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Contract 20047
Jr � ..,f . iUS;(�a��._..,. A.MEI�DMEI�T 1�CTIVYBER �V'O TO GR4UP EtiTROLL1�Eli1T AGREE1�+iE1�'T BETVVEEIei CYTY OF FORT W�RTH, TEXAS, AND H�RRIS HEALTH PLAN, IriTC. 1'k�is Amendment Number Twa ("Second Amendment") to the Group Enrallment Agreement between City of Fort Worth, Texas ("City") and Harris Health Plan, �nc. ("HHP") is entered into ta be effee�ive the lsf day of October, 1993. RECITALS WHEREAS, on September 24, 1�99X, City and HHP entered into a Group Enrollment Agreement ("Agreement") specifying, among ather things, the eligibility criteria, the health care services and the schedule of rates £or the health benefit plans being made available ta City employ�es; and � WHEREAS, byAmendmeni Number One (°First Am�ndment") dated to be effective October 1, 1992, ihe Agreement was amended and renewed for on� additional year; and WHEREA5, City and HHP desire to modify and renew the Agreemeni as set forth below. NOW, THEREFORE, in consideration of the mutual prornises contained �erein, City and HHP hereby amend and modify �he Agreefnent effective October 1, 1993, as £oll.ows: 1. City has provided HHP with the natices required by the Agzeement to renew the Agreement for the periad frorn October 1, 1993, through September 30, 1994 (the "Second Renewal Term"}. 2. Paragraph 6.A., Schedule of Ra�es and Renewal Or�tions._ shall be amended to provide that the Plan Year 1993-1994 prem�ium rates to be paid b}� the City for the period from October 1�, 1993, to September 30, 1994, shall be those zates set forth in Exhibit "A" �o this Second Amendment, which are incorporated herein by ref��_ - f , __ _ _ 3. The cantingency reserve fund deseribed in Pa�ra�saph. �.__ of the First ,Amendment shall be discontinued and Paragraph Ir of the Sched e=�t �e��� ��` gh� High Plan (PI-5}, Low Plan (P-10) and Plan "M" shali be amended �;q�lu�;��ct��,�I�I as a Physicia.n Service Benefit with a requireci copayment of $5.00%P�:�c��:;a��`�;.�.� ��;�h Plan. 4. Paragraph IX of the Schedu�e o£ Benefits for the High Plan, I.ow Plan and Plan "M" shaJ.l be am�nded to incluc�e the follawing de£inition oi "short-t�rm treatment" in eonnection with the delzvery of Rehabilitation Services: "Short-term treatment is defined as up to sixty (60) eoz�ecutive days or twenty-five {25} outpatient visi�s per condition, whichever is greatar, and shall be provided on an outpatient basis only." 5. The Group Health Care Agreement/Subscriber Certificate of Coverage attached to the Agreement as Exhibit "A" shall be amended to include the Sezious Mental Health Rider attached hereto as Exhibit "B." and made a part �ereof. 6. Except for the changes specified in this Second Amendment, aIl provisions o£ the Agzeement as amend�d by t�e First Amenciment remain in full force and effect and are hereby rati£ied and affirmed and shall be, and remain, in full force and effect. 7. .Any defined ferms contained herein shall have the same definition as is contained in the Agreement as amended hy the First Am�ndment. HARRIS HEALTH PLAN, INC. .4�TTEST: �� Ci�.y Secretary Date: � � �- 7 � �.� � � MA � -D1R�CTO�R CAR�� �rf�Et�+fG—i��'t���l7�i u fV� HARR'fS MEl'�IO�DIST H�ALTi� aYS��'M CITY OF FORT WORTH, TEXAS By: � � Name:� �� � Ti�ie: c� , �� �i�� W�� Address:� � �d �� r�e.�G We���...�'t, � � � �� 1� �.�"��'X �&' /O � APPROVED AS TO FORM AND LEGALITY: \ . �J r � �City ttorney l� " } �' � _ _ ; _ .,7 , L�zat�.��n _ � 1 __-C , y- T Date: t�� � %4'� .� 1w�rr� z�a:crr�r-�rvz.n� 11-9-93 �xxzBz�r "A'� OPTION 1 {,A►s 11/l�adif'red 911J93} CITY OF k�O�tT WOR�'H SUGGFSTED PLA1�T �R X993 94 R�i'T�S FUR FL3LLY Il�TSrTREI? PLA�S {E.��i�C77YE OCTOBER 1, 1993) ACTIVE E1iR�'LaXEES PX�-� p - 1.0 SINGLE EE & SPOUSE EE� dc. CT�DLD r-�.� RETIItEES (li�`�IC�RE) R�i'LRED (l.) �E'I"IlZED (2} RETTRF� & SPQUSE (A) RETIRE� & SPQ'C.iSE (.Eij RFTTRRE 8c CHILD (C) FAMII.Y {B) PAMII.Y (G) SUR SPOUSB {D) SUR FAMII.Y (E} - SUR CHILD {Fj RETIl2EES {NON I�F�DICI�RE) RETIRED (I} RET�RED (2) RETIREE & SPOLTSE (A) RETIIt�E & SP4USE (� R�:TrRE� 8c CHII.D (C) �AMILY (B) FAMII.Y (G) SUR SPOCTSE {D} SUR FAMILY (E) SUR CHYr,D (Fj $1?4.92 $477.37 $423.28 �5b3.82 *PI-5 $123.10 $I23.10 $46I .34 $246.2� $261.�2 $595,23 $388.b2 $123.1.C1 $4b$.Q4 $ I34.21 Pi-S $334.13 $334.13 $b68.27 $468.36 $$02. L$ $334.13 $468.0� $I34.2I $145_78 $39?.80 $352.74 $469.$4 *P � 14 $ i23. I.0 $123.I0 ����.sz $24b.20 $236.37 $490.0$ $359.45 $123.10 $3bb.98 $113.27 P - �0 $253.72 �zs�.�z $507.43 $3b6.9$ $b2d.7Q $253.72 $366.98 $113.