Third Party Administrators Clause Samples
The Third Party Administrators clause defines the rights and responsibilities related to the use of external organizations or individuals to manage certain administrative functions on behalf of a party to the contract. Typically, this clause outlines which tasks may be delegated, such as claims processing or benefits administration, and may set standards for the selection, oversight, and accountability of the third party administrator. Its core practical function is to clarify the scope and limits of outsourcing administrative duties, ensuring that both parties understand how such arrangements will be managed and who remains ultimately responsible for compliance and performance.
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Third Party Administrators. The Plan Administrator has engaged certain third party administrators (TPA) to assist in the administration of the Plan. Under these TPA arrangements, the Employer has agreed to provide the following information to you (in compliance with the Third Party Administrator Act (e.g. MCL 550.901 et seq): This Basic SPD and Plan document, the Adoption Agreement, and the applicable Benefits Guides, describe your benefits under each benefit program and whether such benefits are self-funded through the general assets of the Employer or fully- insured through an insurance company. If a benefit program is self-funded from the general assets of the Employer (and not fully insured), and in the event such self-funded program or the Employer does not ultimately pay medical expenses that are eligible for payment under the benefit program for any reason, the individuals covered by the Plan may be liable for those expenses. The TPA merely processes claims and does not insure that any medical expenses of individuals covered by the benefit program will be paid. Complete and proper claims for benefits made by individuals covered by the Plan will be promptly processed but that in the event there are delays in processing claims, the individuals covered by the benefit program shall have no greater rights to interest or other remedies against the TPA than as otherwise afforded them by law.
Third Party Administrators. 1.2.1 Each party will transmit Documents directly through State of Ohio Electronic Commerce Center (ECC) a third party administrator ("Agent").
1.2.2 ODA shall be responsible for the costs of the Agent with which it contracts.
1.2.3 Each party shall be responsible for the acts or omissions of the Agent while transmitting, receiving, storing or handling Documents or performing related activities for such party. As both parties will be using the same Agent to effect the transmission and receipt of a Document, the originating party shall be responsible for the acts or omissions of such Agent relative to such Document.
Third Party Administrators. (a) To the Knowledge of SALIC, from January 1, 2014 to the date hereof, each third- party administrator that managed or administered insurance business for the SALIC Group Companies, at the time such Person managed or administered such business, was duly licensed or registered as required by Applicable Law (for the type of business managed or administered on behalf of the Scottish Insurance Companies), and to the Knowledge of SALIC, no such third- party administrator is in violation (or with or without notice or lapse of time or both, would be in violation) of any term or provision of any Applicable Law related to the administration or management of insurance business for the Scottish Insurance Companies, except for such failures to be licensed or such violations which have been cured, resolved or settled through agreements with applicable Governmental Authorities or are barred by an applicable statute of limitations or, individually or in the aggregate, are not material.
Third Party Administrators. Except as would not, individually or in the aggregate, have a Company Material Adverse Effect, to the knowledge of the Company, since January 1, 2022, each third-party administrator that managed or administered insurance business for any of the Insurance Companies, at the time such Person managed or administered such business, was duly licensed as required by Law for the type of business managed or administered on behalf of the applicable Insurance Company, and to the knowledge of the Company, no such third-party administrator has been since January 1, 2022 or is in violation (or with or without notice or lapse of time or both, would be in violation) of any term or provision of any Law applicable to the administration or management of insurance business for the Insurance Companies, except in each case as would not, individually or in the aggregate, have a Company Material Adverse Effect.
Third Party Administrators. Since the IPO Date, each third-party administrator, insurance claims adjuster or managing general agent that managed, adjusted or administered the business for the Insurance Subsidiaries (whether or not Affiliates thereof) at the time such person managed, adjusted or administered the business, to the Knowledge of the Company, was duly licensed as required by applicable Insurance Law (for the type of business managed or administered on behalf of the Insurance Subsidiaries), and to the Knowledge of the Company, no such third-party administrator, adjuster or managing general agent has been since the IPO Date, or is, in violation (or with or without notice or lapse of time or both, would be in violation) of any term or provision of any applicable Insurance Law applicable to the administration, adjusting or management of insurance business for the Insurance Subsidiaries, except as is not, or would not reasonably be expected to be, material to the Company and its Subsidiaries, taken as a whole.
Third Party Administrators. Unless it obtains the prior written consent of the Company, the Reinsurer shall not use the services of any third-party administrators in connection with the administration and servicing of the Policies.
Third Party Administrators. To the Knowledge of the Cedents, since January 1, 2024, each third-party administrator that managed or administered any material portion of the Subject Business, at the time such Person managed or administered such Subject Business, was duly licensed as required by Applicable Law (for the type of business managed or administered on behalf of such entity), and to the Knowledge of the Cedents, no such third-party administrator has been since January 1, 2024 or is in violation (or with or without notice or lapse of time or both, would be in violation) of any term or provision of any Applicable Law applicable to the administration or management of insurance business for the Cedents except for such failures to be licensed or such violations that would not, individually or in the aggregate, result in a Material Adverse Effect. The Cedents make no representations or warranties with respect to this Agreement other than those expressly set forth in this Article III. The representations and warranties of the Cedents contained in this Article III are limited to this Agreement, and are not intended to be representations or warranties of the Cedents under any other Transaction Agreements. Nothing contained herein shall be construed to alter or add to any representations or warranties that may be separately given by any Cedent under any Transaction Agreement (which representations and warranties shall relate solely to the Transaction Agreement in which they are given).
Third Party Administrators. 1.2.1 Each party will transmit Documents directly or through a third party administrator ("Agent"), as will be specified by the party in the MACSIS claims testing process. Either party may modify its election to use, not use, or change an Agent upon thirty days prior written notice to the other party.
1.2.2 Each party shall be responsible for the costs of any Agent with which it contracts.
1.2.3 Each party shall be responsible for the acts or omissions of its Agent while transmitting, receiving, storing or handling Documents or performing related activities for such party. If both parties use the same Agent to effect the transmission and receipt of a Document, the originating party shall be responsible for the acts or omissions of such Agent relative to such Document.
Third Party Administrators. Except as set forth in Section 3.26 of the Seller Disclosure Schedule, to the Knowledge of Seller, since December 31, 2014, each third party administrator that managed or administered insurance business for the Company or, with respect to the Business, Seller or any of its Affiliates, at the time such Person managed or administered such business, was duly licensed as required by Applicable Law (for the type of business managed or administered on behalf of such entity), and to the Knowledge of Seller, no such third party administrator has been since December 31, 2014 or is in violation (or with or without notice or lapse of time or both, would be in violation) of any term or provision of any Applicable Law applicable to the administration or management of insurance business for the Company or, with respect to the Business, Seller or any of its Affiliates, except for such failures to be licensed or such violations which have been cured, resolved or settled through agreements with applicable Governmental Entities, are barred by an applicable statute of limitations, or that, individually or in the aggregate, have not had, and would not reasonably be expected to have, a Material Adverse Effect.
Third Party Administrators. The Ceding Company shall not use the services -------------------------- of any third party administrators in connection with the administration and servicing of the Assumed Policies unless it obtains the prior written consent of the Reinsurer.