HomeMy WebLinkAboutPACIFICARE - CONTRACT - RFP - P682 PACIFICARE (2)PacifiCare Health Plan Administrators, Inc. Administrative Services Agreement
Effective January 1 , 19 99 , PacifiCare Health Plan Administrators, Inc. (referred to in
this Agreement as PHPA) agrees to provide
The City of Fort Collins
(referred to in this Agreement as the Client) with the following services subject to all the terms of this
Agreement. PHPA provides these services under the direction of the Plan Administrator as designated
by the Client to control and manage the operation of the
Point of Service/Plus and EPO Medical Managed Care Plans
(referred to in this Agreement as the Plan.
Definitions
Benefit Program - A type or level of benefit which is offered to the Plan Participants. A Plan
may contain one or more Benefit Programs. Medical Benefit Programs include:
Exclusive Benefit Plan in which Plan Participants obtain services from a panel of
medical providers. The panel of medical providers may receive part of their
compensation on a pre -paid or capitated basis where the medical provider receives a
fixed fee in exchange for offering certain services as needed. The panel of medical
providers may also receive incentive payments if their overall performance exceeds a
predetermined threshold.
PacifiCare Plus/Point of Service Plan is a point -of -service (POS) plan that allows
covered members to choose between two types of coverage at the time treatment or
service is requested and/or rendered. PacifiCare provides in -network benefits. The
panel of medical providers may receive part of their compensation on a pre -paid or
capitated basis where the medical provider receives a fixed fee in exchange for offering
certain services as needed. The panel of medical providers may also receive incentive
payments if their overall performance exceeds a predetermined threshold.
TakeCare Insurance Company provides out -of -network benefits. Benefits are paid on
a fee -for -service based upon reasonable & customary charges set by HIAA tables.
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Termination Agreement
Either party may terminate this Agreement at any time upon written notice to the other party
thirty (30) days in advance of the date of termination, unless other date is agreed upon by both
parties. However, upon written notice, this Agreement will terminate immediately as of the
date the first of these events occurs:
a. Funds necessary to cover the Plan Costs are not provided by the Client in the
designated bank account, if desired by PHPA.
b. Either party ceases to do business or the date on which the Client terminates the Plan, if
sooner.
C. PHPA ceases to be duly licensed, if licensing is required, and the Client desires that the
Agreement tenninate.
2. Upon termination for any cause, PHPA or its designee will administer all claims that were
incurred up to the date of termination for a period of three months after the termination date.
During this three month period, all provisions of this agreement will remain in force except that
the Client agrees to pay PHPA in advance a Service Fee equal to three times the Service Fee
paid for the last full month before termination. At the completion of the three month period, all
obligations, duties, and responsibilities of PHPA under this Agreement cease including further
responsibility for work in process but incomplete unless the Client arranges for PHPA to
complete this work
3. PHPA will deliver a full and complete accounting and report as of the date of termination as to
the status of the Plan payments. This report will be provided within four (4) months after the
termination date. PHPA will make all records and claim files in its possession which pertain to
the Plan available to the Client within a reasonable period of time. Both parties must retain
copies of such files and records for a period of five (5) years or longer if required by law.
The signatures below bind both parties to the terms of this Agreement.
10 -9210
OWNER: CITY OF FORT COLLINS qla
PacifiCare Health Plan
n A ministrators, Inc.
By: �!
JOHN F. CHBACH, CITY MANAGER
BY: s J. Swayze
JAMES 'NEIL II, CPPO
DIREC OF PURCHASING Title: Vice President of Sales & Marketing
AND RISK MANAGEMENT
Date: 1 Z Date: 112W99
(CORPORATE SEAL)
Attest: i.A ti Attest:
City Clerk
Address for giving notices:
P. 0. Box 580
Fort Collins, Colorado 80522
Approved as to Form
Assistant City Atto n
Address for giving notices:
yss f �OSpm,l ff
a�P Gv uJ�. r0 11 U-Cj
l
License No. A • O ) O Z
10A -9210
Fund Transfer Amendment to the PacifiCare Health Plan Administrators, Inc. Agreement
Effective JanuarKl .19 99 ,
(referred to in this Amendment as the Client) has established a bank account to fund all Plan Costs
with:
First National Bank of Fort Collins
Bank
P.O. Box 578
Fort Collins. CO 80522
Address
(970) 4824861
Telephone
93008
Bank Account Number
107000262
Transit Routing Number
Checking
Account Type
This bank must be a member of the state or local Automated Clearing House (referred to in this
Amendment as ACH) for debits and credits to be processed. The Client will make proper
arrangements with the bank to accept ACH transactions for debits or credits to the bank account
identified above. The Client will attach a voided check or a photocopy of a check reflecting the bank
account number.