�7 '��tETIREES W1fiH MEDICARE P�4RT A& PART S WHO SIGirI UP FOR ELTHER PI-5 O� P-10'W�LL RECEIVE PLAN "M". CC�VERED BENEFTTS OF P�AN "M" ARE ID�NT`ICA�. TO THC7SE OF P1-5 �R P-10 WITH THE (]NLY DZ�FEREi*iCE BEING IN MEMBER C�PAYMENT RFSPONSIBILITY, T�., WTTH PLAN "M", THERE ARE NO COPAYMENTS EXCEpT FOR P1tFSCRTPTION DRUGS. � EXHIST7 "B" SERIOIlS MENTAL H�LTH R�U�R FOR IfSE OHLY WITH GRdllP HFALiH CARE �6RE�r'IENTjSU85CRIBER � CERTX��CATE OF CU1��R1�fi� HA�iRIS �HEALiH �l�lti1� Y�G. He�i �h Mai nter��n�e �O���n�i �a�i �n x3ov su�;t �v��u�, s���e 300 Far� Wartl�, Texas 761�2 80�Dj633-859$ �.0 �HTROUllCiI0�1 Y� c�ns�der�a��on f�t° the ti�e��+ �a�m�e�� o�' �re,�iu�aso and �13 v�her �erc�s a�d eondi �� �ns o� �he Group Hea�l ��t �a��°e �gree�en�/Su�s�rY �e� Ge�ti f i �a�� �f Cor�ewa�ge (aAgreemer�t�}, i� is �greed �hat the bene�its of �his Ri�er, �oge�her wi �h the terms and Cond i�i ons o#' $h� s Ri ��r, shal � be ad�ed fia Agt°eer�en� �s i ssued i� thi s Ri der 9 s accepted by ti�e Group. 2.O��D�FINI�TONS Benefi ts far Seri oUs Merital N�al th �ro�� ded ��raugh �hYs �.ider shal ��Se subjec� �o �he pravisio�s and defini�ians a� the Agreement to whic� thls Rider i5 a part. Seri oUs f�ental Ii i ness shal � mean t�e fal'l owi ng psychi atri c z l 1 nesses as defi�ed by �he �meri cat� Psyct�� �tt�i c l�s�aci a�� on i n th� 9i agnos�.i c and Stati s�i cal t�anual {DSh4) I I I-�: 1. Schizophret�ia; 2. Paranoid and other psychotic disorders; 3. Bipolar �isard�rs (mixed, manic, and depressive); 4. �fajor depr�ssive disarders {sing'!e ep�so�e or recurrent}; ar�d 5. Schiza-affective disorders (bipoiar or depressive). 3.4 BEHE�TTS For �he purpase of thi s Ri der, bene�i ts for Seri nus Men�al I11 ness care shai 1 inc�ude anly tnase services a�tained from Participating providers. Copaymen� by Member; �tental heal th servi ces provi ded for Seri ous F�enta7 Ii 1 ness s1�a11 be provided subje�t ta the same limitations, exclt�sions, and capaymettts as applied '�o cavered services of any other physical illness_ SI��-292 1 4.Q ELIGIBILI�Y Benefi�s u�d�r this Rider �re �v�ilab9e �o �he Su6scriber and Oependen�s (M�mbers) as identified in �greement. �enefi�s pra�ide na corrversion pridiieg�s or benefi� �ontinui�� for �lemb�rs wher� such pe�°sans ��e n� iong�r en�i�led i�o �r�up �en�fq�� as se� forr�h qn Agreemerit �o which ihis Rider is a�tached. - 5.0 EXCLUSIOKS � Charges rela�ed.�o men�ai heai�h services �ar ps�chi��ric candi�ions de�er�ined by �he Mart��s Heaith f�ed�cal 9ire���� or his des�gnee, as not qaa�ifying fc�r coverage under this Rider r�i�l �e subject to �he same iim��ations, @XC�US10115� and ca�ayrnen�s as �pplied �o mental health services iist�d in the Scheduie af Bene�"i�s of whi�h this Rid�r is a part_ � Services must �e eb�ained in �ceord�nce wi�h Harr�s Heai�h u�ili��tion review gu��e7ines. S�iX-29Z 2 CiTS( OP FORT WO[LTf(' �' TPA AND ADMII�IIST1tATIVE SERV ICE AGREBMiNTS ASSIGI�MENT STATE OF TEXAS ) ) COUNTY OF TARRANT ) Hanis Methociist Select Plan, rnc. d/b/a North Texas Health Benefits ("Assignor") grants and conveys to Harris Health Plan, Inc. d�b/a Summit Administrative Sezvices ("Assignee"), all of its right, title and interest now awned by Assignor in: (l�} the Agreemeni and (2) the Third Party Administratar Agreement (collectively referred �o herein as "Agreements") e�ecuted by Harris Methodist Select P1an, Inc. and City of Fort Worfh to be effective October 1, 1991, copzes of which are att�,ched to this Assignment as Exhibits "A" and "B." AssignQr cor�stitutes and appoints Assignee as the true and lawful a�torney of .A�ssignor to demand and receive payments and otherwise enforce the p;rovisians of the Agreements. Assignor also grants and conv�ys to Assignee all right, title, and interest now owned by Assignor in and to any and all sums of money now due or to become due froin the City of Fort Warth under the Agreements. Assignor further authoriz�s Assignee, at As��'� own expense, to take all steps necessary to collect such sums of money. �, ���` � � �;T� �����i��'� � Thzs .Assignment is made subject to the following terms: � , L Tndemnities. Assignee agrees to indemnify Assignar £o:r an�+ �i�bi��t3� tc� �h�� pazties arising out of or in connection with the Agreements assigned. 