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

Home Browse Search

� ti� ` l.fi 13ROICI;I2/CONSUL'1'AN7'COMYI;NSA'I'ION 7'he Lmployer acknowledges that it any broker/consultant acts on its behaN�for purposes of purchasing services in con- nection with the Gmployer's Plan under the Agreement,the Claim Administrator may pay the�mployer's broker/consul- tant a commission and/or other compensation in connection wilh such services under the Agreement. 11'the Employer desires additional information regarding commissions and/or olher compensalion paid the broker/consultant by the Claim Administrator in connection with services under the Agreement, the Employer should contacl its broker/consul- tant. 1.7 1'RANSI��R PAYMrN7'PrRI011 The "1'r�nsfer Payment Yeriod by which payments under Section 5 oi'this Exhibit are to be made is weekly. 1.8 CLAIM S�'ITLGMrNT P�RIOD '1'he Claim Settlement Period by which settlements under Section 6 of this Exhibit are to be made is monthly. 1.9 RUN-OrP' P�RIOD The Run-Off Period immediately fiollowing termination of the Agreement during which the Claim Administrator will accept Run-0ff Claims submitted fbr payment is twelve (12) months. 110 PLAN COV�RAG� Coverage under the Employer's Ylan includes the following: • comprehensive ma_jor medical coverage with access to Network Yroviders • comprehensive ma_jor medical coverage 1.11 N07'ICG MAILING AND'1'RANSMISSION INI+OI2MA1'ION Each party's address and facsimile number for the issuance o1'notices in accordance wilh Section 25 of the Agreement are shown below. If to the Claim Administrator: F31ue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60(01-5099 Attention: Penny Dunlevy IT to the Employer: City of Decatur #1 Gary K. Anderson Plaza Decatur, Illinois 62523-1196 Attention: Risk Management Assistant S�CTION 2: �XHII3I1'llLI+INITIONS Other definitions applicnhle tn Ntis Exhibi! nre conluiited in Seclion 2 AGIZEEMENT DEFINITIONS of lhe Agreement. 2.1 "Coinsw•ance" means a percentage of an eligible expense that a Covered Person is required to pay toward a Covered Service. 2.2 "Copayment" means a specified dollar amow�t that a Covered Peison is required to pay toward a Covered Service. 2.3 "Inpatient" means the Covered Person is a registered bed patient and treated as such in a health c�re facility. 2.4 "Medicare Secondary Paye►•("MSP")"means those provisions oi the Social Security Act set 1�orth in 42 U.S.C. §13)5 y(b),and the implementing regulalions set forth in 42 C.P.R. Part 411,as amended,which regulate the manner in which i ic�sc n_nsn ite��.�io� -20-