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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
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Approving
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2016-77
Date
6/21/2016
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calendar days of the notice of the new fee or if United notifies Customer that United is unable to implement or <br />administer the change, United will have no obligation to implement or administer the change, and Customer may <br />terminate this Agreement upon (60) sixty calendar days written notice. <br />Section 2.4 Customer Approved Third Party. Customer represents that together Customer and any of its affiliates <br />covered under the Plan make up a single "controlled group" as defined by the IRC. The Customer agrees to provide <br />United with a list of Customer's affiliates covered under the Plan upon request. <br />Section 2.5 Information Customer Provides to United. Customer will notify United regarding which of Customer's <br />Employees, their dependents and/or other persons are Participants. This information will be accurate and provided to <br />United no later than thirty (30) calendar days. United will accept eligibility data from Customer in the format described <br />in Exhibit A — Statement of Work. Customer will notify United of any change to this information as soon as reasonably <br />possible. <br />United will be entitled to rely on the most current information in United's possession regarding eligibility of <br />Participants in paying Plan benefits and providing other services under this Agreement and as such, United will not <br />be required to make retroactive eligibility changes, process or reprocess claims, but if United agrees to do so, additional <br />fees may apply. United shall be entitled to rely upon any written communication from Customer, its designated <br />employees, agents or authorized representatives. United will apply electronic eligibility changes without imposing <br />any extra fees. In the event that Customer requests manual retroactive eligibility changes or retroactive eligibility <br />changes to include claims reprocessing, United will make such changes only after the parties agree to the terms on <br />which such changes will be made and any extra fees that would apply for doing so. <br />The Customer agrees to provide United (or cause Customer's vendor to provide United), in a timely manner with all <br />information that United reasonably requires to provide Customer's Participants with disease management services as <br />described in accordance with Exhibit A - Statement of Work and United's program guidelines. United shall be entitled <br />to rely on the information that is provided to United in connection with United's provision of disease management <br />services to Customer's Participants. <br />Section 2.6 Escheat. United has no responsibility for complying with any applicable abandoned property or escheat <br />laws, or making any required payments, or filing any required reports on behalf of the Plan. <br />Section 3 — Fees <br />Section 3.1 Fees. Customer will pay fees enumerated in Exhibit B, to United as compensation for the services <br />provided by United. In addition to the fees specified in Exhibit B, Customer will also pay United any additional fee <br />that is authorized by a provision elsewhere in this Agreement or is otherwise negotiated and agreed to by the parties. <br />Section 3.2 Changes in Fees. United can change the fees on each Term anniversary ( "Renewal Term ") after December <br />31, 2024, subject to the provisions of Exhibit B — Service Fees. United will provide Customer within (6) six months <br />prior written notice of the revised fees for subsequent Renewal Terms. Any such fee change will become effective on <br />the later of the first day of the new Renewal Term or thirty (30) days after United provides Customer with written <br />notice of the new fees. United will provide Customer with a new Exhibit B that will replace the existing Exhibit B for <br />all subsequent Renewal years. <br />United and the Customer will negotiate the fees (i) any time there are changes made to this Agreement or the Plan, <br />which affect the fees including the termination of the Shared Savings Program, (ii) when there are changes in laws or <br />regulations which affect or are related to the services United is providing, or will be required to provide, under this <br />Agreement, including the Taxes and fees noted in Section 6 Taxes And Assessments (iii) if the number of Employees <br />covered by the Plan or any Plan option changes by fifteen percent (15 %) or more or (iv) if the average contract size, <br />defined as the total number of enrolled Participants divided by the total number of enrolled Employees, varies by 10% <br />or more from the assumed average contract size set forth in Exhibit B. Any new fee required by a change described <br />herein will be effective as of the date the changes occur, even if that date is retroactive. <br />If the Customer does not agree to any change in fees, the Customer may terminate this Agreement upon thirty (30) <br />calendar days prior written notice after Customer receives written notice of the new fees. Customer will pay any <br />amounts due for the periods during which the Agreement was in effect. <br />Section 3.3 Due Dates, Payments, and Penalties. For the Standard Medical Service Fees described in Exhibit B, <br />United will provide the Customer with an on -line invoice in advance of the first of each month, typically no later than <br />
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