2. Bindir�g Effect. This Assignment, and all of its terms and conditions, are binding on Assignor and i.ts successors and assigns, and on Assig�ee and its successors and assigns. -1- CITY OP FORT WORTfi TPA ANA AUMINISTI2A'TCVB SElZV ICE AGREHMPNTS S�GNED AND DELZVERED thi�4�� day a � -�-� , 1993. A55ZGl�OR: HARRIS METHODZST SELECT PLA�T, IIeTC. D/B/A I�TORTH TEXAS HEAL�H BENEF��S - �- Bq: � Name: p0'�J. �,�n","rm: - - Title:__ Mj�1L�AGj�IC: I}1R��� CAR� FIN�NCEiVG �p��'A�'IO�NS HARR�S M��i'H0�15T HEAI�TH SYSiEM ACCEPTANCE Assignee, in cansideration of the interest assigned to it in the above-rnentioned Agreements, accepts alI of the right, iitle, and interest conveyed in this Assignment as well as the ri.ghts and abligatians of Assignar pursuant to the Agreements. Assignee agrees to �sume and perform all the duties of Assrgnar pursuant to the Agreements, and further agree to indemni£y and hold harmless .Assignor for any Iiability for performance or nonp�rformance of the dufies and obligations assumed by Assignee hereby. ,�' EXECUTE� thi.s� G` day of ,� __ _� , 1993. ASSYG1�iEE: HARRIS HEALT'H PLAl�T, �I�TC. D/B/A SUMMZT ADMIl��STRATIVE SERVICES By: �R � - Na �'N A. HA I,I - Tit �'�v� �tR'�Ci'aR �ARR�IS M�TF�Q��iST�N�p FH SYSi��M -2- CTI'Y OP PORT WORTFF TPA ANi3 AdMINIS"L'RATIVE SERV IC� AGR�S COIiTSEI�IT The City of Fori Worth, Texas, hereby consents to the assigrunent to Harris Health Plan, Inc. d/b/a Summit Administrative Services o£ the Agreements entered into between Harris Methodist Select Plan, Inc. d�b�a North Texas Health Benefits and The City of Fort Worth, Texas. SIGNED AND DELIVERED this � day of ,�993. 1�'I�ST: THE CITY OF FORT WQRTH � �� By'�� � ` � City Secretary Name: _ ,�� � . ��a � �,.� � �. � Title• vt�i'- � � 'T/�YI.a �e.r Date: �v� - % � �•� APPROVED AS TO FORM AND LEGALITY . ►� -- r� �ty tarney l� � Date: ��� ��� �pn� HMp;CICSC-FW.ASM ll-2 93 -3- `. EXHIBIT "A" CJ�Y SECRETARY, AGI�.EEME�m �R�`� �1��%S�� This i� an Agreemeut b� az►.d between Haxris Methodis� Se�ect Plan, �nc. {°Seiec� plan"} and the City of Fart �Yarth C'th� Cx�. � iZECiTALS �V�iE�EAS, 5elect Plan ir engaged iu �he b�siness of per�fox�ning cer�ain pgyment a.nd other adm.;tnistratzve services; W�-IE�EAS, �he C�.ty desirea to contract w�th Sel.eci Pl.an Eo pxavide r.ex�tain paymeni and n�her adm�nistra�ive services ta it itt connection with �he health bene�� plt� ("the Plan'� that it p�°ovides to it� ernployees and othez° eligi'b].e pe�rsons; �YOW Ti3ER,�F4RE, foY and `u� consideration o�' the mutual �erms, eovenants, and agreem�nts set for�h bex�w, S�Iec� Plan aad �ke City agree as follo�rs: 1. E�tablishment of Glaitns Escra�v �ccount. �he Cit�► shall establish a Claino� Escraw Account. The CiLy shall dessgnata Sel�ct Plan as "sibmatory►" flr "admin.is�rator" of such Claims Fscrow Accvuut wi.�h full paVver and authori�y to disbul�se fUridsr and shall e�cecute and delive� to Set�c� p�an and the degasitory bank a�y and all doaunxeats neces�ary to empower Sele.�t Piat�. to act as signatory ar adrninis�tarr o� �uch Accou�.t. �. U�p�asi� �v Ci�r �a Account a.nd W�ri.t�n Natice to Se�ect P1an. By the tenth (IOth} day af each mQn�, the CiEy shall deposit in �he Clai,ms Escyraw A.ccQun� whatever amounts of mone,y �ha� i� de�ermines wi�l b� necessar�y �o cover its kiabilit�r undep i�s Plan. The ��ity shall provide w�itt,�n na�ic� ta Selec� Plan specit�ically di�ectirig that payments be made by Sslect Plan as se� fox�th below 3. �a�n� b��ele�� Plan. Select P`lan shal� af�er receipt af the money describ�d in Fa�ag�agh 2$bove, m�e pa�ments ta the fallawing. (a) I3a�is Health Plan fo� a�� amounts tha� kIarris Hea.lth plan requests pu�suan.t �o its G�raup Enrollment Agreement w�th the C�ty; snd (b} Select Flan iar all amounts due �o it pursu�.nt �o its "Thi�d Pa�t,y Adrninistra�r Agxeernent" wi�h the City. Afts� making �he monthl�► paym.ents descpibed abave� Selec� Fla� shall deposii in the Clakms Escrow l�iccounti p�o�vi.ded fo� in tht; above-r�ferenced "'I'�rd Pa�1,y Administi°af.or� Agreernent'° aqy amoun� �em�aining in the Accouat that �was previously paid by the Cii,y pursuant tn Paragraph 2 above. �. Re�nansibil.itv for �ndin� of Accoun� and �avm�nts. Selec� Plaxi does no� insure op un.det°w.rite the liabiltty r�f the City to Ha�is Health P�an ar eny other eatity. The City has and retains the ultimate respansibilit�► for paym.en� of coste and a1� expenses incident�I ta its Plan, including any payments due to Ha�aris Hea�th P1an. Selec� Plan shall nvt be required, u�d�r any circums�ances, �a issue p�ymet�t for any eosts arisi.ng out o£ the subjecG matter of this Agreement unl�ss the Cxty has pxevioualy deposited su#�'icien� funds itn the Claims Escro�sr Account as set far�h in Paragraph 2 to - � �'' rD� -a��"� con.�xao� .eu�or3�a�loCt � ��- �J Date 0 co�er aueh pa��ts ac�d h�s previ�o� gi�+en Selec� Flan �virri� uofi,ice o£ i�s de�it�e ��,t suc� p��nts vr �os� be mad� o� s�ta�t�'i� 1� tu,�i. fur�ds. 5. �o�shi.� o��L-'t�s. L� �e�£a�t�g ��x� �+ice� �e�u► ��itbed, ��Iec� FI� $�al� b� aet� �t�y �.s an. i�d�pendent coxitxactoa° �d �h�ll no� be �,�.ai�n.a�� a� �.�tn� �he ��minist�a� v� �g�i b� �h� �l�.n o� �e �pp��i�Y� nar��c1 i�i�.