R89-148 AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGES

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� � �I�i�I V�S . . .� t �lJ@�'11�C� I�� � of Illinois „ 233 North Michigan Avenue Chicago, Illinois 60601-5655 312/938-7500 ADMINISTRATIVE SERVICES AGREEMENT This Agreement made as of November 1 , 1989 by and between HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (hereinafter referred to as the "Claim Administrator" ) , and CITY OF DECATUR - Employer Group Number 992844(hereinafter referred to as the "Employer" ) , WITNESSETH AS FOLLOWS: WHEREAS, the Employer has established and adopted an employee welfare benefit plan ( "Plan" ) attached as Exhibit I ; WHEREAS, the Employer desires to retain the Claim Administrator to provide certain administrative services with respect to the attached Plan; NOW, THEREFORE, in consideration of these premises and the mutual pro- mises and agreements hereinafter s�et forth, the parties hereby agree as follows : I . APPOINTMENT The Employer hereby retains and appoints the Claim Admini- strator to provide services as hereinafter described in connection with the administration of the Plan. II . SERVICES TO BE PROVIDED BY THE CLAIM ADMINISTRATOR During the continuance of this Agreement, the Claim Admini- strator will perform such services as are set forth in Exhibit II , attached hereto and made a part hereof. The Claim Administrator at its discretion may contract with other entities for performance of any of the services to be performed by the Claim Administrator hereunder . III . CERTAIN RESPONSIBILITIES OF THE EMPLOYER AND THE CLAIM ADMINISTRATOR A. The Employer retains full and final authority and re- sponsibility for the Plan and its operation. The Claim Administrator is empowered to act on behalf of the Employer in connection with the Plan only as expressly stated in this Agreement or as mutually agreed to in writing by the parties hereto. Health Care Se�e Corporation,a Mutual Legal Reserve Company (Blue Cross and Blue Shield of Illinois)