Laserfiche WebLink
0oBiiDitwis <br /> City Of Decatur <br /> ASO Projection <br /> January 1,2022-December 31,2022 <br /> 1/112022 ASO Medical Renewal <br /> CONDITIONS AND CAVEATS <br /> This quote is contingent upon the account signing new contract documents in a timely manner.If not signed,then HCSC may withdraw and/or revise the quote. <br /> Pharmacy Rebate Credit includes estimate of rebates for all categories of drugs,including specialty drugs,based on our book of business. <br /> If the prescription drug program is not administered by Pdme today but is awarded the administration of the prescription drug program,the medical claim cost will be reduced due <br /> to the integration of the medical and prescription drug program. <br /> We reserve the right to revise or withdrew our offer if,at any time during the projected coverage period: <br /> F1fhe actual number of enrolled contracts(in total,by product,or by benefit plan),the Single/Family mix,or the Medicare/Non-Medicare mix varies by+1-10%from our projections. <br /> i:The information upon*filch our projections were based(benefit levels,census/demographics,commissions,etc.)becomes outdated or inaccurate. <br /> Wellbeing Management(Health Management&Advocacy program)is included in the quoted administration fee. <br /> Lock-In requirements for all stop loss proposals and renewals as follows: <br /> -Stop Loss quotes/renewals released 10 or more months prior to effective date: <br /> -All such offers are illustrative and cannot be locked in.See note below. <br /> Stop Loss quotes/renewals released 4 to 9 months prior to effective date: <br /> -Can be locked in(via written acceptance)up to 45 calendar days after quote is released. <br /> -After 45 calendar days without written acceptance,those offers become illustrative.See note below. <br /> Stop Lossguotes/renewais released within 3 months prior to effective date: <br /> -Can be locked in at any time prior to effective date.(Stop Loss cannot be purchased after the policy period begins.) <br /> Note:For quotes/renewals that are illustrative or otherwise not locked in,HCSC will require/review updated claim data which is within 120 days of the quoted effective date. <br /> A revised and final stop loss quote/renewal will be issued at that time. <br /> Projected Net Paid Claims for non-HMO Medical coverages on these exhibits include Estimated Value Based Care Payments and Savings. <br /> Value Based Care payments apply to Stop Loss Coverage. <br /> BCBSIL retains the right to recoup monetary credits provided,any remaining implementation costs,shared savings or PG incentive fees from the plan sponsor in the event of eady termination <br /> of the proposed coverage or contract,either in its entirety or with respect to certain custom services or programs included in this offer. <br /> If a third party stop loss carrier is selected,a Third-Party Stop Loss Carrier fee will apply. <br /> Offer is contingent upon proposed Wellbeing Management package design.Any modifications to the proposed package <br /> will impact the Wellbeing Management fee and Administrative Fee. <br /> Administration Fee assumes Monthly claim funding. <br /> Quote includes Advanced Payment Review(APR)Savings Program,where HCSC retains 25%of claims savings as payment for claims review services rendered.The client retains the remainder <br /> of savings.Prepay Service Line Reviews(SLRs)cannot be performed on claims incurred through IL providers. <br /> This quote assumes Prime Therapeutics(PBM)Basic drug list and Traditional Select network. - <br /> Proprietary and Conndential Irdorrnatim of BCBSIL <br /> Not fa use or dLW—re outside BCBSIL,Employer,their respective allilWed <br /> canpanies and third-party represmletivee,except with writim permissim of BCBSIL <br />