R2024-342 Resolution Authorizing Agreement and Amendment with BlueCross BlueShield of Ilinois for Administration of the City Group Health Benefit Plan for Calendar Year 2025

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Administrator may institute such changes to calculation of QPA without further notice; otherwise,the Parties shall mutually agree in writing whether and how Claim Administrator shall calculate QPA for Claims beginning on or after November 1,2024." 2. Section 7 "DEFINITIONS", 7.8 "Claim Payment" is amended by adding the following sentence at the end of the current language: 'The term "Claim Payment" also can include payments for services to Employer's Vendor(s) or Claim Administrator's subcontractors." 3. Section 7 "DEFINITIONS", 7.27 "Net Claim Payment" is amended by adding the following sentence at the end of the current language: "The term"Net Claim Payment"also can include payments for services to Employer's Vendor(s)or Claim Administrator's subcontractors." 4. EXHIBIT 1 —CLAIM ADMINISTRATOR SERVICES, "THE FOLLOWING IF ELECTED ON THE MOST CURRENT BPA," "FLEXACCESS" is amended by replacing the first sentence of the paragraph with the following: "Claim Administrator or its designee(s) will proactively enroll Covered Persons into a program designed to lower prescription drug costs through manufacturer copay assistance programs." 5. EXHIBIT 1 —CLAIM ADMINISTRATOR SERVICES, "THE FOLLOWING IF ELECTED ON THE MOST CURRENT BPA," "GENE THERAPY SOLUTION: CELL AND GENE NAVIGATION & GENE OUTCOMES" is added and should read as follows: "GENE THERAPY SOLUTION: CELL AND GENE NAVIGATION &GENE OUTCOMES Provide (1) the mutually agreed upon member navigation services for Covered Persons who are eligible to receive gene and cellular therapy services to assist such Covered Persons with obtaining services at a participating Provider, and (2) access to payments resulting from outcome-based agreements held,directly or indirectly,with Manufacturers of gene and cellular therapy drugs.Claim Administrator may receive payments in the event that select gene or cellular therapy treatments fail to meet the outcome-based metrics set forth in the outcome-based agreement with the Manufacturer.Claim Administrator will pay Employer the agreed upon percentage of the outcome based payment set forth in the BPA of the outcome based payment received by Claim Administrator. Notwithstanding the foregoing, the Employer will not be eligible to receive any payments received from outcome-based agreements after final settlement, following the termination of this Agreement and the completion of any applicable Run-Off period." 6. EXHIBIT 2 — FEE SCHEDULE AND FINANCIAL TERMS, Section 3 "COMPENSATION TO CLAIM ADMINISTRATOR" is amended by adding the following Section 3.8 "Shared Savings Programs": "3.8 Shared Savings Programs. Claim Administrator may offer programs that include compensation to the Claim Administrator based on shared savings as may be described in the most recent BPA or in another mutually agreed writing between the Parties. In general, these "Shared Savings Programs" measure savings as reductions in expected or actual Claims costs by reason of the Employer's adoption of the program. Employer acknowledges and agrees that Claim Administrator does not act as a fiduciary under ERISA when engaging in activities related to Shared Savings Programs under this Section because such activities do not constitute an exercise of discretion or control over Plan assets or Plan administration." IL Gen Med-CF Non-ERISA ASA Amendment Rev.7.24 2 Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator,Employer,their respective affiliated companies,and third-party representatives,except with written permission of Claim Administrator.