1.3 Approval of Materials. Purchaser retains the right to review printed materials,
which are distributed by HPHC to Members of Purchaser's Plan. Prior to distribution HPHC
shall provide Purchaser or its Designee sample copies of the printed materials. HPHC shall
distribute such materials to Purchaser’s Members unless Purchaser or its Designee instructs
HPHC to delay or cancel such distribution within a reasonable period of time prior to
distribution. See Attachment A for the provision of non-standard printed materials. This
provision does not apply to patieni/clinician communications or other written n communications
intended for a specific individual.
1.4 Providers as Third Party Beneficiaries. Purchaser acknowledges and agrees
that Contracting Providers shall be intended third party beneficiaries of Purchaser's obligation
to pay such providers under Section 2.2.
1.5 HPHC Compensation. Purchaser shall pay HPHC a monthly fee for the
Services HPHC provides, in the amounts and manner specified in Attachment C, which
atiachment is incorporated herein by reference. It is specifically provided that HPHC may
amend the Service fees payable to HPHC under Attachment C, and HPHC shall use
reasonable efforts to provide advance written notice of such proposed Service fee amendment
to Purchaser at least sixty (60) days prior to an anniversary date of this Agreement. In the
event that HPHC fails to provide notice to Purchaser in a timely manner, HPHC may propose
an amendment to the Service fees payable to HPHC by submitting written notice to Purchaser
which, upon acceptance by Purchaser, shall become effective on the first day of the month
following sixty (60) days written notice, but in no event shall HPHC amend its Service fees
more than one time in each twelve (12) month period without the agreement of both parties. If
Purchaser fails to accept such proposed-amendment as provided above within thirty (30) days
from receipt of notice of HPHC’s proposed Service fee amendment, or if some other Service
fee is not agreed to by both parties, HPHC may terrninate this Agreement upon sixty (60) days
prior written notice.
1.6 Listof Members, Purchaser will provide HPHC with.a list of Members who are
eligible and have elected to receive benefits under the Plan. The list shall include ail
appropriate demographic data required for HPHC to carry out its obligations under this
Agreement. HPHC may rely upon such list in performing its duties hereunder. Purchaser, or
its designee, will notify HPHC of any additions, changes, deletions or modifications to the list of
Members on a monthly, or more frequent, basis. Purchaser may add Members retroactively for
up to 180 days, and may terminate Members retroactively for up to 60 days.
1.7 Eligibility. Purchaser has established the eligibility requirements for
participation of Members in the Plan. Purchaser shall notify HPHC in writing of any changes in
eligibility requirements. If the provisions of any state or federal law or regulation are changed
which aifect the eligibility of or the determination of eligibility of persons participating in this
Plan, Purchaser shall notify HPHC as described above, and HPHC and Purchaser shall make
all changes necessary to accomplish the required change.
1.8 Access to Purchaser Records.
(i) All business and health services records relating to the operation of the
Plan, including but not limited to, all books of account, enrollment records, and general
FORM#PSO1 08/17/2002
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