The Client authorizes PaciSCare Health Plan Administrators, Inc. (referred to in this Amendment as
PHPA) to transfer funds from this designated account in accordance with the Service Agreement in
force or committed to between the Client and PHPA. These transfers will be through the ACH
process.
PHPA will telephone a designated contact of the Client on the day each transfer is made in addition to
sending a monthly written confirmation to the first contact listed below of all transfers made during that
month. The Client designates the following contacts (two are required) for PHPA to use:
11 -9210
M . 1.
P.O. Box 580
Fort Collins. CO 80522-0580
Mailing Address
(970)221-6782
FAX
Gwen Feit
Name
(970)221-6843
Telephone
Accountant
Title
(970)221-7527
Telephone
Benefits Technician
Title
_(970)221-6238
FAX
In the event PHPA is unable to reach the designated contacts, the Client authorizes PHPA to proceed
with the transfer of funds provided PHPA sends a separate written notice to the first contact indicated
describing the funds being transferred.
The Client agrees to maintain standing instructions to their designated bank for the duration of this
Amendment to execute all ACH transactions initiated by PHPA. A copy of the Client's instructions to
the bank is attached to this Amendment and incorporated by reference. The Client will pay any fees
charged by their bank to service the designated account and to participate in the transfer of funds to
PHPA.
The Client grants PHPA a limited right to transfer funds to satisfy Plan Costs described in the Service
Agreement between PHPA and the Client. PHPA has no right to transfer any funds not expressly
outlined in the Agreement.
This Amendment will automatically terminate three (3) months after the Agreement terminates or when
replaced by a succeeding Amendment.
12 -9210
The signatures below bind both parties to the terms of this Agreement.
OWNER: C Y OF FORT COLLINS
By:
JOHN F. F SCHBACH, CITY MANAGER
BY:
JAME . O'NEILL II, CPPO
DIRE VOR OF PURCHASING
AND RISK MANAGEMENT
Date:�4
.Care Health Plan
strators, Inc.
s J.
Title: vice President of Sales & Marketing
Date:
(CORPORATE SEAL)
Attest: Attest:
City Clerk
Address for giving notices:
P. 0. Box 580
Fort Collins, Colorado 80522
Approved as to Form
Assistant City Attor e
Address for giving notices:
�YS r f
F� (9Zeld iad C o -4@*1WkV111
License No.
13 -9210
Network Disclosure Amendment to PacifiCare Health Plan Administrators, Inc. Agreement
Effective January 1 119 99,
The City of Fort Collins
(referred to in this Amendment as the Client) has contracted with PacifiCare Health Plan
Administrators, Inc. (referred to in this Amendment as PHPA) to administer the Client's self -insured
medical Benefit Programs.
PHPA has arranged for the Client's plan to use the provider network(s) of PHPA and its affiliate(s) and
for the Client to benefit from the negotiated arrangements with the network providers. This
Amendment discloses the basic nature of the network(s) which in part defines the Client's Plan Costs.
EXCLUSIVE BENEFIT PLAN
The Client [Xj is [ ] is not offering Exclusive Plan(s).
The networks use many contract models which define capitated services versus negotiated fee services.
Typical models include:
1. Primary Care Capitation Model where a Primary Care Physician (PCP) receives a fixed
monthly payment for each Exclusive Plan member in exchange for providing basic
medical services to that member. Any services which are rendered by other contracted
medical providers are paid on a negotiated fee basis.
2. Primary and Multi -Specialty Care Capitation Model where a) a multi -specialty
physician group provides both primary care services and specialist services on a
capitated basis, or b) a primary care physician provides or arranges for both primary
care services and specialist services on a capitated basis. Hospital costs and other
contracted services are paid on a negotiated fee basis.
3. Fully Capitated Model where a medical group in association with a hospital provides all
services to the Exclusive Plan member on a capitated basis.
4. Contracted Fee Schedule for Primary Care Physicians and Specialists, Hospitals and
Ancillary Providers. Some hospitals have per diem arrangements. Laboratory and
behavioral health are fully capitated.
