From Contractor Sample Clauses

From Contractor. To: Purpose Frequency Comments Walgreens Health Initiatives or other Prescription drugs administrator selected by the County Eligibility records for subscribers and dependents of the Premier Wellwise health plans only Twice monthly, within 3 business days of loading eligibility file from ACS or other health and welfare vendor selected by the County. Not a pass through of entire ACS file. Records are limited to Premier Wellwise Participants only with Med D indicator. The current WHI file format is attached. Walgreens Health Initiatives or other Prescription drugs administrator selected by the County Claims Data for WHI to calculate ROI of various Prescription Programs they are conducting for County Premier Wellwise participants TBD Format to be determined / Not an existing interface County of Orange Incentive payment records for Annual Premier Wellwise no claim Incentive and Non-smoker incentive Initial file, with 1-2 subsequent follow up files in same format. Payment file and Reports are sent to County. *Note: Negotiations with employee groups are still ongoing and final details of file formats may change as a result of plan variations among employee groups. ATTACHMENT I CONTRACTOR NAMED CLAIM FIDUCIARY County hereby delegates to Contractor fiduciary responsibility and discretion to determine all matters relating to the interpretation and operation of the health plan as it relates to the administration and payment of disputed benefit claims in accordance with the terms of the health plan, this Agreement and to the extent provided in this Attachment I. Notwithstanding any provision in this Agreement to the contrary, the parties agree that Contractor shall provide claim appeal fiduciary services subject to the terms and conditions set forth below. The parties acknowledge that Contractor has received and accepted additional fees/compensation from the County, under this Agreement, for the specific purpose of acting as claims fiduciary for the Plan. Fiduciary Claim Appeal Services Contractor shall act as the claims fiduciary under the health plan for the appeal of disputed claims under the applicable health plan. For purposes of this Agreement, a disputed claim is a claimant’s written request for review and reconsideration of a claim for benefits initially denied in whole or in part by Contractor. Except to the extent Plan Participants file additional appeals with the County, any action taken by Contractor in that capacity shall be fully binding upon the health...
Sample 1
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From Contractor. Contractor agrees to indemnify, defend and hold Company, its affiliates, subsidiaries, employees, directors, officers, shareholders, and clients harmless from any and all claims and threatened claims by any third party, including employees of either party, arising out of, under or in connection with: (i) the death or bodily injury of any third party, the damage loss or destruction of any personal or real property; or (ii) an act or omission of Contractor arising out of or relating to: (a) federal, state or other laws or regulations for the protection of persons who are members of a protected class or category or persons or (b) sexual discrimination or harassment.
Sample 1
From Contractor. To: Purpose Frequency Comments OptumRx or other Pharmacy Benefit Manager selected by County. Eligibility records for subscribers and dependents enrolled in the Wellwise Plans and Sharewell Plans. Weekly, within 3 business days of loading eligibility files from County’s Benefits Center, currently Secova or other health and welfare vendor selected by the County.
Sample 1
From Contractor. If a referral becomes inactive due to ADMINISTRATOR not receiving the ATP within sixty (60) calendar days of the referral stamp date, CONTRACTOR will not be eligible to receive compensation for the referral, regardless of any services provided at any time.
Sample 1

Related to From Contractor

  • General Contractor A building, construction, or contracting firm with whom Borrower has contracted or may in the future contract with for the construction of the Improvements pursuant to a certain construction contract between them (the "Construction Contract").

  • Contractor If COUNTY elects to renegotiate this Agreement due to reduced or terminated 20 funding, CONTRACTOR shall not be obligated to accept the renegotiated terms.

  • B5 Contractor’s Staff B5.1 The Authority may, by written notice to the Contractor, refuse to admit onto, or withdraw permission to remain on, the Authority’s Premises:

  • Sub-Contractors Transfer Agent may, without further consent on the part of Customer, subcontract with other subcontractors for telephone and mailing services as may be required from time to time; provided, however, that the Transfer Agent shall be as fully responsible to the Customer for the acts and omissions of any subcontractor as it is for its own acts and omissions.

  • Engagement of Contractor 1.01 The Authority hereby engages the Contractor and the Contractor agrees to perform the services as set forth in Exhibit A which is herein incorporated by reference.

  • Contractor’s Staff 1. The Contractor shall maintain adequate staff to meet the Contractor’s obligations under this Agreement.

  • Vendor’s Subcontractors TIPS recognizes that many vendors operate in the open market through the use of subcontractors. For that reason, TIPS permits Vendor to utilize subcontractors as authorized and permitted by the TIPS Member Customer. However, all purchase documents must include: (1) Vendor’s Name, as known to TIPS, and; (2) Vendor’s TIPS Contract Name and Number under which it is making the TIPS Sale. Vendor must report the sale pursuant to the terms herein and Vendor agrees that it is legally responsible for all reporting and fee payment as described herein for TIPS Sales even when subcontractors are utilized. The TIPS Administration Fee is assessed on the amount paid by the TIPS Member to Vendor. The Parties intend that Vendor shall be responsible and for actions of subcontractors during a TIPS Sale. Vendor agrees that it is voluntarily authorizing subcontractors and in doing so, Xxxxxx agrees that it is doing so at its own risk and agrees to protect, indemnify, and hold TIPS harmless in accordance with Sections 14-17 above related to subcontractor TIPS Sales made pursuant to this Agreement or purporting to be made pursuant to this Agreement that may be asserted against Vendor whether rightfully brought or otherwise. The Parties further agree that it is no defense to Vendor’s breach of this Agreement that a subcontractor caused Vendor of breach this Agreement.

  • Subcontractor Any vendor, subcontractor or other Person that is not responsible for the overall servicing (as “servicing” is commonly understood by participants in the mortgage-backed securities market) of Mortgage Loans but performs one or more discrete functions identified in Item 1122(d) of Regulation AB with respect to Mortgage Loans under the direction or authority of the Servicer or a Subservicer.

  • Records Retention Contractors and Subcontractors must preserve such certified transcripts for a period of three years from the date of completion of work on the awarded contract.

  • By Contractor Should the Contractor be liable for any payments to the State hereunder, interest, late payment charges and collection fee charges will be determined and assessed pursuant to Section 18 of the State Finance Law.

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