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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Summary Plan Description (SPD) Assistance. United will prepare a customized draft of an SPD, either for each plan or multiple plans, as mutually agreed upon with one additional draft, in response to Customer's comments, and a final draft SPD. "Plan", for purposes of this paragraph, means each individual plan design administered by United. The SPD will be in English. United will print each SPD in its standard size and with United's standard cover in a quantity equal to 110% of the number of Employees participating in the plan, and ship to a single location and /or post online. Summary of Benefits and Coverage: • Electronic version in United's standard format. • For medical Plans administered by United. • Initial request and up to 1 amendment per year. Comments A first draft of the SPD draft will be provided approximately sixty (60) days after the benefit plan design has been finalized. Provision of a draft is dependent on Customer providing the documentation United requires to draft the SPD, as well as Customer's approval and United's verification of Customer's benefit plan design. Customer will respond reasonably and promptly to United's requests and inquires during this process. The parties agree and acknowledge that the SPD creation process is a cooperative effort between the parties. If the SPD is not finalized sufficiently in advance of the Effective Date of United's services, United will either (i) utilize the summary of Plan benefits and exclusions that United has created based on its understanding of Customer's Plan design and which Customer has reviewed and approved or (ii) create, at United's discretion, an operational SPD which will be based upon the summary of Plan benefits that Customer has reviewed and approved. United will administer claims and otherwise provide its services in accordance with this summary of Plan benefits and exclusions or operational SPD, as the case may be, and it will govern and remain in full force and effect until a final SPD is provided to United. If United is providing Drafts only or if Customer is producing the Final SPDs, Printing of SPDs will be at an additional cost. B. ELIGIBILITY MANAGEMENT SERVICES Service Comments Standard ID Card production and issuance. United has assumed the addition of Customer's logo in an acceptable format to the ID card. Alternative member ID numbers generated by United (not based on SSN). ....................... . . . . ........ ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... . ........................................... Electronic Eligibilit..Y.. Processing ....................................................................... ............................... Electronic Enrollment processing: • Each submission to be a single consolidated file. Separate eligibility submissions for COBRA. • Initial load of primary physician data (when applicable) to be supplied electronically with ongoing changes submitted via Employer eServicessM Web site. .................. .................. Submission format: • UnitedHealth Group® Standard 3005 Format; HIPAA 834 Compliant Format; or HR -XML format. • Single data source required. Submission frequency: • Changes file daily in combination with a full population file on a monthly schedule. Or • Changes file weekly or bi- weekly in combination with a full population file on a monthly or quarterly schedule. Or • Full file weekly or bi- weekly. Transmission method: • FTP with United's approved encryption or direct connect. 18