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5.4 PARTICIPATION OF OTHER PROVIDERS IN PRACTICE — Medical Group understands <br />and agrees that continued participation in any of Company's Provider Networks requires <br />that all Medical Group Providers must apply and be accepted for participation in the <br />Provider Network. The failure of one or more of the health care providers in Medical <br />Group to be accepted for participation or their refusal to apply for or, upon approval, <br />accept such participation, may result in termination of this Agreement pursuant to Section <br />7.3. Accordingly, Medical Group must provide Company with at least thirty (30) days' <br />advance notice if one or more physicians/health care providers intend to join Medical <br />Group. <br />5.5 NON -EXCLUSIVITY — This Agreement will not be construed to be an exclusive <br />agreement between Company and Medical Group. Nothing in this Agreement or any <br />related documents will be construed to restrict the participation of any of the parties in <br />any other health care delivery system or payment plan. <br />5.6 PROVIDING SERVICES TO MEMBERS OF PAYORS — Medical Group understands and <br />agrees that the Company may enter into an agreement with Payors that want access to <br />and use of those Provider Networks in which Medical Group participates. Medical Group <br />hereby authorizes Payors contracting with Company to offer Medical Group's services to <br />groups of employees or individuals in accordance with the terms of this Agreement and <br />the provision of any Subscriber Agreement offered or administered by Payor for the <br />payment of Covered Services. Medical Group agrees to furnish services to Members of <br />such Payors when those Members utilize the Company's Provider Networks in <br />accordance with the same terms and conditions of participation and compensation as <br />apply when such services are furnished to Members under this Agreement. A list of the <br />Company's subsidiaries and affiliates is set forth on Exhibit A hereto. Company will <br />provide Medical Group with advance written notice should the list of affiliates and <br />subsidiaries in Exhibit A change and if Company enters into an agreement with a Payor <br />that is not specifically named in Section 1.16 or Exhibit A hereto. <br />5.7 USE OF NETWORK PROVIDERS — Unless Covered Services are unavailable from <br />Participating Providers, Medical Group will refer to and accept all coverage from <br />providers who are participating in Company's Provider Network. <br />5.8 RATE INFORMATION — Both parties agree that, unless required by law or authorized <br />by this Agreement, a party shall not disclose the reimbursement rates set forth in this <br />Agreement without prior written consent of the other party. The parties acknowledge that <br />the unauthorized disclosure of rate information may cause irreparable damage to the <br />other party. Notwithstanding the above, Company may disclose to Participating <br />Providers in Medical Group's service area the information and data required to allow <br />those Participating Providers to effectively manage the quality, care and cost of Members <br />Company has attributed to them. Company may also disclose health care claims and cost <br />data to community organizations, such as Puget Sound Health Alliance (PSHA) that seek <br />to improve health care quality and affordability by reporting aggregated data to <br />purchasers of health care services. <br />5.9 DISCLOSURE OF RATES TO MEMBERS — Notwithstanding any other provision of this <br />Agreement to the contrary, either party may disclose to Members the reimbursement rate <br />or allowed amount set forth in this Agreement for a Covered Service and/or the Member's <br />actual or estimated cost-sharing amount (e.g., copayment, deductible, and/or <br />coinsurance) for a Covered Service to explain claims payment and to facilitate informed <br />decisions regarding health care services use and cost. <br />VI. INSURANCE AND INDEMNIFICATION <br />6.1 PROFESSIONAL LIABILITY COVERAGE — Medical Group will obtain, at Medical <br />Group's own cost, and keep in force, adequate policies providing comprehensive general <br />liability, professional liability and other insurance, as may be necessary to insure Medical <br />Group, Medical Group's Providers, agents and employees against any claim or claims for <br />damages arising out of the rendering of or failure to render professional services <br />Asuris MGA Agreement (Rev. 05/2017) Al8816854AA Page 12 of 20 <br />