R2000-207 AUTHORIZING APPLICATIONS

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3. Any claim based upon the disclosure of any information regarding a Covered Person by the Claim Administrator to the Employer. 4. Any claim in connection with a claim for benefits under the Plan. 5. Any claim in connection with untimely and/or inaccurate eligibility data or Claim informa- tion data provided by the Employer to the Claim Administrator,or any such data provided by the Employer in a format not approved by the Claim Administrator. F. If it is determined that any payment has been made under this Agreement to an ineligible em- ployee or dependent, or if it is determined that more or less than the correct amount of any payment hereunder has been paid by the Claim Administrator, the Claim Administrator will make a diligent attempt to recover any such payment made to an ineligible person or overpay- ment, or the Claim Administrator will adjust the underpayment, but the Claim Administrator will not be required to initiate court proceedings for any such recovery. G. The Employer shall furnish on a timely basis to the Claim Administrator certain information concerning the Plan and employees and dependents covered under the Plan ("Covered Per- sons'� as may from time to time be required by the Claim Administrator for the performance of its duties including, but not limited to, the following: 1. All documents by which the Plan is established and any amendments or changes to the Plan as may from time to time be adopted. 2. All data as may be required by the Claim Administrator regarding the Covered Persons who are to be covered under this Agreement. Such data may include,without limitation,a list of Covered Persons who are to be covered under the Agreement and completed appfication cards and information required by the Claim Administrator to identify dual coverage situations which fall within the MSP laws and information required for Certficate(s) of Creditable Coverage that may be issued by the Claim Administrator. It is the Employer's obligation to notify the Claim Administrator no laterthan thirty-one(31)days afterthe effective date of any change in a Covered Person's status under this Agreement.All such notifications by the Employer to the Claim Adminis- trator (including, but not limited to, forms and tapes) must be furnished in a format ap- proved by the Claim Administrator and must include all information reasonably required by the Claim Administrator to effect such changes. Clerical errors or delays iri keeping or reporting data relative to coverage under this Agreement will not invalidate coverage which would othervvise be validly in force or continue coverage which would otherwise validly terminate. However, the Employer is tiable for any benefits paid for a terminated Covered Person if the Employer had not timely notified the Claim Administrator of such Covered Person's termination. The Employer, furthermore, shall use its best efforts to cooperate with and assist the Claim Administrator, as applicable, in the performance of its duties hereunder. IV. RELATIONSHIP WITH NETWORK PROVIDERS It is understood and agreed that neither the Employer nor the Claim Administrator is engaged in the practice of inedicine. PPO Providers and other Providers are solely responsible for all deci- — - sions regarding the medical care and treatment of Covered Persons, and the traditional relation- ship between physician and patient shall in no way be affected by or interfered with by any of the terms of this Agreement or any agreement between the Claim Administrator and such Providers. Accordingly,this Agreement is in no way intended to affect the responsibility of PPO Providers and other Providers to provide appropriate services to Covered Persons. - 3 -