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R2011-04 AUTHORIZING AGREEMENT
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R2011-04 AUTHORIZING AGREEMENT
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Last modified
10/1/2015 10:51:11 AM
Creation date
10/1/2015 10:51:06 AM
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Resolution/Ordinance
Res Ord Num
R2011-04
Res Ord Title
AUTHORIZING AGREEMENT FOR EARLY RETIREMENT REINSURANCE PROGRAM ADMINISTRATION
Department
Finance
Approved Date
1/18/2011
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EXHIBIT A <br /> ANNUAL ERR PROGRAM ADMINISTRATIVE SERVICE FEES <br /> A. The following services and reports will be included in the Annual Service Fees listed below: <br /> • Assistance with the ERR Program Application, pursuant to Section IV. A. (2) ("Assistance <br /> with ERR Program Application") of this Agreement <br /> • The Reported Claims costs reports and any updates and corrections to those reports, as <br /> specified in Section IV.B. ("Data Required for ERR Program Reimbursement Payments") <br /> and Section IV.C. ("Reporting of Updates, Inaccuracies and Corrections ") of this <br /> Agreement <br /> • Records access pursuant to Section VI. ("Audits"), Section VIII. ("Appeals"), and Section XII <br /> ("Retention of Records") of this Agreement <br /> • Transition Services pursuant to Section III.C. ("Transition Requirements") of this <br /> Agreement. <br /> B. Annual Service Fees <br /> Total#Early Retirees in Annual Fee <br /> Employer's Group Health Plan(s)at time of (for a maximum of 3 Group Health Plan(s) <br /> Application and for subsequent years at <br /> be innin of Plan Year s <br /> Year 1 Years 2+ <br /> Less Than 100 $6,000 $3,000 <br /> 100 to 499 $10,000 $5,000 <br /> 500 or more $16,000 $8,000 <br /> - 11 - <br />
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