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As a condition of enrollment in this plan and a condition precedent to the provision of benefits under this plan, OHS, its agents, independent contractors and Participating Providers shall be entitled to release to, or obtain from, any person, organization or government agency, any information and records, including patient records of Members, which OHS requires or is obligated to provide pursuant to legal process, federal, state or local law in the administration of this plan. REGULATION OHS is subject to the requirements of the California Knox-Keene Health Care Service Plan Act and its implementing regulations. Any provisions required to be in this Evidence of Coverage or in the Group Agreement by either of these sources of law shall bind OHS whether or not provided in this Evidence of Coverage or the Group Agreement. NON-ASSIGNABILITY OF BENEFITS The coverage and benefits of this plan may not be assigned without the prior written consent of OHS, which consent may be withheld for any reason. OHS reserves the right to make payment of benefits, at its sole discretion, directly to the attending provider or to the Member. DEFINITIONS (Note: All defined terms are capitalized within this Evidence of Coverage) Agreement: Includes the Group Agreement between OHS and Employer, this Evidence of Coverage, the Group Application, the Notice of Acceptance, the Member's enrollment form, and any addenda, endorsements or amendments thereto. Chronic: Designating a mental health condition which OHS determines to show little or slow positive change, or reasonable prognosis for positive change. Copayroent: A Member's share of costs for Covered Services, usually paid to the attending provider at the time care is rendered. The specific Copayroent amounts that apply to the various Covered Services are listed in the attached Benefits Schedule. Covered Service: A counseling service that is authorized for coverage by OHS and specified as being covered in this Evidence of Coverage. - 16 - ""----...."."-----....---'...-....-.'-.'''..' ,'" ,"