Examples of Delegated services in a sentence
DMMA's Office of Medical Management and Delegated Services are responsible for monitoring DDDS's operation of the DDDS Lifespan waiver.
None of the premium charged for the Stop-Loss Insurance will pay for (or be allocated to) the Delegated Services, and none of the fees charged for the Delegated Services will pay for (or be allocated to) the Stop-Loss Insurance.
If the Stop-Loss Insurance is not approved, Allied National will have no obligation to provide the Delegated Services to Plan Sponsor.
Through their frequent interaction with the officers of SICIM and review of the Delegated Services performed by SICIM, the Independent Directors acknowledge the skills and competencies of SICIM’s officers and believe that SICIM has the experience and expertise to take over the management of the Company from STAM.
Plan Sponsor, by its authorized representative named below, acknowledges, agrees, accepts and/or consents to the following:The Plan Benefits selected above represent a program of services designed for Plan Sponsor's health plan ("Plan") and includes the provision of a summary plan description for the Plan ("Plan SPD"), administrative services ("Delegated Services") and Stop-Loss insurance coverage ("Stop-Loss Insurance").
All earned and accrued interest shall be retained by Allied National (as part of its reasonable compensation for the Delegated Services).
These functions include, but are not limited to, contracts for administration and management services, marketing, utilization management, quality assurance, care management, disease management, claims processing, claims payment, credentialing, network management, provider claim appeals, customer service, enrollment, disenrollment, billing and sales and adjudicating Medicare organization determinations, and appeals and grievances (the Delegated Services).
The Delegated Services have been negotiated via a separate administrative services agreement, between the Plan Sponsor and Allied National, and are not part of the Stop-Loss Insurance.
Plan Sponsor shall reimburse the Stop-Loss Insurance for any ineligible benefits, including expenses incurred under the Plan's Outpatient Prescription Drug Card Benefit, and any advances issued pursuant to the accommodation provision in the Stop-Loss Insurance.Plan Sponsor has engaged the agent of record shown below as its Plan consultant, to assist in establishing and/or maintaining the Plan and in securing the Plan Benefits (including the Plan SPD and Stop-Loss Insurance) and the Delegated Services.
We at Delegated Services recognise that governing bodies understand their schools and headteachers well, and that most appraisal meetings go smoothly, are positive and have outcomes that support school improvement; on these occasions, the adviser ensures the meeting is efficient and brisk.