All capitation is paid to providers monthly. Each covered person under an Exclusive Plan selects a
PCP from the physician panel. The services subject to capitation are based on the contracting
relationship with that provider. The Client's obligation to pay capitation and the resulting services
which are funded by the Client on a negotiated fee basis are also determined by this contractual
relationship with the provider. The actual negotiated fee payments are determined by the contract with
the provider of those negotiated fee services. Emergency services or services authorized for non -
contracted providers may be paid without discount or adjustment.
14 -9210
PHPA or its affiliate(s) may change the contract mix of their network, negotiate new payment
arrangements or modify their network structure from time to time. The Client's obligation to pay
capitation costs and to fund negotiated fee claims under the Agreement will be modified in accordance
with any changes made which affects such payments and funding.
The Client is using the Colorado networks in support of the Client's Exclusive Benefit Plan(s) where
both primary care capitation and primary and multi -specialty care capitation are used.
POINT OF SERVICE/PLUS BENEFIT PLAN
The Client [XI is [ I is not offering PacifiCare Plus, a point -of -service (POS) product that allows
covered members to choose between two types of coverage at the time treatment or service is
requested and/or rendered. PacifiCare provides in -network benefits. TakeCare Insurance Company
provides out -of -network benefits.
In -Network Benefits:
Members receiving treatment or services from or under the direction of their primary care
physicians are eligible for in -network benefits. There are no claim forms to fill out or
deductibles to satisfy, and most services do not require pre -authorization. Copayments are due
at the time of service and the remaining covered charges are paid at 1000/c. Wellness benefits,
including child immunizations and physical exams, are covered under the in -network plan.
Out -of -Network Benefits:
Members choosing to receive care from a provider not participating in our network or a
participating specialist without a referral, will be covered under an indemnity benefit. Under the
out -of -network plan, members are required to complete claim forms, satisfy deductibles and
pre -certify certain services or procedures. Wellness benefits are covered only under the in -
network plan.
At the time of enrollment, eligible employees and dependents select a primary care physician. Each
enrolled employee and dependent then receives a PacifiCare I.D. card that allows them access to in -
network participating providers.
Employees are encouraged to use participating providers and, as a result, pay a smaller portion of their
medical bills in the form of established copayments. However, the out -of -network benefit provides
freedom of choice for individuals who prefer to receive services from outside the network.
This Amendment will automatically terminate when the Agreement terminates or when replaced by a
succeeding Amendment.
15 -9210
The signatures below bind both parties to the terms of this Agreement.
OWNER: CITY OF FORT COLLINS
By:
JOHN F. ISCHBACH, CITY MANAGER
BY:
JAM E O'NEILL II, CPPO
DIRE R OF PURCHASING
AND RISK MANAGEMENT
Date: /� Z-I 402
James J.
Title: Vice President of Sales & Marketing
Date: I1ial
(CORPORATE SEAL)
Attest: ' T' Attest:
City Clerk
Address for giving notices:
P. 0. Box 580
Fort Collins, Colorado 80522
Approved as to Form
Assistant City Att rn
Address for giving notices:
�yrr sy�"M', 'f
r,9 IP N/A" j (O 42///
i
License No. /q - 0) D 2-
16 -9210
Benefit Payment Deposit Amendment to PacifiCare Health Plan Administrators, Inc.
Agreement
Effective January 1 .19 99 ,
The City of Fort Collins
Client Tax ID Number
(referred to in this Amendment as the Client) has contracted with PacifiCare Health Plan
Administrators, Inc. (referred to in this Amendment as PHPA) to administer the Client's self -insured
medical Benefit Programs.
PHPA will establish and hold a Benefit Payment Deposit (referred to in this Agreement as BPD) on
behalf of the Client. The monies accumulated in the BPD shall be used to pay Plan Costs in the event
the Client fails to fund Plan cost pursuant to the TakeCare Administrative Service Agreement between
the Client and PHPA.
The Client agrees to deposit funds equal to one-half month of total Plan costs in the BPD and to
maintain funding at that level while the Agreement is in force. For convenience, PFIPA will normally
establish the deposit amount at the beginning of each contract year. However, PHPA reserves the right
to increase the BPD deposit amount at any time the required deposit is underfunded by more than
ten (10) percent of the needed amount. Upon giving the Client written notice ten (10) days in advance,
PHPA will transfer the additional funds from the Client's designated bank account for funding Plan
costs. PHPA may, at its option, request payment from the Client using other means such as a bank
check or other form of transfer.