�ia�r far� �v��w �f claun d� u�t��� �h�a �la�s f�r �he -�u�o�e c�� �h� �a�Ioye�, kle�i�rnea� ��aa�e �e�u�a�y �c� �£ �97� ar �n.y o�heP �edexal ar st�t� iaw ai �i��.�° na�. Se1ec� �lax� shali ax�r��atge t�rr �h� pmvision af all �errvices hez��adex �s an� �,de�e�d�a� cant�actax and na� as an o�c�z°, age�uF, se7�zx� o�' +��pi�yee a�' the Cit�_ £r. �- �„; �a�i a dg. In �te event ma Fuuds or insuf�ici,ent flzud� axe ��p�►pria�ed �d bu�'�d, in a�y �sc� ge��° fa� fees due �u�suant �o �l3is �m.�r��, t�x� C�ty sha� �o�i�y �eLec� �� a� ta �h� ��as��e da� an ��ch �aid ��s wi� n� ion,�er b� ava�i�ab1� ��i.x� �sn�nt � 1�e �xanft�� a� �xe 1as� da,y t�f tha,� �axan�h in. wl�.e� ��%d na�ic.e i� �fec�ive wi��h.au� p�aai� a� �e�� �o th� Cxt�► of ax�y �xmc� �vhat�v�ar, e�cep� as �a the po�v�s �� £� het�i� agx �d up�n for ser��� xendez�� th�a�gh. t�i.e �ff�ive da� of ter�i�a��n. 7. Ef�ec.t�ve i�fie. '�� �f��c�ive �aie c�f ��is �re�m��t is Ou�bae i, ].9�J.. S, T��. '�b.e t,��m a� �xiis ��e�:� sh�il bs �a�r on� y� �x�rn�ncin.g or� the �ffec�i�v�e �a� �e� ��r�h ab��+e. 9. Q�vu to I�eaew. '�'he G4� s�all. hav� �b.e ap�ion � anuu�lly �e�ev�r �his Ag��e�►enti fn� �� {37 �u�ce�siv� v�e-ye� �, v�i,th �a�� �:rm �o c�z�m.�n�e on (��ob►e� �. � �� Cit� �aes� �o� x�� �ei.�ct i'l�tu a� i�s desi� �at �o r�enew �he ��IYI@�r S� 1�,.S�i Si1�i ��} (�Ay'6 '�'t1i3I fA �� OOI3G�.LL�10� t��'��S OQQ �.i i�A°n1 �� �x'�y su.t�essiv� one-�ear terJ�, th� Ag�ree��n� s�I be �ende� �or a ou�-yea=° #��n. $dd��ionai. �����n� � �irtnin,a this �� �eeme�nt f�o�i au � �. o� s� �1$av� p�te� � �. � ��'�' (30) � � wxx�ten no�ice falla�� �h� ar�u�renca a£ �.n� of ��e f��Iowin4g events: Ca� �'ailw�e af t,�ae �thez� �� �ri uomply v�i�x an� �rc�visiaa� e� this Ag�r�exn�� �(303 c3�y� a�e�r re�i�t �f wx�ittea� ax�tir,�; ib) 3��lu;t� a� the a��� ��r ta ca�ap�r wf��. �.ppli�ab�e �#�tu�o�► ar regulafio� xe+��at�aa:t� �eS (15} days aiF�� receipt a� vvx��t�a ac��i�ce; t�) Neglag+�nc�, �'raud ar embez��exn�n� v� the �� t�f �h� �ther �a;r�y as d���et� #o have oceu�e� izz ��ae n�L-��x�g ga��r'� �ale ,�,�dg�en�. 7��_ �s' �rn�n�:and �e�e �ic� .'�.is ,�reemen� sha�l �� bi�na�in,g upan axxd x�xure ta th� b�x�e�it a£ �h� �ar�i�s �ereto �nd ����Ur res�ec4�vE sucaes.sax� azad ass�gtxs, ' ��i�her party shall a.ssi�, su�contx�c� �x othe�re de�3.�ga,h.e if.� �i�hts az�d o��xss �� �es�z�'�ilities utid� �lx�s �ee�exx� v��hout the other's pr�ior� vvr%tbc�t cax�ez��, which cfa�n� m,�r be withh�Ia s��e�y at �he tiiscrr�etion af su� pa�G�. �. �rnr�eia�io,�,, `�he �lidiiy, e�or�abili� ax�d �nte���t�ior� �f �ru�y p�ovi.�ia� of �,���se�,� �l�ali be �etermined s�d g�overa�ci bp tihe lava� a� �he ��� af �exa�. - �`he i��u1 `dity v� unenfor°ceabi�ity uf �y �rms �r �ro�r`rsio�s �er�£�hal� na�, u�� ���$e �pe�� �ereia, �e�t �he �its�ii,y ai° �x�e�►%�i� Q£ � oth�x ir�rm �x p�o�is�o� c►F this ,�°eemeat. �3. �ntare A��em�n�. This ,A,�eeement, �mc,�u�g an�.A.L•�achmen�s, oantai,z�s all �he tern� a�d c.enditians agreed upan by ��xe �a�t%es ]��f.� witl� �pect ta th� mati�ars �a��n,ed he�in, ax�d cons�itu�es ��e e�tire �ndez��c�i.ng o� �h� �ra�es. �i �upers�.� � a�laep �reez�,euts, o�aX ox �therwise, regaxt�i�ng �he subj�ct m�t�cer� df �b�e � ��ti.es �x�x�to. I4. oti .�,y n��ice required ar co�ntemp�,a� �o lrz g�v�� �au�s�ant to �he �e�ms �d �r�avisioas of this ,�lgreemen� shall be in w�i�i� �nd shali iza s��� iEn w�°i� �zd hy e��he� ��'i� mgil., �e�a �ece�pt �eques�ed7 postag� �repaid, h�ad-d�l�very� or te�e� ta �e add�ess•ina�fc;a�ri: To 5��� F].a.n. Pr�sident � �S �fif�OIaLST S�Ll�G�' PT.�AI�'� TI�dC. SL$00 Sum�i� Aveuue, Suite $00 Faz� '�o�h, T� 76i01 Tel�`ex r3umh��r: {E173 87�8�9 : . . C� 03� �R�T �GR,��II ��pU �'h��n.ax�on Fart Wox�tb, �� 76102 AtEe�tra�on; �zgk iVf�z�a�e� �`e�ei� ivuznbe�� ($17} $�I-�359 � x�i. �%�dan�s• �'he hea��s aa�t�itxed hez°ei�n a� £a� co�z►�e�i�xce ai�efe�uee �n�y an�1 ax� no� i�n.�mded to defiae, limit oY d�'� th� �cap� o�° urt�nt of an� p�°av��on a� this A,g�eeme�x�. 16. V�aive�: �'he waiv�r }�y eii�xe�° paz°t,y �f an,y n� �h� �ezms vz� prvvitsio�s of thi� P��reem�zzt sb�i not be deex�aed to consti,�ute a waiver o� aza.� a£ xt� o�be� �exms ax ouaf 9�3 �' � � provisious. l�o wv�uive� o£ �he ��v�si.�ps ai �it�s �reemeat s�.1 be d��wec� to rx���ufi� a�axxti$uuxg waiv+�Y �h��eoF un].ess a��;etwise e�pr�'essl� �re�i��d. h�*°�,?� - 1�. ��t�an in Cmtua.ter�ar�, '�'T�is ,P�e�ne�� m,� be e�ecuted �n caumterpa�rts, aq o� wh�� toge�ber sI� �a�s�itu�e one and ��xe sam� in�sf�-um��. 18. �cces.� {� ]�a}�s ����s. iiu�il t�.e �q� o� �av� t�ki► �� � �he �uxn�is�a�,ia�g of sez�vic�s �u�°svRan� ta �his A,�r�e�aaen�, Selec� PIa� sh�I naak� availabTe u�on �i��x �ue� of �ae Ser,�ei� of YEealth axxd �iuma� �arvices or �he rJ.