including but not limited to: setting premiums and pricing; establishing the Coverage Plans; processing enrollment applications; determining Covered Person eligibility; providing Covered Person education and services regarding plan administration; performing accounting; billing employers and subscribers; collecting premiums; managing regulatory and Accreditation Agency compliance and reporting for Coverage Plans; administering Covered Person grievances and appeals; marketing for Coverage Plans; and any other functions that are necessary and appropriate for the proper administrative and support of the arrangement for Covered Services to be provided for Covered Persons.
Administrative Operations. Unless otherwise directed by the Consortium, all administrative operations associated with the Consortium will be coordinated by MIU IV under the direction of MIU IV’s Director of Business Services.