PHPA will, annually at the end of each contract year, credit interest on the monies held in the BPD at a
variable rate of interest to be set quarterly by PHPA. In the absence of a written request from the
Client to pay the interest directly to the Client, PHPA will add the interest to the BPD.
No person other than PHPA and the Client shall have any rights against the BPD. In the event that the
Agreement terminated, PHPA may use the funds in the BPD to cover Plan costs as stated above. If
any funds remain in the BPD after all Plan costs have been satisfied, PHPA will return those funds to
the Client.
As of the effective date of this Agreement, the BPD deposit required equals $ 55268 . 00.
This Agreement may be changed at any time by written amendment, provided such amendment is
agreed to and signed by duly authorized representatives of both PHPA and the Client.
17 -9210
OWNER: CITTYaOF F/O�RT COLLINS
JOHN F. F CHBACH, CITY MANAGER
BY:
JAME B O'NEI1,L II, CPPO
DIRE R OF PURCHASING
AND RISK MANAGEMENT
Date: / 2 / 2
Attest:
City Clerk
Address for giving notices:
P. O. Box 580
Fort Collins, Colorado 80522
Approved as to Form
Assistant City Attorn
RM
s J.
ifiCare Health Plan
,klistrators, Inc.
Title:Vice President of Sales & Marketing
IN
Date: 111-VI99
(CORPORATE SEAL)
Attest:
Address for giving notices:
1ST �S1. y0se,,'� f4-
o.A Co 5FV///
License No. # — 0/ 0 2—
2. Capitation Payments - The 100 percent valuation of fees the Client is obligated to pay to
medical providers in exchange for certain medical services under a Benefit Program. These
fees represent the total liability to the Client for the indicated medical services. Under some
Benefit Programs, a portion of the Capitation Payment may be withheld from the medical
provider and is allocated to an incentive fund. Based on the medical provider's performance
and/or the perforinance of the provider panel, the withhold may be returned to the provider at
some point in the future. The Client will always fund the full, 100 percent valuation of the
Capitation Payment each month. The client is not eligible for a refund of any unretumed
withholds on the Capitation payment.
3. Covered Person - Plan Participant or a Plan Participant's dependent who is eligible for Plan
Benefits and where the employee has elected coverage under a specific benefit program.
4. Covered Unit - A grouping of Covered Persons used for billing purposes. Common Covered
Units include employee only, COBRA continuee, all dependents, one dependent, two or more
dependents, etc.
Plan - The Client's welfare benefit plan.
6. Plan Costs - The total cost of Plan including, but not limited to, Service Fees payable to PHPA,
Capitation Payment for medical services payable to medical providers, claim payments issued
under the Plan either directly to medical providers or to reimburse Plan Participants for medical
expenses they have paid, and premiums for certain insurance coverages provided by an insurer
selected by Client.
Plan Document(s) - A written description(s) of the Plan. The Plan Document(s) governs the
operation of the Plan.
8. Plan Participant - An employee or retiree of the Client who is eligible for Plan benefits and
where the employee has elected coverage under a specific program.
9. Service Fees - Fees paid by the Client to PHPA in exchange for various services provided to
the Client. The level and cost of services may vary based on the Benefit Programs included.
10. Summary Plan Description(s) - A written description(s) of the Plan provisions furnished to
each Plan Participant.
-9210
Fiduciary Responsibility Amendment to PacifiCare Health Plan Administrators, Inc.
Agreement
Effective Janrrary 1 % 19 99 ,
Tl►e City of Fort Collins
(referred to in this Amendment as the Client) has contracted with PacifiCare Health Plan
Administrators, Inc. (referred to in this Amendment as PHPA) to administer the Client's self -insured
medical Benefit Programs.
Client has chosen to purchase excess reinsurance from an insurance carrier which does not have an
administrative services agreement with PHPA. Client wishes for PHPA to assume fiduciary
responsibility to accumulate the necessary information and to give timely notice and proof of loss
directly to Client's excess risk insurer.
PHPA will assume the fiduciary responsibility of accumulating enrollment, claims paid and medical
information and file the necessary claim forms with the Client's excess risk insurer on the Client's
behalf.
