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Res 2016-077/approving an administrative services agreement with United Healthcare Services, Inc. for the provision of medical, pharmacy, dental, flexible spending accounts (fsa), retiree, online enrollment tool and cobra benefits administration in a tot
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Res 2016-077/approving an administrative services agreement with United Healthcare Services, Inc. for the provision of medical, pharmacy, dental, flexible spending accounts (fsa), retiree, online enrollment tool and cobra benefits administration in a tot
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Resolutions
City Clerk - Type
Approving
Number
2016-77
Date
6/21/2016
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United will stop payment on all checks that remain uncashed at the end of this period and Customer will request in <br />writing to close the Bank Account and recover any funds remaining in it. United will provide bank statements and <br />Bank Account reconciliation reports, including reports Customer needs for the purposes of performing escheat. <br />Flexible Spending Account (FSA). United, on Customer's behalf, will open and maintain a bank account at the Bank <br />to provide United the means to access Customer's funds for the sole purpose of payment of reimbursement of FSA <br />Plan benefits, expenses and, when authorized by Customer, fees ( "FSA Bank Account "). The FSA Bank Account will <br />be a part of the network of accounts that have been established at the Bank for United's self - funded customers. The <br />funds in the FSA Bank Account are Customer's and will not be comingled with any other customer's funds or other <br />United funds . <br />Customer will maintain a minimum balance in the FSA Bank Account as United determines appropriate based upon <br />Participant enrollment and projected benefit reimbursement requests. United will determine if circumstances warrant <br />increasing this minimum balance, and will notify Customer if and when the required balance or the amount identified <br />above changes. <br />Every five (5) business day(s), Customer will transfer to the Bank Account the amount of funds which have been <br />withdrawn from the Bank Account over the past five (5) business day(s). Customer will transfer that amount via <br />ACH. This transfer will replenish Customer's balance in the Bank Account. Customer will initiate the fund transfers <br />unless United determines that Customer's financial condition as of the Effective Date, as assessed by United, has <br />deteriorated or Customer fails to comply with the material funding and financial obligations specified in this <br />Agreement. If either condition occurs, Customer agrees to authorize United to initiate the transfers. <br />The number of days between transfers and the method of transfer are based on Customer's financial condition as of <br />the Effective Date as viewed by United, and Customer's compliance with material financial obligations. In the event <br />United determines, based on reasonable information and belief, that Customer's financial condition has deteriorated, <br />or Customer continues to fail to comply with material financial obligations set forth in this Agreement, United reserves <br />the right to increase the frequency of such fund transfers and/ or change the method of transfer. <br />Section A4 Medical Benefit Drug Rebate Payments <br />Allocation and Payment of Rebates. From time to time, United or a subcontractor may negotiate with drug <br />manufacturers regarding the payment of medical benefit Rebates on applicable prescription drug products dispensed <br />to Participants under the Plan's medical benefit. Customer will receive 80% of the medical benefit Rebates United <br />receives. United will retain the balance of such medical benefit Rebates as part of United's compensation. When <br />United negotiates directly with drug manufacturers for the payment of medical benefit Rebates to United, United will <br />pay Customer the agreed upon Rebates within thirty (30) calendar days of United's receipt of such Rebates from the <br />drug manufacturer. If United is not able to make payment to Customer within thirty (30) calendar days, United will <br />pay interest on such Rebates from the date of receipt until United makes payment to Customer, less approximately <br />thirty (30) calendar days for processing. United will retain interest earned during this processing timeframe. United <br />will pay medical benefit Rebates to Customer in the agreed upon amount no less than annually. Interest will be paid <br />at the one month London Interbank Offered Rate (LIBOR) in effect on the first business day of each applicable month. <br />Customer will only receive Customer's medical benefit Rebates to the extent that medical benefit Rebates are actually <br />received by United. Thus, for example, if a government action or a major change in pharmaceutical industry practices <br />prevents United from receiving medical benefit Rebates, the amount Customer receives may be reduced or eliminated. <br />Customer agrees that during the term of this Agreement, neither Customer nor the Plan will negotiate or arrange or <br />contract in any way for medical benefit Rebates on or the purchase of prescription drug products from any <br />manufacturer under the Plan's medical benefit. If Customer or the Plan does, United may, without limiting United's <br />right to other remedies, immediately terminate Customer's and Plan's entitlement to medical benefit Rebates <br />(including forfeiture of any medical benefit Rebates earned but not paid). In addition, Customer agrees to reasonably <br />cooperate with United in order to obtain medical benefit Rebates. <br />Subcontractor Compensation. If a subcontractor is involved in negotiating with drug manufacturers regarding the <br />payment of medical benefit Rebates, it may retain a portion of the gross amounts received from drug manufacturers <br />in connection with such products. United will provide information on the amount, if any, retained by the subcontractor <br />as compensation for its services, in advance of Customer's execution of this Agreement. In addition, United will <br />provide Customer with thirty (30) calendar days advance notice of any material increase in or method for subcontractor <br />13 <br />
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