SAFEGUARD HEALTH PLANS, INC. -1992

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. The parties may renew contract at a end the term hereof, and consent modify ify or alter this that said modifications, amendme is, alterations or renewals shall be in writing, duly executed by Comma; provided, however, both parties hereto, and attached to this Contract. Failure by either party to terminate this Contract by giving the other party sixty 0 days written no p notice rior to the termination date of this Contract, shall automatically rene W this Contract for a like term as indicated in Paragraph C of the Acceptance Agreement. fees or vide an .3 Should the ORGANIZATION be in default by the failure to remit the monthly prepayment s . .. i Section I herein, SAFEGUARD shall have the right to terminate this Contract upon fifteen f days el�.ib��ty list a recurred by �ect� • l then have fifteen 1 days to remit the monthly prepayment fees# or proyide the eligibility written notice. ORGANIZATION � ' . Termination shall be effective the last day of the month in which the fifteen 1 day period list when due, from receipt f nonce 'n the o days f termination of this Contract refund to ORGANIZATION the pro rata pion expires. SAFEGUARD shall within y n received. SAFEGUARD a ent fee which corresponds to any une pffed terms f'or which prepayment fees have bee of the prep ynn shall be paid its prepayment fee to date of termination.. nt ct for non- a eat, �l Receipt SAFEGUARD of the proper prepayment fee after termination of this P ym p y h prepayment fee is received y SAFEGUARD n r before the reinstate this contract as though it had sever been terminated, ` suc Mowing acts shall snceedin prepayment fee. however, performance by SAFEGUARD of any one f the folio . due dtethnt avoid any such reinstatement: SAFEGUARD refunds such payment within five business days or, if such payment is received more than five business days after issuance of a notice of termination, within fifteen ( 1 ) business days. f SAFEGUARD issues to ORGANIZATION, within five t business days of receipt of such payment, a new ' notice stating clean those respects in which the new contract dif'f'ers from the terminated contract contract accompanied b written in benefits, coverage and otherwise. Subscriber terminates employment or association with ORGANIZATION, or i certified by In the event a S p for such terminated subscriber and his or ORGANIZATION as being no longer eligible for benefits provided for herein, coverage her Dependent(s) shall cease fee e the last day of the monthly period for which ORGANIZATION has paid the applicable prepayment to SAFEGUARD for the terminated Subscriber and his or her Dependent(s). n started b. In the evert of termination o this Contract, each Dentist shall complete all dental procedures which have been ' t to the tens of this Contract with the exccption of any orthodontic trea ent� as may be prior t the date f terrn�r�at�on� pursuant l b governed b the Orthodontic Limitations and occlusions set forth in the Schedule of applicable. Orthodontic treatment shat y Limitations and Exclusions. ent fees from the date such fees are due, will b charged at a rate equal to eighteen 6.7 Interest on late p re a p � . ' will be due and payable n notice thereof to ORGANIZATION from SAFEGUARD. percent l per gear. Unpaid interest p y p° 1 as amended, any M ember ►bo . pursuant to Section 1b of the Knox -Keene Health Care Service flan Act of alleges his enrollment has en canceled or not renewed because of his health status or requirement for services, may request review by the California Department of Corporations. 1 EN EMS TO BE PROVIDED -- BENEFITS, COPAYMENTS9 LIMUATIONS, I AND AD I T I ?.1 SAFEGUARD and O GAN A'MN agree that SAFEGUARD shall provide services to Members f ORGANIZATION under the Benefit plan set forth in the Schedule of Benefits and Copayments, of Limitations and Exclusions, and Administrative Policies. t rendered to a Member result faro a Workers' Compensation injury claim, the Member .2 �l�orid and benefit or service e shall assign his rights to reimbursement th ' en from other sources for services rendered to the Member, to the Dentist rendering such services. 7.3 The Member and not SAFEGUARD nor ORGANIZAIION shall be solely responsible for payment of all opayrnents and for any excluded procedure, and shall make payment therefore directly to the Dentist rendering such services. that Participating Dentists shall abide by the Benefit Plan as set forth in this Contract. '. SAFEGUARD agrees . will not increase the prepayment fees as set forth in Paragraph G of the Acceptance Ag ennent; SAFEGUARD further' agrees that it that it will not modify the Schedule of Benefits and opaent; and that it will not modify the Schedule of Limitations and Exclusions or any Administrative Policy during the term of this Contract. No _ten- I U BVIN I �3 LO' 1 9 -