To facilitate expeditious and impartial resolution of any disagreements that may arise as a result of your provision of Xincon Home Health Care Services, Inc. to process your pay, services to the Consumer and/or your enrollment with the Fiscal Intermediary has adopted this Fact-finding and Issue Resolution Program (the “FAIR Program” The FAIR Program is effective upon your receipt and of this FAIR Program document and signature at the bottom, affirming to be bound by the terms of the FAIR Program (the “Effective Date”
The FAIR Program covers any Claim between You and the Fiscal Intermediary (as these terms are defined below) that are asserted after the effective date of the FAIR Program, regardless of whether those Claims arose before or after the effective date of the FAIR Program, and regardless of whether such Claims were initially raised before the effective date of the FAIR Program. The FAIR Program also applies to Claims made after you cease providing services to any consumer registered with the Fiscal Intermediary.
Meaning of Terms in this FAIR Program. For purposes of the FAIR Program, “Fiscal Intermediary” means Xincon Home Health Care Services, Inc. each of its subsidiaries, affiliates, and successor entities, as well each of their partners, principals, members, agents, and employees against whom a Claim is asserted in connection with their duties for or in relation to the Fiscal Intermediary.
“You” and “Your” refers to you and any other person who may assert your rights.
Claim” means any claim, cause of action, controversy, or other dispute between the Fiscal Intermediary and You that that arises out of or relates to Your enrollment with the Fiscal Intermediary for provision of CDPAP services or your termination of that enrollment, and that is based on a legally protected right that could otherwise be resolved by a court. Claim includes any disputes about Your enrollment in the Fiscal Intermediary’s CDPAP, termination of enrollment in the CDPAP, wages or compensation, and paid time off. “Claims” means not only initial claims but also counterclaims, cross-claims and third-party claims, regardless of whether such claims seek legal, equitable, or declaratory relief. A legally protected right means any right that is guaranteed to You or protected for You by statute, regulation, ordinance, constitution, contract, common law, or other law. Examples of a Claim include, but are not limited to, those alleging discrimination, harassment, hostile work environment, retaliation, failure to provide leave, or failure to pay wages in accordance with law.
Are any Claims not Covered by the FAIR Program? Yes. The term “Claim” does not include any claim, controversy, or other dispute between the Fiscal Intermediary and You: (a) for injunctive or equitable relief for breach of a restrictive covenant (e.g., non-competition covenant, non-solicitation covenant, anti-raiding covenant), unauthorized use or disclosure of confidential information or trade secrets, or similar unfair competition; (b) for workers’ compensation benefits (except for claims of interference or retaliation under the workers’ compensation law); (c) for unemployment compensation benefits; (d) for employee welfare or retirement benefits governed by the Employee Retirement Income Security Act (“ERISA”) (except for claims for interference or retaliation under ERISA); or (e) for unfair labor practice charges under the National Labor Relations Act (“NLRA” The FAIR Program also does not: (a) Prevent You from filing a charge, testifying, assisting, or otherwise participating in any investigation or proceeding conducted by the equal employment opportunity commission, or another government agency to the extent You have a protected right to do so. But if You take such action in relation to a claim, controversy, or other dispute that would constitute a Claim and you have not fully pursued such dispute through the FAIR Program, the Fiscal Intermediary may request the agency in question to defer its processing or investigation of such charge until the FAIR Program has been completed. Notwithstanding Your rights under this subsection, You agree that, to the maximum extent permitted by law, You may recover monetary relief with respect to a Claim only through the FAIR Program, or (b) Require the Fiscal Intermediary to begin arbitration proceedings or initiate any other procedure whatsoever before taking any action regarding your enrollment in the CDPAP program (e.g., terminating your enrollment
Can A Claim Be Resolved in Court? No. Under the FAIR Program, You and the Fiscal Intermediary each waive your respective rights to have a Claim decided by a court, judge, jury and, where permitted by law, an administrative agency. Instead, You and the Fiscal Intermediary agree that arbitration under the FAIR Program is the sole and exclusive method for resolving Claims. If either You or the Fiscal Intermediary files an action in court or another forum not contemplated by the FAIR Program asserting one or more Claims and the other party successfully stays such action and/or compels arbitration of such Claim, the arbitrator may assess reasonable costs and expenses, including an award of reasonable attorneys’ fees, incurred in seeking such stay and/or order compelling arbitration against the party that filed the action in court or such other forum.