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R2004-163 AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
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R2004-163 AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
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12/29/2015 4:21:45 PM
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12/29/2015 4:21:43 PM
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Resolution/Ordinance
Res Ord Num
R2004-163
Res Ord Title
AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Approved Date
10/18/2004
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7.06 Post Termination Services. Unless the Agreement is automatically terminated <br /> under Section 7.02(a), if requested by"EMPLOYER", upon termination, the <br /> "Administrator"will pay claims incurred but not reported as of the date of <br /> termination for up to 3 months unless agreed otherwise. The fee to perform the <br /> run out service is due at the time of the request. The"Administrator"will perform <br /> additional post-termination services in accordance with the Schedule attached <br /> hereto. <br /> 7.07 Notice Upon Termination. In the event of Agreement termination, <br /> "EMPLOYER"is obligated to provide timely notice of the change in <br /> "Administrator's" (or other plan changes) to all Participants. A copy of such <br /> notice shall be provided to the "Administrator"in advance of distribution. If <br /> "EMPLOYER" either fails (i) to provide timely notice Agreement termination, or <br /> (ii) to fund the account within 5 days of the"Administrator's"request, the <br /> Agreement is automatically terminated in accordance with Section 7.02, the <br /> "Administrator" shall be obligated to send notice to each Participant for whom it <br /> has records. If the"Administrator"is so obligated to send notice, the full cost of <br /> preparing, copying and sending such notices shall be borne by"EMPLOYER". <br /> SECTION VIII <br /> Fees of the"Administrator" <br /> 8.01 Fees. For its services thereunder, "EMPLOYER" shall pay(or authorize payment <br /> from the Claims Account)the"Administrator"the fees indicated in Exhibit"A" <br /> attached hereto in accordance with the provisions of Exhibit"A". <br /> 8.02 Material Chan�e. Notwithstanding Paragraph 8.01, in the event the Plan is <br /> amended or the operation or administration of the Plan is changed and such <br /> amendment or change results in an increase in the amount of services required to <br /> be provided by the"Administrator", the fee of the"Administrator" shall be <br /> increased in order to compensate the"Administrator" for the additional services <br /> required to be performed. "Administrator" shall follow the same structure in <br /> calculating the fee that was followed in calculating the original fees approved as <br /> part of the original Agreement herein. <br /> 8.03 Government Requirement/Laws/Regulations. If the Federal, State, County or <br /> other governmental body imposes any additional requirement that would be a <br /> material change or create additional duties or requirements, the fee of the <br /> "Administrator" shall be increased in order to compensate the"Administrator" for <br /> the additional services required to be performed. <br /> 9 <br />
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