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R2007-236 AUTHORIZING AGREEMENT WITH BLUE CROSS BLUE SHIELD OF ILLINOIS
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R2007-236 AUTHORIZING AGREEMENT WITH BLUE CROSS BLUE SHIELD OF ILLINOIS
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10/23/2015 3:29:59 PM
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Resolution/Ordinance
Res Ord Num
R2007-236
Res Ord Title
AUTHORIZING AGREEMENT WITH BLUE CROSS BLUE SHIELD OF ILLINOIS - ADMINISTRATIVE SERVICES AGREEMENT
Approved Date
12/26/2007
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r <br /> r ` <br /> ti <br /> SECTION 18: RECORDS <br /> All Claim records,excluding any and all Business Proprietary Information,in the possession of the Claim Administrator are and <br /> shall remain the property of the Employer upon termination of this Agreement. The Claim Administrator shall return such <br /> property upon request in a form as agreed upon by the parties at the cost of preparing such property for transmittal to be bome by <br /> the Employer. All such Claim records shall be retained by the Claim Administrator until the Claim Administrator receives a <br /> request from the Employer for transmittal or for a period of ten(10) years from the date of a Claim's adjudication, whichever <br /> occurs first. <br /> SECTION 19:APPLICABLE LAW <br /> This Agreement shall be governed by,and shall be construed in accordance with,the laws of the state of Illinois without regard to <br /> any state choice-of-law statutes, and any applicable federal law. All disputes arising out of this Agreement will be resolved in <br /> Illinois. <br /> SECTION 20: ENTIRE AGREEMENT <br /> 20.1 Definition. This Agreement,including all Exhibits and Addenda,represents the entire agreement and understandings of the <br /> parties hereto and all prior agreements,understandings,representations and warranties,whether written or oral,in regard to <br /> the subj ect matter hereof,including any proposal document submitted by the Claim Administrator to the Employer pursuant <br /> to this Agreement,are and have been merged herein to the extent applicable.In the event of a conflict,the provisions of this <br /> Agreement and the Exhibits and Addenda of this Agreement shall prevail. <br /> 20.2 Components. The Exhibits and Addenda of this Agreement as of the Agreement's effective date are: <br /> a. Exhibit 1 —Claim Administrator Services <br /> b. Exhibit 2—Fee Schedule,Financial Responsibilities&Required Disclosures <br /> c. Exhibit 3 —Recovery Litigation Authorization <br /> d. Exhibit 4—Benefit Program Application <br /> 20.3 Amending. This Agreement may be amended or altered in any of its provisions, including the addition or deletion of any <br /> Exhibits and/or Addenda as provided herein,by the parties hereto and any such change shall become effective when reduced <br /> to writing and signed by an authorized representative of the parties or at such time as said amendment may provide. <br /> SECTION 21: NOTICE AND SATISFACTION <br /> Unless specifically stated otherwise in this Agreement,the Employer and the Claim Administratar agree to give one another ' <br /> written notice(pursuant to Section 25 Notices below)of any complaint or concern the other party may have about the <br /> performance of obligations under this Agreement and to allow the notified party thirty(30)days in which to make necessary I <br /> adjustments or corrections to satisfy the complaint or concern prior to taking any further action with regard to such. I <br /> SECTION 22:LIMITATION OF LIABILITY <br /> Liability for any errors or omissions by the Claim Administrator(or its officers,directors,employees,agents or independent <br /> contractors)in the administration of this Agreement,or in the performance of any duty or responsibility contemplated by this <br /> Agreement,shall be limited to the maximum benefits which should have been paid under this Agreement had the errars or <br /> omissions not occurred(including the Claim Administrator's share of any arbitration expenses incurred),unless any such errars <br /> or omissions are adjudged to be the result of intentional misconduct,negligence or intentional breach of a duty under this <br /> Agreement by the Claim Administrator. <br /> -14- <br />
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