Res 1988-077 - Laserfiche WebLink

Home Browse Search

Upon termination of this Contract, the Enrolling Unit shall be liable to Health Plan fo~' the paymel"rt ,::>f any and all Health Services Fees which at'E accrued and unpaid at the time of termination, including a pro rata fee for any period the Contract was in force during the grace period, if any, preceding the termination. SECTION I X GENERAL PROVISIONS Entire Contract This Contract and attachments, the application of the Enrolling Unit and the individual enrollment applications, if any, of the Enrollees shall constitute the entire contract of coverage between parties. Alterations No alterations of the Contract and no waiver of any of its provisions shall be valid unless evidenced by an endorsement or an amendment attached to this Cont~'act which is signed by an executive officer of Health Plan. No agent has authority to change this Contract or to waive any of its pt~')V i s i I:.ns. Records The Enrolling U~it shall furnish Health Plan with all information and proofs which Health Plan may reasonably require with regard to any matters pertaining to this Ccll"rtt'act. All documents fur'nished t,:. the Enrl::>llirlg Unit by an individual in connection with the coverage, together with the Enrolling Unit's payroll and any other records which may have a bearing on the c()ve~'age under' this Contract, shall be I::>pen f'::>r inspection by Health Plan at any reasonable time. Each Cc,vet'ed Pet'sl:')"1 authori::es and dit"ects arlY pers.::>n or institution that has attended, examir¡ed J:,t' tt'eated the C,::>vered Pet'son,. b::> furnish Health Plan at any reasl::>nable time, UPCIi"J its t'equest, any arid all information and recm'ds atid cl::>pies ,:.f records relat irlg tCI attendance, Examinat ion Ot' treatment rendered to the Covered Person. Health Plan agrees that such information and records will be considered confidential. Health Plan shall havE the right to submit any and all records ~oncerning episodes of health ca~'e TOt' Covet'ed Pet'sl:Jrls to apPt",::>pt'iate med ical t'eview b,::>dies and/,:w physiciarls. In the event of a question or dispute concerning the provision of Health Set'vice(s) as a C()vEt'ed benefit (5) Ijndet' the Contt'act, Health Plan may a Is 1:, reasonably require that a Covered Person be examined, at Health Plan's expense, by a Participating Physician mutually acceptable to Health Plan and the Covered Person. Clerical Error Clet'Ìcal Co:<r;t"i'.:::>ct. cc'rd; t nue i:.H'.cot'd i ng error shall not deprive any individual of coverage under this Neither shall failure to report the termination of coverage such coverage beyond the date it is scheduled to terminate to the terms of this Contract. Upo~ dIscovery of a clerical GM-12-17