2025-126D - Laserfiche WebLink

Home Browse Search

Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 available for examination, either at the Bureau of Insurance or at the licensee's principal place of business, all basic organizational documents, including, but not limited to, articles of incorporation, articles of asso- ciation, partnership agreements, trade name certificates, trust agreements, shareholder agreements and other applicable documents and all amendments to those documents, bylaws, rules and regulations or similar documents regulating the conduct of the administrator's internal affairs." Additionally, Administrator acknowledges that 24-A Maine Revised Statutes § 1911 provides that "The superintendent may designate examiners or consultants, as appropriate, to perform an audit of an administrator when the superintendent considers an audit necessary. Administrators shall make all records and books of account available to the examiners or consultants, and shall otherwise facilitate the performance of the audit. All Claims infor- mation respecting individual claimants must be kept confidential." 7. Claim Forms. Administrator accepts the current standardized Claim form for professional services approved by the federal government and accepts Claims electronically. 24-A Maine Rev. Stat. § 1912. 8. Compensation. 8.1 The compensation paid to Administrator for its services may not be contingent upon the loss ratio of the Plan. However, Administrator may engage in cost-containment activities with Insurer. 24- A Maine Rev. Stat. § 1906(7). 8.2 Administrator does not receive from Insurer or any Eligible Person any compensation or other payments except as expressly set forth in the Agreement. 24-A Maine Rev. Stat. § 1906(8). 125 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTW AY Healthcare, Inc.