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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7. EXHIBIT 3 — NOTICES/REQUIRED DISCLOSURES, Section 2.3 "Physician Ratings and Rankings" is amended by replacing the first sentence of the paragraph with the following: "Employer acknowledges that Claim Administrator may, in accordance with and subject to all applicable laws and regulations, utilize nationally recognized standards and guidelines to rate and rank certain Physicians, classify certain Physicians into tiers, and may publish and make available to Employer and Covered Persons certain Physician-specific information that includes, and is not limited to, ratings, rankings, tiers, and other comparisons of a Physician's performance against certain standards,measures and other physicians,and that Claim Administrator may publish and/or share such information with Employer,Covered Persons and other third parties." 8. EXHIBIT 3 — NOTICESIREQUIRED DISCLOSURES, Section 7 "MEDICARE SECONDARY PAYER INFORMATION REPORTING" is amended by adding the following Section 7.5: "7.5 Employer acknowledges that Employer shall be responsible for any Civil Money Penalties ("CMP")imposed against Claim Administrator as a result of Employer's failure to promptly notify Claim Administrator of any change in the number of individuals employed by Employer or status of its Employees that might affect the order of payment under the MSP statute." 9. EXHIBIT 7 — PHARMACY BENEFIT MANAGEMENT SERVICES, Section 6. g. "Audits" is deleted in its entirety and replaced with the following: "g. Audits: In addition to the audit rights available pursuant to Section 2.11 of the Agreement or as otherwise required by law, Employer may request that Claim Administrator inspect and/or audit Prime's records, pursuant to the terms and conditions of the agreement between Claim Administrator and Prime,as they relate to the Claims under the Agreement. Subject to the audit terms pursuant to Section 2.11 of the Agreement or as otherwise required by law, Employer may also audit Prime's records as they relate to the aforementioned Claims by coordinating such audit through Claim Administrator and executing an audit agreement with Prime as a party.Audits will be performed during normal business hours and are subject to providing Claim Administrator and Prime with reasonable advance written notice. Prime will make available records, as they relate to the Claims, unless Prime is legally or otherwise contractually prohibited from doing so. No material shall be copied or removed from Claim Administrator or Prime without prior written approval by Prime or Claim Administrator as applicable. Employer will bear its own cost and expenses for all such audits." 111. EXHIBIT 7 — PHARMACY BENEFIT MANAGEMENT SERVICES, Section 9 "Termination", subsection e.is deleted in its entirety and replaced with the following: "e. By Claim Administrator pursuant to Ex. 2 Section 7.1, upon Employer's failure to pay all amounts due under the Agreement or this Exhibit including, but not limited to, all amounts pursuant to and in accordance with the specifications of the Fee Schedule of the most current ASO BPA and BPA Addendum." 11. EXHIBIT 7— PHARMACY BENEFIT MANAGEMENT SERVICES, Section 11 "DEFINITIONS", 35. "Specialty Drugs" is amended by replacing the last sentence of the paragraph with the following: "The list of Specialty Drugs is determined by Prime or Claim Administrator, may be further defined in the BPA Addendum, and subject to change." IL Gen Med-CF Non-ERISA ASA Amendment Rev.7.24 3 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.