Compensation payable to PHPA for this service will be on a case basis. The compensation will be
$ 0 per case for the standard PacifiCare information package. Additional reports maLequire a fee
of $100 to $150 per data analyst hour to create. The services covered by this fee will be the
accumulation of necessary claims and medical information, completing necessary forms, reasonable
copying of necessary documents. PHPA reserves the right to bill the Client or the Client's excess risk
insurer for copying and postage costs in excess of reasonable amounts.
Client will provide PHPA with a copy of the policy which shows the coverage and the attachment
point for claims reimbursement. Client will also provide PHPA with a contact person name and phone
number at the Client's excess risk insurer.
This Amendment will automatically terminate when the Agreement terminates or when replaced by a
succeeding Fiduciary Responsibility Amendment.
The signatures below bind the parties to the terms of the Amendment.
19 -9210
OWNER: CITY OF FORT COLLINS
By: T. -
JOHN F. SCHBACH, CITY MANAGER
BY.
JAME B O'NEILL II, CPPO
DIRE T OF PURCHASING
AND R SK MANAGEMENT Date: _ ' i Zp/ l `7
\L4.., \\) �t{mot �.
- ClerkCity
Address for giving notices:
P. 0. Box 580
Fort Collins, Colorado 80522
Approved as to Form
Assistant City Att r
PacifiCare Health Plan
1tlministrators, Inc.
J. Swavze
Title:Vice President of Sales & Marketing
Date: 112.1,(99
(CORPORATE SEAL)
Attest:
Address for giving notices:
�y5s- s yo ,4 �f
r- 5/� rC 0 ro !1 /lI —
License No. - 0) 02-
20 -9210
Attachment
to
PaciSCare Health Plan Administrators, Inc. Administrative Services Agreement
COMPOSITE MONTHLY PREMIUM RATES
Effective January 1.1999 through December 31,1999
EPO
POS
Administration Fee — includes, but is not limited to:
$31.27
$31.52
• Access Fees
• Pre-Admission/Concurrent UR Review
• Psychiatric/Substance Abuse UR Review
• Case Management
• TPA Services
Incentive Risk(Network Access Fee
$ 5.56
$ 5.56
21 -9210
Exhibit "D"
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the "City") pursuant to
this Agreement (the "Agreement"), the Contractor hereby acknowledges that it has been informed that
the City has established policies and procedures with regard to the handling of confidential information
and other sensitive materials.
In consideration of access to certain information, data and material (hereinafter individually and
collectively, regardless of nature, referred to as "information") that are the property and/or relate to the
City or its employees, customers or suppliers, which access is related to the performance of services
that the Contractor has agreed to perfor►, the Contractor hereby acknowledges and agrees as follows:
That information that has or will come into its possession or knowledge in connection with the
performance of services for the City may be confidential and/or proprietary. The Contractor agrees to
treat as confidential (a) all information that is owned by the City, or that relates to the business of the
City, or that is used by the City in carrying on business, and (b) all information that is proprietary to a
third party (including but not limited to customers and suppliers of the City). The Contractor shall not
disclose any such information to any person not having a legitimate need -to -know for purposes
authorized by the City. Further, the Contractor shall not use such information to obtain any economic
or other benefit for itself; or any third party, except as specifically authorized by the City.
The foregoing to the contrary notwithstanding, the Contractor understands that it shall have no
obligation under this Agreement with respect to information and material that (a) becomes generally
known to the public by publication or some means other than a breach of duty of this Agreement, or
(b) is required by law, regulation or court order to be disclosed, provided that the request for such
disclosure is proper and the disclosure does not exceed that which is required. In the event of any
disclosure under (b) above, the Contractor shall furnish a copy of this Agreement to anyone to whom it
is required to make such disclosure and shall promptly advice the City in writing of each such
disclosure.
In the event that the Contractor ceases to perform services for the City, or the City so requests for any
reason, the Contractor shall promptly return to the City any and all information described hereinabove,
including all copies, notes and/or summaries (handwritten or mechanically produced) thereof, in its
possession or control or as to which it otherwise has access.
The Contractor understands and agrees that the City's remedies at law for a breach of the Contractor's
obligations under this Confidentiality Agreement may be inadequate and that the City shall, in the event
of any such breach, be entitled to seek equitable relief (including without limitation preliminary and
permanent injunctive relief and specific performance) in addition to all other remedies provided
hereunder or available at law.
