R2015-120 AUTHORIZING CITY MANAGER TO SIGN AGREEMENT Bluecross Blueshield of Illinois

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Summary of Bene�ts and Coverage Addendum To ASO Benefit Program Application (ASO BPA) Employer Name: City of Decatur Account Number: 022346 Effective/ First Date of Employer's Open Enrollment Period for the next Plan Year Renewal Date: 1/1/2016 (the"First Open Enrollment Date"): 12/i/2015 The Affordable Care Act ("ACA") requires group health plans to create and distribute a Summary of Benefits and Coverage (or alternate format permitted by ACA) (the "SBC"), to participants and beneficiaries in certain specified situations (the "SBC Requirements"). In accordance with the Employer's election indicated on the most current ASO BPA, to have Blue Cross and Blue Shield of Illinois (BCBSIL) create and/or distribute the SBC, as of the First Open Enrollment Date, the Employer acknowledges and agrees: 1. BCBSIL's SBC services do not include the creation or distribution of coverage information for benefits it does not administer under the Agreement, unless otherwise agreed to in the ASO BPA or this Addendum. 2. Employer is responsible for the proper synthesizing of information from its various insurers and administrative service providers it uses for its group health plan (or providing multiple partial SBCs if permitted by law). 3. The Employer is responsible for SBC services performed by Employer's third party vendors. 4. The Employer must review and approve the SBC prior to distribution and is responsible for the content of the SBC. Nothing in this Addendum or in the ASO BPA relieves the Employer or its group health plan of their respective legal and regulatory obligations with respect to the SBC. 5. ACA and the SBC regulatory and sub-regulatory guidance (the "Guidance") are new (and subject to change) and the regulatory agencies and industry interpretations thereof are evolving; therefore, BCBSIL's operations shall not be considered to be in breach of the Agreement to the extent BCBSIL has worked diligently and in good faith to implement a reasonable interpretation of then-current SBC- ' related ACA provisions and Guidance, in a manner consistent with the SBC Requirements. I 6. Employer agrees to furnish to BCBSIL in a timely manner all information necessary for .the timely ', distribution of SBCs, including but not limited to names and addresses for: (i) any person currently �, enrolled in any plan administered or insured by BCBSIL, and (ii) any person the employer tells us is � eligible or may become eligible. Employer's failure to furnish such information, to agree to an implementation plan or to promptly review/approve SBCs may substantially delay and/or jeopardize BCBSIL's SBC services and BCBSIL is relieved of its SBC obligations. 7. Employer shall indemnify and hold harmless BCBSIL and its directors, officers and employees against any and all loss, liability, damages, fines, penalties, taxes, expenses (including attorneys'fees and costs) or other costs or obligations resulting from or arising out of any claims, lawsuits, demands, governmental inquiries or actions, settlements or judgments brought or asserted against BCBSIL in connection with the SBC (and Employer's or its vendors' distribution of the SBC). SBC Addendum for use with ASO business(IL)