R2007-236 AUTHORIZING AGREEMENT WITH BLUE CROSS BLUE SHIELD OF ILLINOIS

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� , , } ,. • S'I'OY LOSS COORDINA`I'ION Coordinate all necessary reporting, tracking, notification and other similar financial and/or administrative services pur- suant to settlements uncler stop loss policy(ies)purchased from Claim Administrator in conj�mction with the Agreement. For stop loss coverage purchased from entity(ies)other than Claim Administrator,such coordination is limited to this Ex- hibit's STANDARD RGPORTS to be made available to Employer sub,ject to the Agreement's disclosure requiremenis. • R�POR'TING SI;RVICTS Preparation and filing of annual Internal Revenue Service(IRS) 1099 forms 1'or the reporting of payments to health care providers who render services to Covered Persons �nd who are reimbursed by the Plan for those services. • AC1'UARIAL AND STA'1'ISTICAL ' Detennination of claims pro,jections and pricing of'administrative services and stop-loss coverage. • FINANCIAL SLRVICGS Fintincial functions sud�as cash receipts,cash disbursements,payroll and general ledger processing,general accounting, preparation of financial statements, billing, group settlement and wire transfers. • FI2AUD DG7'CCTION ANll PREV�NTION Identify and investigate suspected fraudulent activity by Providers and/or Covered Persons and inform Employer of find- ings and proof of fraud; address any related recovery litigation as set lorth in Exhibit 3 of the Agreement. • 13LU�ACC�SS FOR�MPLOY�RS Provides Employer on-line access to conduct a variety of'secure membership, enrollment,reporting, admini6trative and billing transactions faster, more accurately and in real-time. • I3LUE ACC�SS I'OI2 MCMI3�l2S An on-line resource for personalized information about a Covered Person's health care coverage, including,but not limit- ed to,Claims stahis,email notification when a Claim has been finalized,access to health and wellness information from Mayo Clinic, verification of dependents covered on their plan and health risk assessment and such other services as be- come available. • PI20VII)�I2 NC7'WORK(S) Ii'applicable to the health benefit Plan coverage(s) under the Agreement, establish, arrange and maintain a Networh(s) through contractual arrangements with Providers including, if also applicable,Primary Care Physicians within the desig- nated service area. • CI.RTII�ICA'1'� OF CR�llI7ABL� COVCRAGC At the written direction of Employer, issuance of Certificates of Creditable Coverage. • I3LUE CAI2C� CONNrCTION PROGRAM A program that may include utilization management, case management, condition management, predictive modeling, 24/7 nurseline and access to a personal health manager or such other features as determined by the Employer. • ADD17'IONAL S�I2VICGS N01'SPLCII�I�D Claim Administrator may provide additional services nol specified in the Agreement; such services will be mutually agreed upon between the parties in writing prior to their performance and may be subject to Supplemental Charge. nc�sc ii_nsn ii�� r�/o� -1�-