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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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7/18/2016 2:07:35 PM
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City Clerk
City Clerk - Document
Resolutions
City Clerk - Type
Approving
Number
2016-77
Date
6/21/2016
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PTRX <br />15/201: <br />customers, result in significant reductions to the Rebate level <br />• in the event that there are material deviations to the anticipated timing of drugs that will come off patent and no <br />longer generate Rebates <br />• if Customer changes or does not elect an Incented plan design <br />General Conditions <br />• On mail order drugs and specialty drugs, We will retain the difference between what we reimburse the Network <br />Pharmacy and Your payment for a prescription drug product or service. <br />• A minimum of 527 Employees and 1,143 Participants enrolled in the pharmacy plan is required. <br />• The lessor of three logic (non -ZBL) will apply to Participant payments. Participants pay the lessor of the discounted price, the usual and <br />customary charge or the cost share amount. <br />• All pricing guarantees require the selection of United as the exclusive mail provider and a mail benefit <br />design as applicable to the historical data provided for the purpose of this cost proposal. All rates and fees are <br />subject to change otherwise. <br />• United reserves the right to revise or revoke this arrangement if: a) changes in federal, state or other applicable law <br />or regulation require modifications; b) there are material changes to the AWP as published by the pricing <br />agency that establishes the AWP as used in these arrangements; c) Customer makes benefit changes that impact the <br />arrangements; d) there is a material industry change in pricing methodologies resulting in a new source or <br />benchmark; e) it is not accepted within ninety (90) days of the issuance of our initial quote; <br />if Customer changes their mail service benefit. <br />37 <br />
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