22 -9210
Benefit Programs
Attached and incorporated into this Agreement is the Plan Document that describes the actual benefits
provided by each Benefit Program under the Plan. PBPA agrees to provide services to the following
Benefit Programs:
Plan 1: _EPO (including Utilization Review)
Plan 2: Point of Service/Plus (including Utilization ReviewL
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Service Fees
In exchange for PHPA's services, the Client agrees to pay a monthly Service Fee per Covered Unit as
shown on the rate notice provided to the Client. The rate notice is incorporated into this Agreement by
reference. The Service Fee is guaranteed for each Plan year except that PHPA reserves the right to
change the Service Fee:
a. with respect to the second and subsequent Plan years by advising the Client in writing
at least 31 days prior to the change in service fee (there is a 5% fee increase cap for the
year 2000);
b. at anytime the terms of this Agreement or the terms of the Plan change; or
C. at anytime the enrollment in a Benefit Program changes in total by more than
15 percent of the enrollment in that Benefit Program at the beginning of the current
Plan year.
Each month, the Service Fee is due and payable on the first of that month. PHPA reserves the right to
withhold service from the Client in the event that full payment is not made when due. The amount of
Service Fee due and Payable to PHPA shag never be less than the Service Fee multiplied by 73
employee Covered Units and the associated dependent Covered Units. This minimum will be
calculated on the basis of the employee/dependent ratio as of the beginning of the current Plan year.
Relationship between the Parties
PHPA acts upon the instructions of the Plan Administrator. PHPA is not a Plan fiduciary and its duties
and authority are strictly limited as described in this Agreement.
In order that the relationship between the parties and the nature of the responsibilities and rights of both
parties remain clear:
1. The Client agrees not to use the name, image, promotional material, stationery,
letterhead, or logo of PHPA except as expressly authorized by PHPA
2. PHPA agrees not to use the name, image, promotional material, stationery, letterhead,
or logo of the Client except as expressly authorized by the Client.
Licensing
PHPA is responsible for compliance with all state laws, including licensing, applicable to administrators
who provide service to self -funded employee benefit plans. PHPA is, as of the date of this Agreement,
duly licensed, as required, to provide such assistance to the Client and will continue to maintain such
licensing. ff PHPA fails to maintain such licenses, it will notify the Client on a timely basis. In that
event the Client may terminate this Agreement immediately.
-9210
PHPA Obligations
PHPA will:
1. Provide identification cards for each Benefit Program.
2. Provide standard PHPA claim forms for Benefit Programs which require Plan Participants to
complete claim forms.
3. Provide provider directories and updates for Benefit Programs which utilize a provider network.
4. Provide an administrative procedure manual.
5. Suggest language for the Summary Plan Description(s) and subsequent amendments.
6. Review Plan Participant's enrollment forms and make requests for additional information when
sary.
7. Provide information so that the Client may prepare and file the Department of Labor Form 5500.
8. Prepare and provide records required for audits of the Plan, legal action, or regulatory review.
9. Process claims and issue claim checks in accordance with the terms of each Benefit Program in the
Plan and any related interpretations, rules, and procedures approved by the Plan Administrator.
10. Notify Client on a timely basis of the amounts necessary to fund all Plan Costs including Service
Fees payable to PHPA, Capitation Payments, and claim payments issued under the terms of each
Benefit Program in the Plan.
11. Transfer funds electronically using the Automated Clearing House (ACID process or a similar
transfer mechanism from the Client's designated bank account to PHPA to cover all Plan Costs.
12. Give timely notice and proof of loss to Client's specific and aggregate insurer (if any), if the
reinsurance carrier chosen by the Client has an active administrative services agreement with
PHPA.
13. Provide the Plan Participants with a written description of the claim calculation for any Benefit
Program where the Plan Participant completed and submitted a claim form to PHPA. In addition,
PHPA will provide an explanation for partial payment or denial, and information as to what, if
anything, can be done to obtain payment under the plan. These notifications will be in a form
approved by the Client.
14. Provide monthly financial reports that show all Plan Costs.
15. Provide quarterly statistical reports that show all claim payments analyzed by type of service,
diagnosis, and network utilization.
16. Maintain adequate blanket fidelity insurance and errors and omissions insurance.
5 -9210
17. PHPA agrees to indemnify and hold the Client harmless against any and all loss, liability, or damage
('including payment of reasonable attorneys fees) which the Client may incur by reason of the
negligence or misconduct of PHPA, its employees or agents in the administration of the Plan and
the provision of services hereunder.
PHPA reserves the right to subcontract any or all of these services to any subsidiary and/or affiliate of
PHPA without notifying the Client. PHPA may subcontract with any other parties by giving the Client
written notice.
