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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's affiliate, Optum Bank, Inc., will accept HSA eligibility and account setup information from Customer <br />directly for Customer's Participants as stated in Exhibit E. <br />Schedule of Services <br />A. ACCOUNT MANAGEMENT SERVICES <br />Service <br />Comments <br />Implementation and maintenance of account. <br />Pharmacy pre- implementation audit <br />United will conduct a pharmacy pre - implementation audit and <br />...................... . ......................... ............................... ................ ............................... .... ........ <br />provide the results of that audit to Customer: _ ....... ...................... <br />Enrollment meetings and support for locations that meet <br />Minimum six weeks notice of meeting. <br />United's criteria. <br />............................................._.......... <br />......................................................... .................................................................... ......................................... <br />Standard initial enrollment kit. <br />........................................................................................................................................................................................................... <br />;................................ - .......... .... --- ............_._......._.._.. -- - -- ._......_...- --- ._._._......... - - ----- — -- ..._ —._... <br />.......................__ <br />Bulk mailing of initial enrollment kits to Customer based <br />—._... - ._._ ................ __ .... _._.— .... _ ... _ ....... _ ......... . ... . _._..._._._ .......... _ ...... _ ..... ---- _ ...... — ._.—............... <br />on United's criteria. <br />..................................................................................................................................................................................................................................................._._......_._.__......__....__......._......_..._....__.._... <br />Ongoing account management including: <br />__......._.- ............... - - -- ........ -- ............ _ .......... _ ......... .................. -- .... <br />The term "Key Personnel" means United's (i) Strategic <br />• Designated account resources. <br />Account Executive, the lead person on Customer's account, <br />• Ongoing management and review of benefits and data. <br />and (ii) the Client Services Manager, the day to day business <br />contact on Customer's account. <br />In the event it becomes necessary to change or remove any Key <br />Personnel, or if any Key Personnel become unavailable for any <br />reason, United shall, where possible, deliver at least thirty (30) <br />days' advance written notice thereof, and promptly designate <br />the proposed replacement, whose qualifications and <br />capabilities shall be summarized in the notice. Customer shall <br />have the opportunity to approve such replacement. If <br />Customer does not approve the proposed replacement, which <br />approval shall not be unreasonably withheld, United shall <br />promptly designate another proposed replacement. <br />If Customer reasonably requests a change in an existing <br />assignment, United will in good faith consider the assignment <br />of other personnel of suitable ability and qualifications to <br />replace the individual, and United will not unreasonably <br />............ ............. ........................ .................... ....................................................................... ..................................................................... ........... .............:.__withhold <br />approval of such request ................... ...... _ .... -. <br />Standard accounting structure based on United's criteria: <br />Maximum of 25 distinct suffix/account splits. <br />® Suffixes to accommodate separate claims reporting for <br />different benefit plans. <br />® Claim accounts to accommodate separate claims data for <br />..........._different locations and... groups ..................... ........ ............ .................... ... .... ................ ....... ....... ........ <br />. ............ ............................ . .................... _. . ....... . ................ . ......... . ... _ ........................... - . ............. <br />Maintenance of _ °_p to „3 separate benefit... plans . .................. ......................... ................_.....--...................................... <br />. ........................ . ...... . .......................... _._. <br />_ . ....... . ............ _ ..............................._...- <br />Electronic Bill Presentment and Payment (EBPP), which <br />. ............................. . ............ . ........................ _ . ....... _. . .............. _... <br />provides capabilities to: <br />• View invoices online. <br />• Sort and search enrollee information. <br />• Download billing information. <br />• Remit payment online. <br />....... ... ........................................................ .................. ............................................................. <br />Online administration services accessed through United's <br />_ .............. _..__............. - -- - --- ._............... - -- - ...._...... - ......... <br />Customer reporting is included to the extent indicated in <br />Employer eServices Web site including online eligibility <br />Section D. eServices Customer Reporting Services. <br />maintenance and claim status inquiry. <br />.............. ................. ...................... ............................................................. ........... ........ .......................................................... ......................................... <br />_ ............. __._._ .._ .............. __._....._._.. -. ............ _ ...... --- _........... <br />17 <br />
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