�. C�m�txolter, a�r an,y vf t�.�xx du1,y a��horized repr�sentat�ves, a c�py of �his A�eem,en�, and �k�a� a� ��s iaoolc�, d.aewnaents �.nd �eco�ds tlia� are nee�.s� �'a r��i�y th� aa�txre �d �en� o£casi� i.ncut°r�d T�r �le�t �1an uxx�ler thi,�,f�e�.en�. T.��el� Pf.a� car�i� aut an�r vf ��� d���s o� ��as Ag,�eement wi�h a value a£ �`en �hou�x�. T]allar�s ($1.U,OOO,OUj �� max� over � �L•welwe m���h �a�xiod t.�irou�h �. �ubeozx�x�t�t �t� � �a�ated o�gan�at�b�, �uch s�tbcaa�tr��t m�s� �n�,i�c a�Iauss to the effe� �}�at u��il. t�xe �i.x��iax� a�' four (4} y�s �e� the fwrnis��ag of sex�i� ux�der �he subc�n�ac�, �te rela�ed ar�i�z��i�o� sI� m,�e av�Ie u�oz� written r�uesx oi �e Sear�� a£ I��r�t� �n� �Cum.aa� Serr�ic�s or f,�xe LT.S, Camptraller •G�ne�rra� a� azay af ��.�ir dul�y �u�hox2�.�d xep�es��Ex�,�ivess �h.e subcoa�ract, axx� ti�iose af x� baoks, �.c�cuffi�atzt� �d x•e�rds th,at �ure n�ar� t,o cer�y the x�axure ax�d �a�E oi� cas�s iaa�cwnred by S��ec� ��1. uIIC��" ��2@ 5�GG11tT�C� i9. �,m�ndxu�n� �his ,A.ge��.en� rna� b� a�andmd ixi wk�o�e or ��x �ar� pn�.p x�x wr�,���g sig�ned by a c�u� au�harized �repre�en�a�v� of e�.c�x p�rt�r here�o. ��_ �es,�n�z`bilit,r of Par�. Select �lan sh� us� v�c��.a� c�r� �►ad xe�so�xabl� �i�g�e�ce in �h� �xxe�d,se o£ xts paw�rers a.x�d �he �a�r�'dr�raanG� v� ii� service�, anci s�►all na� be �;i��.� l�or � l�ss ur�� x�sul�g fro� ai� negli,�e�xc� or t�rili�u� mi��duc�. �3.. �ever��� �£ an�r Par� tex�m, c�x pra�i�on a� �his ,�,�,re�ment shall be h�i.d vvid, illega� ar uax�nfo�cea.bte, th� va�idxt� �� �he xernai�ug pvr�ir�ns a�° �vi�inxxs sh�Il na� � a�ec�ed �h��eby. �. u�i_,��nd �evi.evv. �e1�c� �'Ia�x'� per�'o�m�ce of �rices anti maua.�nan.ce of r�coxds p�u�.nt �a �� .A,g�ee�nent shal� be subjer,t to �revievrr T�y ��e Ci,�* a� a�y �e. �vi�vY will f�e �►� t�:e scsle expeus� af �e �i� au�. up�,n ���ab�e natxc� during oxd'utx� business Iaa�trs. Select P�an w.�l �aro�+i�de � r�e�pz�s a�.d rla4�. �vi�h� xe.�pec� #-,o t�xe ��r�o�.cc of s�arvic�s as �a� �re �eCessa�ry fraz�t �ir�e �a t�i�ae up�n. �k��,rLy (�Uj d�s �xi�or wz�i�zx rec�u� by �he C�i�y. vx���as -4 � � IN W'�'��T� W�E���', �he pax�ies �eret,� e�ecu� thi� �reement v�rx�ck� ��e �ective � Dat� herein px ov�ide�. �� �rxa�� ���e �av, �rc. �a� � _ -�� �.'l�i��: _ � � .�-ei'"�r.�n.,�(� �•P.a .. ��.�' -- - % �1�.�_ { ATT T: _ CxTX G�' ��.T ��R�T- _ , �y: ; � . Cit�► �ie� `' Ta�].e:_ �r� ��< -l�.�-��- G: �� �"Ltrx..�� �ate: l _ A�'P�A�� k� '� ��i AND LEC�.��: � _ � �'� � City At�orney . �� � � �� � ��� ! - - axisx9s . � � EXHIBIT "g" C�TY SECREfi Y ` �i��� �tq.���-�:-�-' " � � �i t�€,�, �.A�t.1'Y �3k1Il�TS�t�iT'Q£� �G��i� �� Th�d �'a��l�m�ni����° l�.�ee�ae�� i�te�g�eern���'� �s �g � �twee� �a� �e�ha� ��le� ��an, �nc. dlbla �l(o�h T� �3C��h B�e�i�, �. li�.� �ea�a� t�rd par% admiai,stxa�� ("�'��'� a�d �k�e Git� o� �'� ��r�x. C'�h�x �i�. R�C�TAL� i��R�AS, �PA is e�rg�.g�ed �; �h� bus�rx� a� pe�°#'ax�mi� adminitstrative s�xvices �`ox �el�fuud�. inde�i�y he��h b�����-p�aas; ���Sf �h� Cxt�r p�ovide� � s�i fu�C�ed ind���y bte�C� ��.�"x� pI� ��x' if,� �p�.oy�s a�d a�er aQvex� pe�sams; . ��i�S, �.e G�iiy' desi�es �Go �ont�a+� t�riti�. �`�"� 40 �d� $dmi�e.ti� s�rvi,ce�► ta i� in cann�ta�� �rit3i �he �e1f-funded indemz�L� �a�ia�x o£ its h��� beae�t� P�4 i�iQ�', �'I��F�i�,F� £cr� and iu �o�si.d��ti�iaa of �t� ��.t�l t�r�m.s� r�o�u�n.�s, �nd ag�eem�at� s� forth ��aws TP�A. �nd ihe Cit�r ��s follaws: ��DN 4�+T�: �]E�IQNS �1 "`C`iOV'� �eiSQ�n 3I1�ILS 8,� �1tL�S�O�� Q�' O'�E� �R`�03'�. ���� �Ut GQ�i��e ut�.der �h� �'1,�. T,�t�cuzn�n�. �.2 "F�x� an�ns �.e self �.d�d �nd�mz�,i�r p�rEion �£ tihe hesi�]a �e��� p1a� es�a�shed ��T�e G`�� �a g�ra�i+�e h�� b��� £�� �� e�x�oy� ar�� e�r�. ���x�r ���sax�s. . . �.S '�,'Ian I3a�u�n�at" �aean� �e �.ocu�� t�a� set �o��a ��.e e�i��i�i�y a�,d h���t �po�asioas af ��e �� a�d ��rovid� ��� �h� payx+a�n� ar �n�urse�nen� of e]xg�ble e�e�s�. S�+ �i�N '�O: '�`�,�i �ERV�C + S � ��A r��1 p�ovide ��xe f�llowi,� �ervic�s �.1 i�es�o�d ta inq�ries f�n�x Ga��e�. �'�oxrs a�d provid� reg�rdivatg �ig��i�xty r�u��axe� and plan ben.e�ts. 2.� ��ide fi��ephone cnvexage v�r�caL-ion a�, ��t�rnal #�v�s��ss deys �om S:fIU a,m. f,ar �:Qi� p_x�x. �-3 �'rovzde pre�ce�ii�catia� �vz� nan-ezn�rgency ha�pita� �drnissitoz�s and cex`�x�i�ativ�x �ox ern�xg�e�c;y hos�ital adrn�ssi��s_ 2.4 P�a�de cot�'tinv�g s�y a�.d disch�ge �aiaz�xia�g �errice� �a�r Cov�red Pex�o�s w�av are k�o�pi#�cl. �uu�at�t�n�s. C� /r� �,�,� .. �oa�cxaoi 1�$3xaz�i�a�.oa� ����� �5�� � 0 �,5 �"�t orride ��{�^a�spe�iv� u�atio� r�vi��w ai all �atasp►i4�i��.�o� of �a�rex°ed Petsnr�s. 2.6 14�r��€�e �t.