INPPOCONT1122 3 Revised 11/2022 KR#05809057 period, and Delta Dental subsequently pays the claim, Delta Dental will pay interest on such claim at the appropriate interest rate determined by Indiana Code Section 12-15-21-3(7)(A). If interest is due, the accrual will begin 31 days after the date the claim is filed if it is an electronic claim and 46 days after the date the claim is filed if it is a paper claim. Accrual of interest stops when the claim is paid. As used here, a clean claim means a claim submitted by a provider for payment that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. If a submitted claim has deficiencies, Delta Dental will notify the provider of such deficiencies not more than 45 days after receipt of the claim if filed on paper, and 30 days if the claim is filed electronically, with a description of any remedy necessary to establish a clean claim. 6. Consistent with any applicable law protecting the confidentiality of a patients health records, data, or information, to make standard reports available to the Contractor upon request for no additional charge and to provide agreed-to, non-standard reports on a time and materials basis. 7. To provide a copy of the Certificate, Summary(ies) of Dental Plan Benefits, Delta Dentals Notice of Privacy Practices, and the Indiana Life and Health Insurance Guaranty Association Notice to Contractor for distribution to Enrollees at the Contractors expense. B. Contractor Agrees: 1. Unless otherwise stated in the Declarations Section of this Contract, to pay Delta Dental the monthly Rate specified in the Declarations Section of this Contract as billed by Delta Dental, with no payment adjustments for updates not yet reflected on the monthly invoice. To ensure timely coverage, unless otherwise stated in the Declarations Section of this Contract, the amount to be paid will be due by the fifth of the month of the intended coverage. For example, the premium for April coverage is due on April 5 th . If payment is not received by the due date, Delta Dental shall, at its sole discretion, have the right to suspend claims processing, unless otherwise stated in the Declarations Section of this Contract. Coverage will terminate effective the first day of the coverage month if Delta Dental receives no payment by the end of the coverage month. Delta Dental may, at its sole option, send notification to the Contractor of an adjustment in Rates, Benefits, or Copayments to correct potential adverse group experience resulting from the following: a. Information provided upon enrollment proves to be in error; or b. Terms and provisions of the Contract are materially violated; or c. Initial size or composition of the group changes by ten percent (10%) or more unless otherwise set forth in the Declarations Section of this Contract; or d. Monthly invoices are not paid as billed. Delta Dental will provide the Contractor written notice 30 days prior to implementing any adjustment. If the Contractor refuses to accept this adjustment, Delta Dental may, in its sole discretion, terminate this Contract. 2. To pay all premiums in accordance with subparagraph 1 above in full, irrespective of any Member contributions or COBRA payments. Delta Dental shall not be responsible for collecting Members contributions or COBRA payments. 3. To enroll as Members with Delta Dental all eligible employees, retirees or members of the Contractor, including that employees, retirees or members Dependents, who enroll for Benefits during the enrollment periods set forth in the Certificate. Contractor shall not enroll any employees, retirees or members of the Contractor, or any such persons Dependents, at any time other than during the enrollment periods set forth in the Certificate. Contractor shall provide to Delta Dental, in a format requested by Delta Dental, an initial enrollment file prior to the initial Effective Date of this Contract. 4. To provide Delta Dental with all eligibility data needed to process claims under this Contract. Eligibility data shall be provided in a timely manner, which in the case of electronic eligibility files shall in no event be less than monthly, and in the format requested by Delta Dental. Delta Dental will not accept additions, terminations, and/or retroactive eligibility updates more than six months after the date of a Members change in eligibility. Notwithstanding the foregoing, if the Contractor requests that a Members eligibility be terminated retroactively and a claim was incurred for that Member or any member of that Members family after the requested termination date, eligibility for that Member and the Members entire family will continue at the expense of the Contractor until the end of the month in which the claim was incurred. In no event will any Rate adjustments for time periods greater than six months be made for retroactive terminations, and no credits will be issued for any month in which claims were incurred.