-9210
Client Obligations
The Client will:
Establish and maintain a bank account with sufficient funds to meet the Client's obligation to
fimd all Plan Costs.
2. Grant PHPA the right to electronically transfer funds from the designated account to PHPA to
cover Plan Costs for:
a Service Fees payable under this Agreement which are due monthly in advance and
which will be transferred by PHPA on or about the first business day of each month.
b. Premiums due to Client's insurer (if any) where billing is administered by PHPA which
are due monthly in advance and which will be transferred by PHPA on or about the
first business day of each month.
C. Capitation Payments are due monthly, in advance or in arrears based on the underlying
provider arrangement, and which will be transferred by PHPA on or about the first
business day of each month.
d. Claim payments issued to providers in accordance with the terms of each Benefit
Program in the Plan which are due weekly and which will be transferred by PHPA on
or about the first business day of each week for the prior week's total issued claims
under all Benefit Programs.
3. Grant PHPA the right to aggregate Plan claim payments with other payments to medical
providers and to make such payments in draft, check, or electronic form.
4. Obtain legal counsel to provide advice to the Client as to his liability under the Plan, to defend
lawsuits regarding benefits provided under the PLAN, or his duties under the law. PHPA only
provides administrative services and does not provide legal advice or services to the Client.
5. Be responsible for any action taken by PUPA at the Client's request.
6. Provide PHPA with timely written notice of rules, interpretations, procedures, or changes in
the Plan terns. Provide final determination on all disputed claims.
Be responsible for all language contained in the Plan Document(s), Summary Plan
Description(s), anuendments to either text, and any employee communique which is related to
the plan teens or plan business, and will provide PHPA with copies of all such document(s) on
a timely basis. All government reporting and disclosure requirements with regard to the Plan
are Client's responsibility. PHPA may rely on information provided by Client in this regard and
is not required to verify the accuracy of such information.
8. Provide fiill enrollment information for each Covered Person under any Benefit Program in the
Plan and any changes to this information as the changes occur.
7 -9210
9. Treat all Plan payments, reimbursement arrangements, and medical provider information as
confidential and will not release information to other parties in other than an aggregate form
except as required by law.
10. The Client agrees to indemnify and hold PHPA harrnless against any and all loss, liability, or
damage (including payment of reasonable attorneys fees) which PHPA may incur by reason of
failure of the Client or its employees or agents to abide by the Plan teens or this Agreement, to
administer Plan funds in a prudent or proper manner, for any misconduct on the part of the
Client or its employees or agents, for disputes arising out of partial payment or denial of a claim
by either the Client or PIHPA or for action taken by PHPA at the direction of the Client.
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General Provisions
1. The Client must make all records and files pertaining to the Plan available to PHPA for inspection
upon reasonable request during normal business hours.
2. PHPA is not in the insurance business and none of its charges can be considered to be premium.
Notwithstanding the above, if it is determined by a regulatory or taxing authority either by
legislation, regulation, or judicial decisions, that premium taxes, other taxes, or fees, including
HMO or insurance guarantee fund contributions are due and payable for any charges associated
with any Benefit Program, the Client shall pay to PHPA all amounts levied including, but not
limited to, interest and penalties within thirty (30) days of receiving written notice from PHPA
3. If a dispute exists between PHPA and the regulatory authority over whether the tax or fee is
payable, PHPA shall hold the amounts collected from the Client in an escrow account until the
dispute is resolved. Any amounts held in escrow not necessary for the payment of the tax or fee
shall be returned to the Client with interest accrued at a rate determined by PHPA
4. If the amount collected from the Client or held in escrow does not satisfy the full payment of the
tax or fee, including any interest or penalties that may be assessed, the Client shall remit this
difference to PHPA within thirty (30) days upon receiving written notice from PHPA.
5. The Client's liability in regard to these taxes, fees, and associated payments shall survive the
termination of this Agreement.
6. Failure to enforce any provision of this Agreement does not affect the rights of the parties to
enforce such provision in another circumstance. Neither does it affect the rights of the parties to
enforce any other provision of the Agreement at any time.
7. If any provision of this Agreement is determined to be unenforceable or invalid, such determination
will not affect the validity of the other provisions contained in the Agreement.
8. This Agreement may be changed at any time by written amendment, provided such amendment is
agreed to and signed by duly authorized representatives both PHPA and the Client.
9 -9210