�s��ab�it� �e m,an��ae�t s�r�es b� � id���g t�.e �t�..s�rap�ii� m�cai ca�e� axxd �ben r�viewing az�d �on�iuuix� �o �xani�r �h� �aeat�� c�e�daliver� ��� �a� su� p��ienf�. � �.7 �'rovi�d� v�tili�atiax� x�;vi.ew serv%ces, inc�uc�g �a�-ce�cat,i�n and oea��catioFa. sez�i.ces, fo� all gs�►eb.���%c ser�c� p�avided �zx�,d�r ��z� P,�. �.8 Re�eiv�e, x�viewf e��. vet°ify �he e�ilitp of all e�Zms fro� ��ve�r�d ��rso�. - 2.9 �,e�ew ciaims � �.e�rm.ine ¢�xai {�} ��� c�tarzges � x�ecess� �.�,d r�asvn�.U��, (b) ��x� a�i�agnv� i$ e�gibk� fa� �xr��uxsem��'� an� C�?,�`�'�r� i� i�. ���e, �.TO 1�1.ssi�st �rer��d �ersa� in ��xe filing and gro�essin� o� ci�.iams. 2.�,X C��'d��l��ant��i� wit�o��terbenefitp��, uxs�.t�.r.��%, �C3s, �c� o�hex p�yors. 2.�,2 ��oc�s� a�xd is�u� �,e� �a Cove�ed ���rsons v� g�avi.c��? a$ applic��e un.d�r #�e Pl�. 2.�3 I�To�f'y ��axan�s ia ��i�,g of ivaelig��3,� cla�ms, i�.ditc�'�ira� �]�� �n �c� �h� d��aia�, ' . �.�,$ �sh upan �que� �n�€�Ci c� £rn�m,s �td �.I�. e,��ds. �.1.5 Pk'c�vi�d� � tih� C�L�* �e folla�.g mon�y claitxns �par�: � (s� �ai� �Sis by Iin� af eav�ra�e aaa�d �a�, t�r) . Gl�ims li�t b� �artici�ant, _. (c�► CI�� �a�ndix�g ���ox�, a�nd {�.) C��c� a�d ���si.� regist��. 2.],6 l�r�ovi.�� �o �k�e City c�e�ar��rl�y c�aims a�d xrz�x�.agetne�� �epar'�s, imc�u�in�; cont�r7autzc�zas, i�.r.�m�, and c�aims gai�d �n.d �pense�. 2.�.7 �'rc�vxde �h� nec�ssary da'� tc� the Ci�ty aad assi�� Cit,y vsri���x p�°epa��tza� a�' �* regul�tozy xepor�s �� �Iu�, x�xolucli�ig any xepr��t� requiur�d by �k�ZSA {if ����it�Xe), ���� .�_ m 2.1$ �ro�gfi�au� �h� ��m o��i,s Ag�eme,tx� and an����w�]s t��f, pPov�ide �wa pex�ons on� sit,� a� thc+ City's af�xaes du�i�g ��i�.� ha� �o e�� � provit�n,g' the s��� ��� f�r� i� �'� Agr�m�e�. ��'A �� �plo� sue�i, �x�a�s c�� m��r �vntr�a�� ��h � ��aibh �'1.� �n p�via�e s���at p�aa�. �.�$ I"�.c� �n� ax �.ax� �exaaf� camgu�e,� te� icr�. �h� Ga�.y's ��Ces �a facili�� �ornm�catia$ a�� c�nt,�a,pa�eau� �� I�i�. 2.�� Px�ovide e� a�her ad�tani��txve se�vices pro�ased by '��'A. o� i!� age�t su ��s Bid Proposal, wbx�h d�cumen�s az°e �xerel� ivacorpo�a�ed by r�fe�renc� in�o this �r�emez��. Yf �h� � any ca�ii�i �a� e�sts wa� �e�axd � �er�ive� �i,wee�x ��e $id ]�`�a�vsa� a�d t$is ,A�em��, the $�� �"t°apasa� ��all c�tl�vl �nl.ess f�e Cit� d�cide� a�i.ervvis�. . �his �►gfie�m�n� daes nat xe�a�e �v, � �nd 'as �a� ap�i,eaT�l� �, a�a,y beu�"it� pxavided �a� �he City �o s�► perso� covere� �y L-�a�ris �eai�h �� � ��3�i T�%���; ��,�C� F�� 'I`he �aty s� pa,r TP�P�. a f�� n£ five �� (5�'a� o£ �Q �ims pa�d c�u� �he p,tr�vi��us x�anth. .�a the ew�;�x�, how�ver, �h�.� the am�ut� af �� �� lay the �i�y ��u�g a ux��t� e�e� �o o� �he a�aa�unt o£ c�a.� �ajec� �ax �ha� ma�x� �xy ��A. �`�,e a�ga� a�a�t poin�"), ��P,�a shal� nvt bs �aata�Ied �o �r f�s ��x �Iain�,s ov�e�° �e aggr�g�� ����i.�n� �aa�nt. Th.e �i�,y � pay suc� f�es �f� t�n. (i0) da� �f ��� c�� ��tat t�e C%f,y r�ves sua� siatem��. � �.* , . v�; , _ �,i � _ . . ti ,�. ; T�e City shal], r�eimbvxse TF�,, £oY the actua� exp�ns�s in►eujrr�d�as'foll�ws: 4.� FPi�.'�a �x%ai, suc]a as ar�► �g�cia� bvueti� �e�� cxL�r em�l��s, au�l���� kiy t�x� �;i�' or � o�� pror�p��l $��. � �.� ��eai�. ma�s � (be�e�t boak�ef;s, iut�t�,c� �e�ti�ir.��, �m�lvgee st�#�s re���s, e�c.) x�equesf,�d by tih� City. 4.3 C;agy casts a� $.15 pe� copy. ��G'�(�PT ��; �►�'�AT�fl� OI�T �FA AUT���1,� '��e serv��es to be p��or�n�d b,� TP,A, �hall be �uinisfi�xxal in n�x� �d sb�ll. b� p�fo�ed witbaz� th� £�am�warl� tr� �41��ies, irxte�p���i�� re�e�, �a��ce� aad �ra�edux�s made ar e�a.��ished by �he C��y. Tk�e �ity retains al� fu��l au��xo�i�,y ar�d xespax�,�it�ix#.��y for� th� Pla.xx and �tts aper��io�;.. TP.�, i� ent�awaxed l;e� a� o�. behalf af �he nuass2 -�- City i�n co�eci�an� with �he �'3a� ax�y �s �pxe�s�y ���ed. ixa �hi� Agx�m�n� �'A, �k��l. nat hs��ne dis�.oz� au���� �x� c��re�i�n,�r,� e���ols r��ing ��a�c v� a�r �usx �d a�d �%ali ��� �tav� �u�haYity t� e��cis� �► c�q�.i�vi a°�e�b°mg m�ag'ern�a� +� dis,�i�ion af �ae t��e� c�� $ny Lxust %sd �.�. �� �.o� �tc�ex �ves�men� advxc� v�rn�h respec� � a�uy xnoa�y ox a�her p�o�t�y of �y �£u�'xd arx� sball ha.ve ,�q au�hor�� ar resg��bi3iiy ta da so. SE C3� SI�: CI`�'� DL�� �B�x�ATIQ�i� B.�. �e�t �n.d �*�x_l��fa�m�.t�a��. The Cx� shall pra�ride TP'A cur�rerxt �d v�d,�.�. (itr.��.�.d%ng �ll �v�si��� or �haaa,g�sj infa�.�,�ion on its P�a�x �.d oa �li ��d �'��so�s on � £artnat �s�n�.bly suf�a�en� �o ena�le �I'A, �o �rjr a� ii� �u�ies an� ��liga�iv�s unc%r �ze Agx ��m��. 1 h� �i,� �h�ell i�o�'y �A w�thx� �, �xLa.bxe period af ii�e of at�y e�,a3d�es t,p stt� �a�a�iaa i��espec�ive o f�riaef�er �uc�t ch�u.g� 3�s o�icr�xed i�y � ele�Gia� �o �i��.te, an elec�an tv te�muinat� ��pa�ia8, � ��Zgi�aility r�quire�xents. f.