My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2025-126D
CBCC
>
Official Documents
>
2020's
>
2025
>
2025-126D
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/18/2025 10:43:54 AM
Creation date
9/8/2025 1:42:16 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/03/2025
Control Number
2025-126D
Agenda Item Number
13.D.1.
Entity Name
Rightway Healthcare, Inc.
Subject
Pharmacy Benefit Management Services Agreement
Document Relationships
2025-126
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126A
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126B
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126C
(Cover Page)
Path:
\Official Documents\2020's\2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
179
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />established and maintained by Administrator in a federally or state -Eligible Person financial institution. <br />The written agreement between Administrator and Insurer shall provide for the Administrator to periodi- <br />cally render an accounting to the payor detailing all transactions performed by Administrator pertaining to <br />the business of the payor, and the written agreement between Insurer and Administrator shall include spec- <br />ifications of this reporting. Kan. Stat. Ann. § 40-3807(a). <br />7.2 Administrator shall keep copies of all records of any fiduciary account maintained or con- <br />trolled by Administrator, and, upon request of Insurer, shall furnish Insurer with copies of such records <br />pertaining to deposits and withdrawals on behalf of Insurer. If charges so deposited have been collected on <br />behalf of or for more than one payor, or for the payment of Claims associated with more than one policy, <br />the Administrator shall keep records clearly recording the deposits in and withdrawals from the account on <br />behalf of each payor and relating to each policyholder. Kan. Stat. Ann. § 40-3807(b). <br />7.3 The Administrator shall not pay any Claim by withdrawals from a fiduciary account in <br />which charges are deposited. Withdrawals from a fiduciary account shall be made as provided in the written <br />Agreement between the Administrator and Insurer, and only for the following purposes: (1) Remittance to <br />an insurer entitled thereto; (2) deposit in an account maintained in the name of Insurer; (3) transfer to and <br />deposit in a Claims paying account, with Claims to be paid as provided in subsection (d); (4) payment to a <br />group policyholder for remittance to Insurer entitled thereto; (5) payment to Administrator of its earned <br />commissions, fees or charges; (6) remittance of return premiums to the person or persons entitled thereto; <br />or (7) payment to other service providers as authorized by Insurer. Kan. Stat. Ann. § 40-3807(c). <br />7.4 All Claims paid by the Administrator from funds collected on behalf of or for Insurer shall <br />be paid only as authorized by Insurer. Payments from an account maintained or controlled by the Admin- <br />istrator may be made for the following purposes including the payment of Claims: (1) Payment of valid <br />Claims; (2) payment of expenses associated with the handling of Claims to the Administrator or to other <br />service providers approved by Insurer; (3) remittance to Insurer, or transfer to a successor administrator as <br />directed by Insurer, for the purpose of paying Claims and associated expenses; and (4) return of funds held <br />as collateral or prepayment, to the person entitled to those funds, upon a determination by Insurer that those <br />funds are no longer necessary to secure or facilitate the payment of Claims and associated expenses. Kan. <br />Stat. Ann. § 40-3807(d). <br />8. Compensation. Administrator shall not enter into an agreement or understanding with Insurer in <br />which the effect is to make the amount of Administrator's commissions, fees or charges contingent upon <br />savings effected by the adjustment, settlement and payment of losses covered by Insurer's obligations. This <br />provision shall not prohibit Administrator from receiving performance-based compensation for providing <br />auditing services, from providing managed care or related services, or from being compensated for subro- <br />gation expenses. This section shall not prevent the compensation of Administrator from being based on <br />premiums or charges collected or number of Claims paid or processed. Kan. Stat. Ann. § 40-3808(a), (b). <br />9. Written Notice. Where the services of an Administrator are utilized, the Administrator shall pro- <br />vide a written notice, approved by Insurer, to covered individuals advising them of the identity of and <br />relationship among the Administrator, the policyholder and Insurer. Kan. Stat. Ann. § 40-3809(a). <br />10. Disclosures. <br />117 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />
The URL can be used to link to this page
Your browser does not support the video tag.