UM Company definition
Examples of UM Company in a sentence
Sponsor must execute a standard ESI “External Appeals Services” Set-Up Form, which may be requested through ESI Account Management, in order to receive such services from UM Company.
In the event ESI performs appeals services, or facilitates the performance of appeals services through the UM Company, ESI or the UM Company, as applicable, will be responsible for conducting the appeal on behalf of Sponsor in accordance with the Claims Rules.
Through its contract with ESI, the UM Company has agreed to be, and will serve as, the named fiduciary for its performance of such appeals.
ESI will not conduct any external review services (as defined in the Patient Protection and Affordable Care Act of 2010 and its implementing regulations (“PPACA”)); provided, however, Sponsor may elect to have UM Company facilitate the provision of external review services through UM company contracted IROs (as such term is defined in PPACA), for the fees set forth on Exhibit A below (if applicable).
If Company gives at least 60 days prior written notice to UM, Company may elect to discontinue patent prosecution and support for Patent Expenses in any country other than [***].
If Sponsor elects to have ESI perform appeals services, Sponsor agrees that ESI may perform such services through the UM Company.
ESI represents to Sponsor that UM Company has contractually agreed that: (A) UM Company will conduct appeals in accordance with the Claims Rules and Sponsor’s plan, (B) Sponsor is a third party beneficiary of UM Company’s agreement with ESI (a copy of which is available upon request) and the remedies set forth therein, and (C) UM Company will indemnify Sponsor for third party claims caused by the UM Company’s negligence or willful misconduct in providing the appeal services.
ESI will not conduct any external review services (as defined in the Patient Protection and Affordable Care Act of 2010 and its implementing regulations (“PPACA”)); provided, however, Sponsor may elect to have UM Company facilitate the provision of external review services through UM company contracted IROs (as such term is defined in PPACA), for the fees set forth on Schedule A below (if applicable).
Notwithstanding Article 6 paragraph 1 of these General Terms and Conditions, the Customer may not purchase a semester membership or monthly membership if he/she has concluded the Agreement through the UM Company Fitness Scheme.
ESI will not conduct any external review services (as defined in the Patient Protection and Affordable Care Act of 2010 and its implementing regulations (“PPACA”)); provided, however, Sponsor may elect to have UM Company facilitate the provision of external review services through UM company contracted Independent Review Organization (“IROs”) (as such term is defined in PPACA), for the fees set forth on Exhibit B below (if applicable).