�2 �ti.c�a �a�,P�udi� ar�d i�aa��ent ��o�. '�he C��t.p s�arll. �ai� 4a ��'1� � wpi#�n x�xate�i,als �x� ��A t� oamp�e� a�y r�squi.� xx�au�1.� ��lar c�tx�ex�,y ��vr�, � cle�nec�. � Tk'A, vv�rhich� �e in ��,� �xr�x� o� th� L�i� a�� �a�� than t�ze �wv we�� �a�iar� ta tb�� c�ate th�.� suah �udi� �x repaz� �aus� � sab�ao�ii�. G.3 �o���s�i.tv o��'un ' en� a�C�aims. TPA �+� aQt in.suu�e ar underwrit� the li��ility a� �he C�ty wa��.er Pi,�n. ��e Gi� has �.nd �tai�,s t�e ultiaa�a�e r�o�ibiliti� �o� €�� o£, and �syuaen� o� cls�a� unde�r, i�� �'l�a and all. e�ge�xses incide�x'� �a sur� P�.an. �Pi �9, �hall �a� �� requ�ed, under � circuras�a��, ta �sue p�ym���} fcrP a�► �lan beme� or az�p ath�r c�os� a�g au� �f �e subj�� �tt�r af �us �ent ��s �he � � p�vicr�s� a�eposi�d �c3.�a� �rxd� i� x3xe Clai�.s �cru�.�r �4,�c:�uat � se� fa�h �n Farag�ap� 7.�, i� c�a�re�r sa� �a�meni�. �.4 C��w�m�nt� �d �`� R��n��ii�v. �I ga,rex��n� r��r�r� includ�ug t� r�equir@d in oe���i.�m vv� �h� �°epo�i,ing sr�� pa,y.�.e�� v�' fedlez�i„ �►� ox ��1. t�x�s � i�r.� sQ�� �'�s��i�i� o� f�,e Ci�y. TP�4, �vill as�its� wit� �ll. � �ui�ed �a� ���e o� ]��dei°�. �.� �el��ing �a t�e �i�. �ll t��s ei�x�r� �m.�o��. �n �e �Ia� �r x��a�i�n� to �� adxni�is�a�e s�ces �a�ded uade� �h�s �i�elnt rrx xesul��n.g �iro�n �1� �e�ts �xa�i�.e� to Cave�ed F�rs�xx� a.z^e �he �ole �es�a���3�.� of �he Git�. ' 6,� C`QB�A Rssnonsi�a�"�i�. '�'.A, ��I. assis�c �he G`�ty �h al,� n���� a.�d �oz-r���ion t,��t �� ��°equi�. �a giv� �o its Cave� Persa� and �ny xecdrd. keepin� �e�,��is�g ��e�eto �u�su�.nt �n a�y fed���, state ox �aGal iaw (sp�e�fi�� inc�udXx�g t�ut nai I�uuted �a thase �c��xed purs�ant �a �.e Cvnso��.dat�d ��anibus �uc�g�� R,eean�iliatiozx A,ct vf X98� �"CO��iA"), �'ublic Lar� 9� 27�). �x�� � �`PA �h�ll ��esFan�ible fa� g�avidi�� �uy nr��za: ta Cavexed P��sa� x�qui.�ed by C�U�� �r��nev�r ��� x�iv�s notxce f�am �Ze C�it�► ��.txng �b.a� a quali�g ev�$� Io� �cux��d �nd that �u�h nafi���e s��u�d b� ��v�ded. ��h s?r�ril �� fuIl %,��iy �`or an� f,�.i�ur� to ��rovide adequa� na�ice �d� f�f]B� onae �he Cit� �as �elivered said notxc� to T��. � �.6 S��n�n��x� �or ��i�a�it►�s �r�,��r���ou� U�rler �'�+� P�. T�e Giby s�a11 b� sal� �po��.e ��x ��xerm,�ai�ng eligibi�x#,q �rite�a £vr i�s e���oYe�s, g�up m�xahex�, de�nden�s and a� o�hear g�saras _�vha are eli�'bie Fox ben�frts �xovided under the P��.zi. 't�.e �x� shait be �porn��ible £a� �uay eli.gibility �'e�'ifica�xazx erra�rs ac:cu�x�tn,g in co��ion wit�h ��'A'� a���ia� �ter�eundex. �.'he i.���ref��zon oP e���tn�,tian af �ny° px�a�ri�io8 r�ui�.i.�ed �� �k�e C�t�s �'I� T�ocu.���."c ��he �ole �espo���lity a��kle l:i�y. ���► sb.a�, a�ist th� Ci� i� ���x�x d�ter�s�at�ons axad i�te��atx�ns and sh� camm.waic�� �aa� i� C�L�s etn�lvgees: g�ou� me�rs, depende�� aac� t�t�ar �rs�a�s. Th� Cz�r �hall. be �F���e ��r r�vxew of an3r appeals c�f d�ni�d c�ai�;ns. 6.7 �fox-�natio� �a �e Furni�hec� bv� �e Ci�.y sb.a� €ttrnis�'��A wi�tb. all i�k°vx7m,a�,iva �ec�ss� £ox �he adminisf�ai.xoa� ai bex���it� und�r �he Plan, as Tk',A. ma�y �easa�ably reqair�. �FC'�I�IT� ���rT: �; __. S �S W A:7�TN`� `l.� �s�ab��,ent a£ ,�.ccount. ThE Ci€.y sY�,all es�ab�sh a C�ai�ns ��ova ,���n�. '�he City sh des�gna.�e �F�, a� "s�nato�r�"' or "a<ixia�a�a��' af suc1� �l�ims �s�w,A.ccaun� w��h f�. gov�e� sm�. au�ha�ty ta c�sbw�s� fun�s�, axxd sh� e�ecu�: and deYi�ex to TP.�, a�d th� de�si�oxy� b�.nk ax� an.d aII da�um.en�s n�ary �a► �m�ov�e� `X`F,�. �a act as �ig,c�.tarSr ax admipu�rator v� su�a. ar,caux�.�. 7.� �.?e�osats �a ,A.ccou�,�� �,`PA s�,�i noti£a► ��e City by �le� o£ t�xe amaun� �eqv�ir�d �01�� '�� �.�g�i�d a'n this k�,rcou�� �d �he �i.t�r shall �e �ucb. d��vsi�. '�`��i �1� c�etex�aaae suc� �at�nt b� est�na� f�e G`�t�yr� Siab�ttg p�u�au� �o �h� �'�. �a�e a�ne�znon� pe�xac�, T#��r, TgA s}�ll �s�� �h� Cx�g �iy te��% v� tb.e amau�� af de��sit�s r�c�uixed �o he �d� b� t�� �i�y sa ��o �x�in �he �.ccaun� a� � I�va� d���ed b� ��'.A� ta �e s�"aicien� ta cav�r the City's ]iab�i�y iar a� �east a o�e- �an�h pex°i�vd, �`he Ci�'y shai� make such 5requi�d depasi�s wi,� fiae t5] da� �£ #,Txe da� that the �ity x�c�eiv� �o�tr.� vf �k�� �xeac� �a x�xa�e s�ac�x de�siic. � • � � ��* _� i � ��:� 8.� F�ect%r� ils�t�.�. �'he �#�ective �a� bf ��s.A�ee�es�t is C��ab�ar �.,1.�9�. 8.� �r�m_ '�'he �ezx� a£ �his Agreen���� shall �e £o� one �re�° co�enang o� �he �£�ec���e �a�e se� fort�a a�av�_ a�a�sa �� 8 3 ���.on ���. The City �� ]n�� �he epti,t� 1� t�nnually ��xzew � �4gree�ent far ��e suacessi�re ou�y� te�°ms, w�if�. �� �ea°�x �o ���c� on Oatiober �._ �� ��e �i�y does x��� no�* �`P'A o� xt� d[�sire na� �n ��w 47ae �e��n� at 1eas� g� t�) � Fria� t� �.e conc�iasioa o� �k�s one�yea� t� ar ar�y sur.cessi�e on�y�ar ��, ��e �;re��t sb�xll lae exte�.ded far a ane�y�ar t�z�a- �, �3'Ti�T�: TF�,��i,'�`IC�N 9.