Agmt91 Vision Service Plan VSP - Laserfiche WebLink

Browse Search

VISION SERVICE ~ 6. VSP reserves the right to reject any and all claims for services or benefits which are filed with it more than one hundred eighty (180) days after completion of services. 7. It is the responsibility of Group representatives to disseminate notice with respect to material matters to covered persons in the Group. 8. The funding policy for the VSP plan shall consist of payments made by Group to VSP and by each covered person to a participating VSP Panel Doctor pursuant to the terms of this contract. Benefits provided to covered persons will be pursuant to the terms of this contract. Each covered person shall be entitled to obtain the services enumerated herein from any participating Panel Doctor of VSP. The names, addresses and telephone numbers of the participating Panel Doctors shall be made available to eligible members of Group when seeking services. 9. The named plan administrator for this Vision Service Plan shall be designated in the APPLICATION FOR VISION SERVICE PLAN and shall have authority to control and manage the operation and administration of the plan on behalf of the Group. 10. This contract shall be governed by and construed under the laws of the State of California. II. VSP is subject to regulation by the California State Department of Corporations, and this contract is subject to the requirements of Chapter 2.2 of Division 2 of the Health and Safety Code and of Chapter 3 of Title 10 of the California Administrative Code. a) Any provisions required to be in the contract by either of the above shall bind the plan whether or not provided in the contract. 12. VSP shall have the right at all reasonable times to inspect such records of Group as VSP deems necessary to determine the number and eligibility of covered persons, and Group agrees to make such records available at such times and upon such requests. 13. Contract holder, its representatives or employees, shall not engage in ~eferring members of Group to any particular doctor, or doctors, whether or not a member of the VSP Panel. 14. If a VSP provider leaves the Plan for any reason, VSP shall remain responsible for furnishing vision care pursuant to patients of such provider, either through the provider, or, at the election of VSP, through another VSP Panel Doctor. 15. VSP is an Equal Opportunity Employer. -10- 6/87 \ \ . ._.