CONTRACTS WITH HCOS AND ALL PARTICIPATING PROVIDERS. 1. All services necessary to provide beneficiaries the benefits of the Basic, Special and Dental Coverage shall be contracted in writing with all participating providers. The INSURER will ensure that all provisions and requirements contained in this contract are properly included in the contracts with the HCO's and with all participating providers and that they are carried out by said HCO's and participating providers. Such provisions and requirements made part of these contracts will be properly notified to the ADMINISTRATION. Coverage afforded to beneficiaries under this contract constitutes a direct obligation on the part of the INSURER's participating providers to comply with all terms and conditions contained herein.
Appears in 3 contracts
Samples: Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp), Health Insurance Contract (Triple-S Management Corp)
CONTRACTS WITH HCOS AND ALL PARTICIPATING PROVIDERS. 1. All services necessary to provide beneficiaries the benefits of the Basic, Special and Dental Coverage shall be contracted in writing with all participating providers. The INSURER will ensure that all provisions and requirements contained in this contract are properly included in the contracts with the HCO's HCOs and with all participating providers and that they are carried out by said HCO's HCOs and participating providers. Such provisions and requirements made part of these contracts will be properly notified to the ADMINISTRATION. Coverage afforded to beneficiaries under this contract constitutes a direct obligation on the part of the INSURER's participating providers to comply with all terms and conditions contained herein.
Appears in 3 contracts
Samples: Terms and Conditions (Triple-S Management Corp), Terms And (Triple-S Management Corp), Terms and Conditions (Triple-S Management Corp)
CONTRACTS WITH HCOS AND ALL PARTICIPATING PROVIDERS. 1. All services necessary to provide beneficiaries the benefits of the Basic, Special and Dental Coverage shall be contracted in writing with all participating providers. The INSURER will ensure that all provisions and requirements contained in this contract are properly included in the contracts with the HCO's ’s and with all participating providers and that they are carried out by said HCO's ’s and participating providers. Such provisions and requirements made part of these contracts will be properly notified to the ADMINISTRATION. Coverage afforded to beneficiaries under this contract constitutes a direct obligation on the part of the INSURER's ’s participating providers to comply with all terms and conditions contained herein.
Appears in 1 contract
