Children's Medical Services Network Sample Clauses
Children's Medical Services Network. If there is a material impact on the premium in Exhibit A due to the implementation of the Children's Medical Services Network as created in Chapter 391, Florida Statutes, PHP agrees to reduce the premium in Exhibit A in an amount consistent with sound actuarial practices.
Children's Medical Services Network. A primary care case management program for children from birth through age 18 with special health care needs, administered by the Department of Health for physical health services and the Department of Children and Families for behavioral health.
Children's Medical Services Network. If there is a material impact on the premium in Exhibit A due to the implementation of the Children’s Medical Services Network as created in Chapter 391, Florida Statutes, INSURER agrees to reduce the premium in Exhibit A in an amount consistent with sound actuarial practices.
2-4 Program Updates FHKC shall provide INSURER with updates on Program highlights such as Participant demographics, profiles, newsletters, legislative or regulatory inquiries and Program directives.
2-5 Change in Benefit Schedule INSURER understands that changes in federal and state law may require amendments to the Participant benefit schedule as set forth in Exhibit C. Should such changes be necessary, FHKC shall notify INSURER in writing of the required change and INSURER shall have thirty (30) days to agree to the amended benefits schedule. If INSURER elects not to implement a change in the benefit schedule, FHKC may terminate this Agreement by providing INSURER with a written notice of termination and include a termination date of not less than ninety (90) days from date of the written notification. If the change in the benefit schedule results in a reduction in a benefit level, INSURER shall reduce its premium rate by an amount actuarially equivalent to the benefit reduction. INSURER must provide an actuarial memorandum to FHKC indicating the actuarial value of the benefit reduction.
2-6 Marketing FHKC will market the Program primarily through the county school districts. FHKC agrees that INSURER shall be allowed to participate in any scheduled marketing efforts to include, but not be limited to, any scheduled open house type activities. However, INSURER is prohibited from any direct marketing to applicants or Enrollees. INSURER may not utilize FHKC’s logo, name, or corporate identity, unless such activity or promotion has received prior written authorization from FHKC. Written authorization must be received for every individual activity. FHKC will have the right of approval or disapproval of all descriptive plan literature and forms. 2-7 Forms and Reports FHKC agrees that INSURER shall participate in the development of any FHKC eligibility report formats that may be required from time to time.
Children's Medical Services Network. If there is a material impact on the premium in Exhibit A due to the implementation of the Children's Medical Services Network as created in Chapter 391, Florida Statutes, PHP agrees to reduce the premium in Exhibit A in an amount consistent with sound actuarial practices.
2-4 Program Updates FHKC shall provide PHP with updates on program highlights such as participant demographics, profiles, newsletters, legislative or regulatory inquiries and program directives.
2-5 Change in Benefit Schedule FHKC agrees that any changes to the participant benefit schedule as set forth in Exhibit C attached hereto and incorporated herein as part of this Agreement, shall only be made as the parties hereto may mutually agree in writing.
2-6 Marketing FHKC will market the program primarily through the Orange, Osceola and Seminole school districts. FHKC agrees that PHP shall be allowed to participate in any scheduled marketing efforts to include, but not be limited to, any scheduled open house type activities. However, PHP is prohibited from any direct marketing to applicants or the use of FHKC's logo, name or corporate identity unless such activity has received prior written authorization from FHKC. Written authorization must be received for every individual activity. FHKC will have the right of approval or disapproval of all descriptive plan literature and forms.
Children's Medical Services Network. If there is a material impact on the premium in Exhibit A due to the implementation of the Children's Medical Services Network as created in Chapter 391, Florida Statutes, INSURER agrees to reduce the premium in Exhibit A in an amount consistent with sound actuarial practices.
