My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
R95-141 AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
COD
>
City Clerk
>
RESOLUTIONS
>
1995
>
R95-141 AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/8/2016 1:46:01 PM
Creation date
7/8/2016 1:46:00 PM
Metadata
Fields
Template:
Resolution/Ordinance
Res Ord Num
R95-141
Res Ord Title
AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Approved Date
9/18/1995
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
14
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
• D. The Claim Administrator hereby agrees to indemnify and hold harmless the Employer and its di- <br /> rectors, officers and employees against any and all claims, lawsuits, settlements, judgments, <br /> costs, penalties and expenses with respect to this Agreement resulting from or arising out of any <br /> acts of the Claim Administrator or its employees which have been determined to be fraudulent <br /> or criminal by a court of competent jurisdiction. <br /> E. The Claim Administrator does not insure or underwrite the liability of the Employer under the Plan <br /> and has no responsibility for determining the terms of the Plan or the benefits to be provided <br /> thereunder. The Employer retains the ultimate responsibility for claims under the Plan and all <br /> expenses incident to the Plan, except as specifically assumed in this Agreement by the Claim <br /> Administrator. The Employer agrees to indemnify and hold harmless the Claim Administrator and <br /> its directors, officers and employees against any and all loss, liability, damages, penalties and <br /> expenses, including attorneys' fees, or other cost or obligation resulting from or arising out of <br /> claims, lawsuits, demands, settlements or judgments brought against the Claim Administrator <br /> in connection with the design or administration of the Plan including, but not limited to, any claim <br /> based upon the disclosure of any information regarding a Covered Person by the Claim Adminis- <br /> trator to the Employer or in connection with a claim for benefits under the Plan unless it is first <br /> judicially determined by a court of competent jurisdiction that the liability therefor was the direct <br /> consequence of dishonest or criminal conduct, or fraud on the part of the Claim Administrator <br /> or any of its directors, officers or employees. <br /> F. If it is determined that any payment has been made under this Agreement to an ineligible em- <br /> ployee or dependent, or if it is determined that more or less than the correct amount of any pay- <br /> ment hereunder has been paid by the Claim Administrator, the Claim Administrator will make a <br /> diligent attempt to recover any such payment made to an ineligible person or overpayment, or <br /> • the Claim Administrator will adjust the underpayment, but the Claim Administrator will not be re- <br /> quired to initiate court proceedings for any such recovery. <br /> G. The Employer shall furnish on a timely basis to the Claim Administrator certain information con- <br /> cerning the Plan and employees and dependents covered under the Plan ("Covered Persons") <br /> as may from time to time be required by the Claim Administrator for the performance of its duties <br /> including, but not limited to, the following: <br /> 1. All documents by which the Plan is established and any amendments or changes to the Plan <br /> as may from time to time be adopted. <br /> 2. All data as may be required by the Claim Administrator regarding the Covered Persons who <br /> are to be covered under this Agreement. <br /> a. Such data may include,without limitation,a list of Covered Persons who are to be covered <br /> under the Agreement and completed application cards. It is the Employer's obligation <br /> to notify the Claim Administrator no later than thirty-one (31) days after the effective date <br /> of any change in a Covered Person's status under this Agreement. Clerical errors or de- <br /> lays in keeping or reporting data relative to coverage under this Agreement will not invali- <br /> date coverage which would otherwise be validly in force or continue coverage which <br /> would otherwise validly terminate. However, the Employer is liable for any benefits paid <br /> for a terminated Covered Person if the Employer had not timely notified the Claim Admin- <br /> istrator of such Covered Person's termination. <br /> b. All such notifications by the Employer to the Claim Administrator must be furnished on <br /> forms or in a format approved by the Claim Administrator and must include all information <br /> • reasonably required by the Claim Administrator to effect such changes. <br /> The Employer, furthermore, shall use its best efforts to cooperate with and assist the <br /> Claim Administrator, as applicable, in the performance of its duties hereunder. <br /> - 2 - <br />
The URL can be used to link to this page
Your browser does not support the video tag.