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R2000-207 AUTHORIZING APPLICATIONS
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R2000-207 AUTHORIZING APPLICATIONS
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Last modified
3/29/2016 11:49:26 AM
Creation date
3/29/2016 11:49:24 AM
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Resolution/Ordinance
Res Ord Num
R2000-207
Res Ord Title
AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Approved Date
10/16/2000
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4. Conversion Fee: <br /> The Claim Administrator shall be compensated$6,000 for each conversion policy issued <br /> during the term of this Agreement. <br /> The service charges will be computed and payable in accordance with the Section below en- <br /> titled "Claim Settlements." <br /> B. The service charges, which are guaranteed for a twelve (12) month period from the Effective <br /> Date of this Agreement, have been determined in accordance with the Claim Administrator's <br /> current regulatory status and the existing benefit program.Should future legislation or admin- <br /> istrative rule or regulation (i) obligate the Claim Administrator to pay any new taxes, Sur- <br /> charges or other fees imposed upon or resulting from this Agreement, or (ii) mandate a new <br /> or modify a current benefit,then the Claim Administrator reserves the right, upon at least sixty <br /> (60) days prior notice to the Employer to adjust the service charges within such twelve (12) <br /> month period. Further, in the event of termination of this Agreement,the Claim Administrator <br /> reserves the right to adjust the service charges applicable to the processing of Claims after <br /> the date of termination. <br /> C. In addition, the Claim Administrator's compensation for its services under this Agreement <br /> shall include the difference between the Net Claim Payments reimbursed to the Claim <br /> Administrator by the Employer under this Agreement and the net amounts paid to Providers <br /> by the Claim Administrator after giving effect to the Claim Administrator's Separate Financial <br /> Arrangements with Providers. <br /> VIII. TRANSFER PAYMENT <br /> In consideration of the Cfaim Administrator's obligations as set forth in this Agreement and at the <br /> end of each Transfer Payment Period,the Employer shall transfer to the Claim Administrator's ac- <br /> count number#81880-01258 at Bank of America an amount equal to the Transfer Payment Peri- <br /> od's Net Claim Payments plus the applicable service charges. For purposes of this agreement,the <br /> Transfer Payment Period shall be weekty. The Claim Administrator shall advise the Employer's <br /> Financial Division by facsimile or telephone (at a facsimile or telephone number to be furnished <br /> by the Employer priorto the effective date of this Agreement)of the amount of Net Claim Payments <br /> pursuant to this Agreement for which reimbursement has not been previously made by Employer <br /> to the Claim Administrator, plus the applicable service charges. If any day on which a Transfer Pay- <br /> ment is due is a holiday, such payment will be made on the next business day. <br /> IX. CLAIM SETTLEMENTS <br /> A. A Claim Settlement shall be determined for each monthly period. Such period will be referred <br /> to as the"Claim Settlement Period."The Claim Settlement shall reflect the sum of the follow- <br /> ing: <br /> 1. All Net Claim Payments calculated on the basis of Claim Payments paid by the Claim Ad- <br /> ministrator in the particular Claim Settlement Period. <br /> 2. All Net Claim Payments calculated on the basis of Claim Payments paid by the Claim Ad- <br /> ministrator in prior Claim Settlement Periods that have not been included in a prior Claim <br /> Settlement. <br /> 3. The service charges specified in Section VII. of this Agreement. � <br /> _ The sum of 1., 2., and 3. above shall be referred to as the Claim Settlement Total. 'I <br /> B. If, within the Claim Setttement Period, the Claim Settlement Total exceeds the Transfer Pay- <br /> ments,the Employer will pay the difference to the Claim Administrator.The Claim Settlement � <br /> will be determined within sixty(60)days from the last day of the Claim Settlement Period.The �, <br /> Claim Administrator will notify the Employer in writing of the results of the Claim Settlement. I <br /> - 5 - <br />
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