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Claims for wh ch the Company is the sec ondary Insurer must be submitted within thirty (30) days of the primary car rie r's payment or denial. The Med ica l Grovp agrees to submit cla ims using the m01Jt appropriate , current c1nd specific cod ing when billing .for serv ices rendefed . The Me<!l_cal Group agrees the.I II will not engage In ml sleadlng bUllng practice.a or otherwise ln lerfere with Urnely and accurate cla!rns adJudicallon . Except for Infrequent and isolated waivers for charimble purposes. '!he Medical. Group shall charge to and make reasonable attempts to CQUect from the Membe r all coi nsurance arnClunts owsd by the Member , after fllCIIIVlng a cfa lms adjud lGation determination by the Company . and may collect all deduclibles a.nd copayments et lhe llme of seNlce . Because of the difficulty of aacerialning damages resulllng fr-0m breach of th is prov sjon, the part ies agre e that the Conipany shall l;>e en11tled to deny all or part of cla ims as llqu dated damages It 111·e Med ical i;3roup la Is lo mal(e a reasonable allempt , using such steps as 110rmal1y ta.ken to collect Oeductible9; coi nsurance or Copaymenls. In no event st,all the .Medical Group charge to a Member-for Ded uctibles, co insurance or Copayment a exceed the amounts -established by the Company . As required by WAC 2.8'1•43-320(3) the Company hereby In fo rm$ the Medic-al ~roup that Wlllftllly collect ing or attempl fng to collect an amount l<nowlng thal the collectton ls !n v!olatlon of thi s Agreement cons titutes •8 class C felony under RCW 48 .80 ,030(6). In no event ahaQ the Medical Group seek. additional re ltnbursement for Covered Serl/Ice~ dellvered to Members, except for any copayments, deductibles or coinsurance amounts that the Member may owe, as determined by the Company. 3.5 MEMBERS..IQJ:lj;_HELD I-IARMJ,.e.~~ 3.6.1 Toe . Med ica l Group hereby @gree_s lh!Ji lh no event, Including , but not limlted to , nonp ayment by the Company , Company's rn solvency o, breaeh of lhls Agreement, shall the Medical .Gr01Jp bill, charge , collect a depos it from , seek eompe nsat on, remuneraU on or re!mburs11m ent rrcm , or have any recourse against Member or person , other than lhe Company, acting on their behalf, for services provided pursuant to this Agreement. This provision shall not prohlblt colfectlon of Deduc1lllles, Oopaymehts, Co-Insurance, andlof non-Covered Seivl°", which have not olher:wse been paid by a pri ma~ry or secondary ca rrier in accordance with regulatory standards for Coordination of Benefits, from covered persona in accordance wilh the term·s of the Mem~r's Health Plan . 3.5.2 The Medical Group agre~s . in the event of the Company's insolvency, to continue to prov ide the services promised In this Agreement to Member'$ tor the durat on of the period tor which premiums were pa id tp tile Company on the Me.mbers · ~half, or until the Members ' discharge from Inpatient (acUltles, whichever time Is greater. 3.5.3 Notwithstanding any other provision of this Agreement, nothing in this Agreement spall be construed to modify tiie rights and benefits contained In the Member's Health Plan . 3.5.4 The Med lea l Group may not bill Members for Covered Services (elu;epl for Oedu.cllbles, Copayme111s or .Co•lm1urance) where the Company, denies paymen1a beeeuee the Medical ·Group has falled ~o comply With the terms of tt,ia Agreement. 3.5.5 The Med ical Group further agrees (I ) that the above provisfons 3.6, 1, 3.~.2. 3.5.3, and 3.5.4 shall sul'\/lve terminall oo of this Agreenjent regardless of the cau.se glvln.g ris_e to termination end shall be oonstrued to be for the benem ot the Cornpanyls Membe is. and {II) that this prov slon supersedes any oral or written contra,y agreement be.tween the Medical GrOUf? and Members or persons acting on th eir be.hall . Asurf• MGA Agreement (Rev. 0512017) A18318864AA Paga 6 ol 20