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2023-098B
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2023-098B
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Last modified
3/18/2024 12:03:39 PM
Creation date
3/18/2024 11:53:00 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/16/2023
Control Number
2023-098B
Agenda Item Number
12.D.2.
Entity Name
Blue Cross and Blue Shield
Subject
Shield Transition Health Plan Administrative Services from
Blue Cross Shield of Florida Inc.(Florida Blue)
to Blue Cross Blue Shield National Alliance effective 10/01/2023 thru 9/30/2026
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Section IV: Term and Termination of Agreement <br />A. This Agreement shall remain in effect from the Effective Date until the date that a successor <br />agreement between the Parties takes effect unless this Agreement is otherwise terminated in <br />accordance with this Section IV. Either party may give notice of its intention to terminate this <br />Agreement by providing written notice at least thirty (30) days prior to the anniversary of the <br />Effective Date, and such termination shall be effective on the anniversary of the Effective <br />Date. The effective date and duration period of any fees under this Agreement are listed on <br />Exhibit B. <br />B. At least thirty (30) days prior to the anniversary of the Effective Date, BCBSF shall provide <br />Employer with revised Administrative Charges for the next benefit year. <br />C. This Agreement shall terminate at the expiration of the day prior to any anniversary of its <br />Effective Date if BCBSF or the Employer has given at least thirty (30) days prior written notice <br />to the other of its intention to terminate this Agreement on that anniversary date. Furthermore, <br />this Agreement shall terminate upon the first to occur of the following: <br />(1) The expiration of thirty-one (31) days after written notice has been given by BCBSF or <br />the Employer of the other's breach of material obligations under this Agreement; <br />provided such breach has not been cured within such thirty-one (31) day period; <br />(2) The date specified in a written notice given by BCBSF to the Employer of its intent to <br />terminate this Agreement because of the Employer's failure to remit claims payment or <br />Administrative Fees for services, as set forth in Exhibit B; <br />(3) Termination of the Plan; <br />(4) Modification of the Plan, but such modification of the Plan shall not operate to <br />terminate this Agreement (a) if this Agreement is changed to make such modified plan <br />the Plan under this Agreement, or (b) while this Agreement is being continued, by <br />mutual agreement between BCBSF and the Employer, provide that such modification <br />shall not apply to this Agreement during such continuation; <br />(5) Either BCBSF or Employer may terminate this Agreement at any time upon ninety (90) <br />days written notice to the others; <br />(6) If any law or regulation is enacted which prohibits the continuance of this Agreement or <br />any existing law or regulation is interpreted to so prohibit the continuance of this <br />Agreement, the Agreement shall terminate automatically on the effective date of such <br />law, regulation, or interpretation. BCBSF shall reasonably make the determination of <br />the effect and effective date of any such law, regulation, or interpretation. <br />D. Either party may give notice of its intention to terminate this Agreement by providing written <br />notice at least thirty (30) days prior to the anniversary of the Effective Date, and such <br />termination shall be effective upon expiration of the Initial or Renewal Term, as applicable. <br />E. In the event of expiration or termination of this Agreement, BCBSF will continue to process <br />claims incurred prior to, but received after, the expiration or termination of this Agreement, <br />unless the Employer notified BCBSF in writing at the time of such termination that such <br />services are not required. The administration of the processing of run out claims by BCBSF <br />15 <br />
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