Laserfiche WebLink
EXHIBIT C <br />NIRS 17B:27B-6(c) EDH hereby represents and warrants to Sponsor that EDH has, and during the <br />NJAC 11:23-3.1(c)(3)(iv) term of the Agreement will maintain, general liability insurance, valuable papers <br />insurance, errors and omissions coverage, and such other coverage as required <br />under NJAC 11:23-3.1(c)(3)(iv) in connection with EDH's performance of its <br />obligations under the Agreement. <br />MRS 17B:27B-6(c) EDH will make all records referred to the Agreement, including, without <br />NJAC 11:23-3.1(c)(3)(v)&(vi) limitation, claims disbursements and experience records, available for the <br />Sponsor's inspection from time to time during normal business hours. In <br />addition, the claims disbursements and experience records will be available at <br />Sponsor's request, including monthly reports if requested. <br />NJAC 11:23-3.1(c)(3)(vii) To the extent applicable, EDH will prepare and provide to Sponsor all the data for <br />any prompt -pay reports as may be required for Sponsor to comply with New <br />Jersey law. No prompt -pay penalties are provided for under the Agreement. <br />NIRS 17B:27B-7(b) Sponsor shall own the records generated by EDH pertaining to Sponsor, except <br />NJAC 11:23-3.2(b) that EDH shall retain the right to continuing access to books and records to permit <br />EDH to fulfill all of its contractual obligations to Sponsor. <br />NIRS 17B:27B-7(c) if the Agreement is canceled, EDH may, with the written agreement of Sponsor, <br />NJAC 11:23-3.2(c) transfer all records to a new administrator instead of retaining them for five <br />years. <br />NJ RS 17B:27B-10 All funds remitted to EDH by Sponsor shall be held by EDH in a separate account <br />NJAC 11:23-3.5 maintained in the name of Sponsor or in a separate account maintained jointly in <br />the names of Sponsor and EDH. If funds have been collected by EDH from a <br />provider or enrollee on behalf of Sponsor, they shall be maintained in a separate <br />account maintained in the name of Sponsor, maintained jointly in the names of <br />Sponsor or EDH or remitted to the Sponsor, as provided in the Agreement. Funds <br />shall not be commingled with any other funds of EDH or other clients of EDH. If <br />an account is jointly held by EDH and Sponsor, it shall be maintained in a State or <br />Federally chartered insured depository institution, and EDH shall provide Sponsor <br />with a monthly accounting of all transactions in that account. Sponsor shall have <br />the responsibility to make available to EDH funds necessary to enable EDH to pay <br />claims in a timely manner, as provided in the Agreement. EDH shall not be liable <br />to any party for the failure of Sponsor to make funds available to pay claims. <br />Copies of all records pertaining to the collection of funds shall be made available <br />to Sponsor as provided in the Agreement. <br />MRS 1713:276-11 Any policies, certificates, booklets, termination notices or other written <br />NJAC 11:23-3.6 communications delivered by Sponsor to EDH for delivery to enrollees shall be <br />delivered by EDH promptly, in accordance with the instructions of Sponsor and <br />the terms of the Agreement. <br />Notwithstanding any of the foregoing, in the event any of the provisions of any of the foregoing states' laws <br />that are determined or cited as not being applicable to the Agreement are or become applicable to the Agreement, <br />such provisions shall apply and shall supersede any provisions in the Agreement to the contrary. <br />[Signature Pages to follow] <br />-4 78 <br />