Definition of Good Standing Agency Sample Clauses

Definition of Good Standing Agency. Verification that issuer holds a state health care service plan license or insurance certificate of authority. • Approved for lines of business sought in Covered California (e.g. commercial, small group, individual) DMHC and CDI • Approved to operate in what geographic service areas DMHC and CDI • Most recent financial exam and medical survey report reviewed DMHC •Most recent market conduct exam reviewed CDI Affirmation of no material1 statutory or regulatory violations, including penalties levied, during the year prior to the date of the Agreement or throughout the term of Agreement in relation to any of the following, where applicable: • Financial solvency and reserves reviewed DMHC and CDI • Administrative and organizational capacity acceptable DMHC • Benefit Design • State mandates (to cover and to offer) DMHC and CDI • Essential health benefits (State required) DMHC and CDI • Basic health care services DMHC and CDI • Copayments, deductibles, out-of-pocket maximums DMHC and CDI • Actuarial value confirmation (using the Federal Actuarial Value Calculator as applicable.) DMHC and CDI • Network adequacy and accessibility standards are met DMHC and CDI • Provider contracts DMHC and CDI • Language Access DMHC and CDI • Uniform disclosure (summary of benefits and coverage) DMHC and CDI • Claims payment policies and practices DMHC and CDI • Provider complaints DMHC and CDI • Utilization review policies and practices DMHC and CDI • Quality assurance/management policies and practices DMHC and CDI • Enrollee/Member grievances/complaints and appeals policies and practices DMHC and CDI • Independent medical review DMHC and CDI • Marketing and advertising DMHC and CDI • Guaranteed issue individual and small group DMHC and CDI • Rating Factors DMHC and CDI • Medical Loss Ratio DMHC and CDI • Premium rate review DMHC and CDI • Geographic rating regions • Rate development and justification is consistent with ACA requirements DMHC and CDI 1Covered California, in its sole discretion and in consultation with the appropriate health insurance regulator, determines what constitutes a material violation for this purpose.
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Definition of Good Standing Agency. Verification that issuer holds a state health care service plan license or insurance certificate of authority. • Approved for lines of business sought in the Exchange (e.g., commercial, small group, individual) • Approved to operate in what geographic service areas • Most recent financial exam and medical survey report reviewed • Most recent market conduct exam reviewed DMHC and CDI DMHC and CDI DMHC CDI Affirmation of no material1 statutory or regulatory violations, including penalties levied, in the past two years in relation to any of the following, where applicable: • Financial solvency and reserves reviewed • Administrative and organizational capacity acceptable • Benefit Design • State mandates (to cover and to offer) • Essential health benefits (State required) • Basic health care services • Copayments, deductibles, out-of-pocket maximums • Actuarial value confirmation (using 2017 Federal Actuarial Value Calculator) • Network adequacy and accessibility standards are met • Provider contracts • Language Access • Uniform disclosure (summary of benefits and coverage) • Claims payment policies and practices • Provider complaints • Utilization review policies and practices • Quality assurance/management policies and practices • Enrollee/Member grievances/complaints and appeals policies and practices • Independent medical review • Marketing and advertising • Guaranteed issue individual and small group • Rating Factors • Medical Loss Ratio • Premium rate review • Geographic rating regions • Rate development and justification is consistent with ACA requirements DMHC and CDI DMHC DMHC and CDI DMHC and CDI DMHC and CDI DMHC and
Sample 1

Related to Definition of Good Standing Agency

  • Regulatory Good Standing Certification Does Vendor certify that its entity is in good standing will all government entities and agencies, whether local, state, or federal, that regulate any aspect of Vendor's field of work or business operations? If Vendor selects "No", Vendor must provide explanation on the following attribute question. Yes

  • Good Standing The Representatives shall have received on and as of the Closing Date or the Additional Closing Date, as the case may be, satisfactory evidence of the good standing of the Company and its subsidiaries in their respective jurisdictions of organization and their good standing as foreign entities in such other jurisdictions as the Representatives may reasonably request, in each case in writing or any standard form of telecommunication from the appropriate governmental authorities of such jurisdictions.

  • Organization and Good Standing Seller has been duly organized and is validly existing as a corporation in good standing under the laws of the State of Delaware, with power and authority to own its properties and to conduct its business as such properties are currently owned and such business is currently conducted, and had at all relevant times, and now has, power, authority and legal right to acquire, own and sell the Receivables and the Other Conveyed Property to be transferred to Purchaser.

  • Regulatory Good Standing Certification - Explanation - Continued If Vendor responded to the prior attribute that "No", Vendor is not in good standing, Vendor must provide an explanation of that lack of good standing here for TIPS consideration. No response

  • Good Standing Certification (Act 154 of 2016): If this Agreement is a State-funded grant, Party hereby represents:

  • Organization, Good Standing and Qualification The Company is a corporation duly organized, validly existing, and in good standing under the laws of the State of Delaware and has all requisite corporate power and authority to carry on its business as now conducted. The Company is duly qualified to transact business and is in good standing in each jurisdiction in which the failure to so qualify would have a material adverse effect on its business or properties.

  • Good Standing of Subsidiaries Each “significant subsidiary” (as such term is defined in Rule 1-02 of Regulation S-X) of each XPO Party (each, a “Subsidiary” and, collectively, the “Subsidiaries”) has been duly organized and is validly existing in good standing under the laws of the jurisdiction of its incorporation or organization (to the extent the concept of “good standing” is applicable in each such jurisdiction), has corporate or similar power and authority to own, lease and operate its properties and to conduct its business as described in the Registration Statement, the General Disclosure Package and the Prospectus and is duly qualified to transact business and is in good standing in each jurisdiction in which such qualification is required (to the extent the concepts of “qualification to transact business” and “good standing” are applicable in each such jurisdiction), whether by reason of the ownership or leasing of property or the conduct of business, except where the failure to so qualify or to be in good standing would not reasonably be expected to result in a Material Adverse Effect. Except as otherwise disclosed in the Registration Statement, the General Disclosure Package or the Prospectus, all of the issued and outstanding capital stock of each Subsidiary has been duly authorized and validly issued, is fully paid and non-assessable (to the extent such concepts are applicable in each such jurisdiction) and is owned directly or indirectly by the applicable XPO Party or XPO Holdings LLC, directly or through subsidiaries, free and clear of any security interest, mortgage, pledge, lien, encumbrance, claim or equity other than those arising under the credit agreements described in the General Disclosure Package and the Prospectus and filed as exhibits to the Registration Statement. None of the outstanding shares of capital stock of any Subsidiary were issued in violation of the preemptive or similar rights of any securityholder of such Subsidiary. The only subsidiaries of the Company are (A) those listed on Exhibit 21 to the Registration Statement and (B) certain other subsidiaries which, considered in the aggregate as a single subsidiary, do not constitute a “significant subsidiary” as defined in Rule 1-02 of Regulation S-X.

  • Good Standing of the Company The Company has been duly organized and is validly existing as a corporation in good standing under the laws of the State of Delaware and has corporate power and authority to own, lease and operate its properties and to conduct its business as described in the Registration Statement, the General Disclosure Package and the Prospectus and to enter into and perform its obligations under this Agreement; and the Company is duly qualified as a foreign corporation to transact business and is in good standing in each other jurisdiction in which such qualification is required, whether by reason of the ownership or leasing of property or the conduct of business, except where the failure so to qualify or to be in good standing would not result in a Material Adverse Effect.

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