10.
Purchaser:
FORM# PS_AO1
Purchaser fails to pay within fifteen (15) days of the due date, Within
thirty (30) days after the run-out period ends, HPHC will return the
remainder of the balance of the Plan Working Deposit to Purchaser.
HPHC will subsequently request instruction from Purchaser as to
how future additional payable claims, if any, should be paid. Due to
the nature of the data on which the Massachusetts Uncompensated
Care Pool surcharge amounts are calculated, the final billing for this
charge will take place following the end of the run out period.
Similarly, the final billing for charges incurred under the New York
Health Care Reform Act will occur following the run out period.
Excluded Expenses and Services. Expenses incurred by the Plan, or by
HPHC on behalf of the Plan, for the following services shall be the sole responsibility of
(a)
(b)
(c)
(e)
(f)
(g)
All direct and indirect costs for the providers and suppliers in
connection with the delivery of health care services and supplies to
Members, including all compensation and reimbursement paid to
medical and paramedical personnel and health care facilities;
All insurance costs, including professional liability/malpractice,
general liability and all reinsurance and stop-loss, which may be
purchased for Purchaser or the Plan;
Taxes or other governmental obligations of the Plan or Purchaser,
including without limitation, surcharges assessed on paymenis to
health care providers for the funding of uncompensated care pools
or similar arrangements.
Purchaser’s annual corporate financial audit, and such other audits
and financial statements required by state or federal law and costs
associated with preparation of Purchaser’s corporate tax returns.
Costs of legal services for the Plan which arise in the normal course
of the Plan’s operations, including HPHC’s provision of services for
the Plan, except as otherwise provided in section 1.13 of the
Purchaser Service Agreement.
Filing fees and penalties and other fees associated with annual and
other reports required by federal and state statutes and regulations
applicable to the Plan; and
f&xpenses for independent legal, independent accounting and
independent actuarial services of Purchaser or the Plan.
05/17/2002
