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ADMINISTRATIVE SERVICES AGREEMENT <br />This Administrative Services Agreement ( "Agreement ") between United HealthCare Services, Inc. ( "United" in this <br />Agreement) and City of San Marcos ( "Customer" in this Agreement) is effective January 1, 2017 ( "Effective Date "). <br />This Agreement covers the services United is providing to Customer, either directly or in conjunction with one of <br />United's affiliates, for use with the Customer's Self - Funded Employee Benefit Plan and the Agreement applies to <br />claims for Plan benefits that are incurred on or after the Effective Date. <br />The City of San Marcos identifies this arrangement as Contract No.:216 -300. <br />United HealthCare Services, Inc. identifies this arrangement as self - funded policy No.: <br />By signing below, each party agrees to the terms of this Agreement. <br />City of San Marcos <br />630 E Hopkins Street <br />San Marcos, TX 78666 <br />By: <br />Authorized Signature <br />t <br />Print Name: . , ;-ILI L, T <br />Print Title: €� <br />Date: CL 1 J'e'ff <br />United HealthCare Services, Inc. <br />185 Asylum Street <br />Hartford, CT 06103 -3408 <br />By: <br />ASA IQ 2015 <br />