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Attachment A <br /> Program Terms and Condition <br /> The following are the requirements for the Program: <br /> A. The Program will be administered by Vitals alone on the basis of the criteria set <br /> out in Attachments A and B hereto. <br /> B. Employer agrees that Vitals shall supply to Employer's Covered Persons <br /> provider-related cost information for the specified medical procedures stated on <br /> Attachment B,as well as information regarding the availability of any associated <br /> Incentive Reward Payment. Covered Persons will obtain this information from <br /> Vitals via a call center or a website, both of which shall be provided and <br /> maintained by Vitals. Notwithstanding the foregoing, if Employer is a Benefit <br /> Value Advisor CTVA') customer of Claims Administrator, Claims <br /> Administrator,and not Vitals,shall provide the call center services. <br /> C. The Medical Procedures that are included in the Program and for which Incentive <br /> Reward Payments are available are identified and listed in Attachment B. <br /> D. By participating in the Program, Employer agrees that the Incentive Reward <br /> Payments to Covered Persons shall be in the amounts stated in Attachment B. <br /> The Incentive Reward Payments and medical procedures set forth in Attachment <br /> A may only be amended by the mutual written agreement of the Parties. <br /> E. Prior to being provided any information, Vitals shall be required to verify that the <br /> Covered Person is eligible to participate in the Employer's Plan and to use the <br /> Program. <br /> F. Following the verification of eligibility by Vitals, the Covered Person shall <br /> indicate, either on the Program website or to a Vitals representative (or Claims <br /> Administrator representative for BVA Employers) on the toll free telephone <br /> number, the healthcare procedure the Covered Person seeks to receive as well as <br /> his/her initial preference for the provider to perform the procedure, if he or she <br /> were to have one,as to the location to have the procedure performed. <br /> G. Vitals shall provide the Covered Person cost-related Information related to in- <br /> network providers who can perform the requested procedure. Vitals shall also <br /> inform the Covered Person which providers, if any, may qualify the Covered <br /> Person for an Incentive Reward Payment as established by Employer. Vitals will <br /> inform Covered Persons that any statements by Vitals as to the potential for an <br /> Incentive Reward Payment will not alter or amend the terms of the Plan and that it <br /> is not a guarantee of benefits or coverage under the Plan. Notwithstanding the <br /> foregoing, for Employers who are BVA customers of Claim Administrator, such <br /> information shall be provided by Claims Administrator if an inquiry comes in <br /> through the Claims Administrator call center. <br /> 1 <br />