HomeMy WebLinkAboutDELTA DENTAL - CONTRACT - RFP - P902 BENEFITS (2)AMENDMENT TO AGREEMENT
GROUP #1858
The Agreement effective January 1, 1997 between CITY OF FORT COLLINS and DELTA DENTAL
PLAN OF COLORADO is hereby further amended effective January 1, 2004 as follows:
PART I, PREFERRED OPTION ADMINISTRATIVE AGREEMENT
Section 2. TERM - The term of the Contract is from January 1. 2004 to December 31 2005 and for
successive one-year periods thereafter unless terminated as herein provided.
Section 3. SERVICE FEE AND CLAIMS REIMBURSEMENT - On the tenth (10th), twentieth (20th),
and thirtieth (30th) day or the last business day closest to such date of each month, Delta
will notify the Group of the total claims paid for the specified period. The Group will make
a prompt transfer of funds to Delta to cover such disbursements as they become due and
payable upon receipt of said notification. In addition, the Group agrees to reimburse to
Delta a monthly Service Fee of $3.79 per eligible employee.
All other provisions of this Agreement shall remain as previously stated.
DELTA DENTAL PLAN OF COLORADO
By
Authorized Signature
On November 3. 2003
CITY OF FORT COLLINS
By
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AMENDMENT TO AGREEMENT
GROUP #1857
The Agreement effective January 1, 1997 between CITY OF FORT COLLINS and DELTA DENTAL
PLAN OF COLORADO is hereby further amended effective January 1, 2004 as follows:
PART I, PREFERRED OPTION ADMINISTRATIVE AGREEMENT
Section 2. TERM - The term of the Contract is from January 1. 2004 to December 31. 2005 and for
successive one-year periods thereafter unless terminated as herein provided.
Section 3. SERVICE FEE AND CLAIMS REIMBURSEMENT - On the tenth (10thy, twentieth (20th),
and thirtieth (30th) day or the last business day closest to such date of each month, Delta
will notify the Group of the total claims paid for the specified period. The Group will make
a prompt transfer of funds to Delta to cover such disbursements as they become due and
payable upon receipt of said notification. In addition, the Group agrees to reimburse to
Delta a monthly Service Fee of $3.79 per eligible employee.
All other provisions of this Agreement shall remain as previously stated.
DELTA DENTAL PLAN OF COLORADO
BY !F��/1�
Authorized Signature
On November 3.2003
CITY OF FORT COLLINS
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