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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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the 18' of each month prior. The Due Date for payment of the invoiced amount is on the first day of the next full <br />calendar month. Such invoices are provided in an eligibility -based format, and therefore payment must be made as <br />billed (no adjustments are allowed to the invoice). If authorized by Customer pursuant to this Agreement or by <br />subsequent authorization, certain fees will be paid through a withdrawal from the Bank Account. <br />Late Payment: If amounts owed are not paid within fifteen(15) calendar days after their Due Date ( "Grace Period "), <br />Customer will pay United interest on these amounts at the interest rate that United charges to its self-funded customers, <br />in accordance with applicable Texas Law. Customer agrees to reimburse United for any costs that United incurs to <br />collect these amounts in accordance with applicable Texas Law. United's decision to provide Customer with a Grace <br />Period will be based on United's assessment of Customer's financial condition, as of the Effective Date, and <br />Customer's compliance with material financial obligations. If United determines, based on reasonable information <br />and belief, that Customer's financial condition has deteriorated, or Customer continues to fail to comply with the <br />material financial obligations specified in this Agreement, United may remove the Grace Period upon notice to <br />Customer and reserves the right to either charge interest on payments not received after the Due Date or terminate the <br />Agreement if payments are not received by the Due Date in accordance with applicable Texas Law. <br />Section 3.4 Reconciliation. For each Renewal Term, United will reconcile the total amounts Customer paid with the <br />total amounts Customer owed. If the reconciliation indicates that United owes Customer money, United will promptly <br />notify Customer and Customer's next fee invoice will be credited on the next regular invoice. If the reconciliation <br />indicates that Customer owes United money, United will invoice Customer for the amount due. The Due Date for <br />these amounts is the first day of the next calendar month. Customer will pay United within thirty (30) calendar days <br />after receiving notice of the amounts that Customer owes United. For payments made after this thirty (30) day period, <br />Customer will pay United interest on these amounts at the interest rate that United charges to its other self - funded <br />customers, in accordance with applicable Texas Law. <br />If this Agreement is terminated for any reason, United will pay Customer any amount owed within thirty (30) calendar <br />days after United performs a final reconciliation. If the final reconciliation indicates that Customer owes United <br />money, Customer will pay United within thirty (30) calendar days after receiving notice of the amount owed. <br />For payments Customer makes after thirty (30) calendar days of receiving notice of the amounts that Customer owes <br />United, United will charge interest at the interest rate that United charges its other self-funded customers, in accordance <br />with applicable Texas Law. <br />Section 4 — Records, Information, Audits <br />Section 4.1 Records. United will keep records relating to the services it provides under this Agreement for a minimum <br />of three (3) years after termination or as long as United is required to do so by applicable law. <br />Section 4.2 Access to Information. If Customer requires information in United's possession for purposes other than <br />an audit, but in order to administer the Plan, United will provide Customer access to that information, if it is legally <br />permissible, the information relates to United's services under this Agreement, and Customer gives United at least <br />thirty (30) calendar days notice and an explanation of the need for such information. <br />Customer represents that it has reasonable procedures in place for handling PHI, as required by applicable law. <br />Customer will only use or disclose PHI to administer the Plan, to perform under this Agreement, or as otherwise <br />permitted under this Agreement. <br />United will provide information only while this Agreement is in effect and for a period of six (6) months after the <br />Agreement terminates and the conclusion of any run -out claims administration period outlined in Exhibit A, unless <br />Customer demonstrates that the information is required by law or for Plan administration purposes. <br />United also will provide access to information to an entity providing Plan administrative services to Customer, such <br />as a consultant or vendor, if Customer requests it. Before United provides PHI to that entity, the parties must sign a <br />mutually agreed -upon confidentiality agreement, and the parties must agree as to what information is minimally <br />necessary to accomplish the Plan administrative service. <br />Section 4.3 Audits. During the term of the Agreement, and at any time within six (6) months following its termination <br />and the conclusion of any run -out claims administration period outlined in Exhibit A, Customer or a mutually <br />agreeable entity may audit United once each calendar year to determine whether United is fulfilling the terms of this <br />4 <br />
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