�. ��inatio� Wi��h Cattse. ::At a�y �i.�met ei�xa� par�.y s�� each �,ave �he addi.��onal optian �a �;�uate ��s Agreezne�� far cause� ug�n �hirt�y (30} d,�ys priar wxitt�z� �.a�ic� follawiu�g ��e occw�ence o� ax�,y nf �he fouav�un� ev�euts: [a) �ai�ure af '�he o�her pariy fca compl,y witih a�r ��a�ri��,aus of �k�s �eut thi�t.y (30) da� �i�er xeceipt af vvri��e�+. �o�.t�; C�) �`ai�ux�e oF �he o�k�er ps�r �o oau�lg 'w�tb� �gplicarbl� �aEuto�ry or �gula��* �uiremen� �'z�:en (Iv7 d�,ys a�e� �ec�i.� of �.�n notice; (G} �aud ar e�bez�l��en.t oz� �.e � o£ the oth�� �a�ty- 3.� �e�� af'�e�xn,a�.a�: ��ann �e��ion, �F1�sb�i �om�l�� praoessing vf �1 c�ain�s �vr l�ex�e��s und�r �e Pl�n aud shall x°ec�ive a�� o� five ��ce�x� (5�'0� af c1��s pa�able as a eimburse�ne�� �o� e� incu�� �d. }�i+� aft� ��ioa ox iu�cur�red �iax �a terrnin��az� bu� n�t,�aid u�x�zi �r �he �.�e of f,�miUaa�on. �u�ch #'ee ��xall be dae axkd payable �i.z�* {$4) d��►s �rom datie o£ xnv�oi.ci� by `�1��,. ��O�i�EN': R� ,� �„DS AN��.ES �Ei�,,��i'G T� A,T]��TR�.�� S�RVIC�S '��'� sha�, �►iiat�in all reco� ia c�x�unctiau vv��b. �he ada�ic��raL�ive s�ces �a � p�xform�d �x�x�ect�de�_ �e �i�.y s�i, have �e �h'� �r, e.��e �h� �c�mds o�' ��A �e�,a�in� t.� �enefi� �a�ez��s, �1�a1�Q� �o� i���k�! �iid t�,� ]SfitAin� o£ di�a�fS �or ��ymen� c�� bea�'i#� ut:d.�P �he �"l�n; ��avxded, how�vep, �ha� �y �ra����ian of iaadivi��,! ��nefit �a,y��n� reco�s s�all. be c;�rrt.ed �u� in a�a�xeir �eci to be�reen �.� Cif� and �F� des�gr�ed to p��e�t �e cvn�r.d��t€�iLy a� ��� Cove�. F�oa�� x�t�clica�. i��x7natio�. �n the �ve�t�� a£ t3�.� t,�r��a�ia�1 of �hi� �mea�, i�'A shal� d�i,v�� th,e apP�pri�� infor��'ton an a� c'f �xix�as hxstca�i�s, r�r�x�h�; ��t� claiza:s a��is io i;he C�ty, �ravided Ytoweve�, T�FA s� � ent�t�e�. fa �re�aaart capi�s nf aray such records a� x!� awn e�p�nse. A� data ax,d �ec�t�s ���� f� all �x°a�ac.�ians r�,a� t+� C•�►�rered Pex�oza� ar� �� p�°op�r of tb.� Gi�tp, �. ��T�C��T EI.�E�T��. �hip���VTFIC,�;,'�'�aN �i.l �aah �ax�Ly sh�ll lae �ia�Ie for zts r�w� acL� aud ami�sions iaxcuz�� i� �he �x�a�m�nr.� of its �eaifi�c obi�gat�o� xuader t�is �gr��n��. G�liS03� � :•.,.�_: .. .,�";'' ' . 0 �.3.� �� i�s �he inte�,.t n�' ���4, aud �b.e Cifi,y �a coo�rate fui.� �vi�tih �ach ���e�° witth res�� �o a$ su�h cl,aim a� suit �nst �R�he� �1.. y �$ P�:'-.�;.; �E�.-� T�",l�i� �g�ees �v m�i�tx�a�u �he b�e� b�nd cave� �°eqt�� by �e'�e�ra� ��� B�o� o£ Insux2�uce t,o i�.demni�Y an.d hal� �he Ci� hax�i�s ag�st a.�y �d all �, � �uc� �en� �nclud�� eavt� � �nd �%a�r��g l�e�s �ui�� fi�ffi �z �xi�ug au� o� c�s��n�s�, ���uc�uie�� �� ��� af �P�'� �xnpi�ye�, a�cers and agexxt� ia ��x£�rming aer�c�s unde� �h� A�reement. �i.4 �� ��Iae i.za�n�ion o£ �a�h p�ie� �}�a�, wx�b:att� th� coxxs�n� a� the ot�er� nei�h� �rill �n a� c�e take ax�y ao€�vx�, '�ai��: az� c�e£'�nse; vx ct�mpramise a�y �uit w�ir,�x w�uld kxxfl�vingiY Axej�udice the o�her part�s de���se wi��, �e�� tio the ao�upaz��io� o� a cxime or �ha vioLa�i�n af �y gezxal provi���n Qf a� �Eate's itmsur�ce �.ws, unl�s z�eqt�red ia so by iaw. . . �ECTjt��' T�rELv�: COM L����T�a� �he Ci�y a.rad TPA s]aa�l: pramptly na�i�y �h� �t�� a£ a� �mplaiu� �o or fram any ��a� �r F��� �eg�la�c,r�+ �u�ari�r �f whic�, each paxLy� h�nxes awa�re i�a. co,azxec�on �xi��Ia anp t�aasa�ctiinm cavered by t�is �men�. I�' a�� �xis�s as a x�I� a� � re,�ected a�ai.m ar d�n� af be�efi�, e�igxbi�x�, c�� �o�ge, ��.� G�ZL� will. ds#'ez�d at its e�peza,se and ga�y anp judgm.en� a�°�sing ���f�a�x, u��ss, at the Ci�ty's �ques�, '�'��. ag�ees �o da£end such claim at th� �i�y's e�pense o� u�ax� such v��t�r �erzxxs .�nd c.c�ndi�io�as as �he pax�ies sk�a}1 a�r�e up�n. ��x �.o e�reax� �h�ll the City be respo�sible for ax� d�.�ges ar deferzse cas�ts a�isi�� �ram ��ie neg�gen�t o� wi�ifiil �onduc� vf ��A. �ON �k�R�.T���: G�iERd°�L ��(�ViST��S 19.�, �la�ioz�shin o�` k�a��.s_ Ir� �re�£��i�' ��� s�.r�i;c� T��z� ��c�b�d, TPA shall b� ac�ln� o�r as an ��.eper�,den� ca�xtx�ct,�� aaa� s�xall. xxa� �e des�g�afe� aY dee�ed �h� admi�as�xa� wx� �Espec� �Ci the �'�an ar �h� a�pxapria� nau�eei fiduc�a.r�y fnr �ev�ew �f cl�am d��.a]� uuder the P�an fop �e �u�e af ��e �m,p�oy�e �ir�men� Xz�.r�me �ecur�i� ,�� af xS'�� o� �r af�e�e �`�d�s1 ��r �� l�w of �ixixi�ar r�afure. ��,E� �]�ll ar��e fa� �he. pravi,�ion a� all �.ee� h�reumd�ar as an iadepesidea� �on��a�ta� aucA n�� a�s �.n o£�'ic��, agexit, serv�nt �� emplay�e af the �z�ty. - x3.2 s�sv z���itv a£�'ar�ti�s. Th� C��r f s a���]�r �aaz�sibte fo� rts ob�i.gatia$s und�z° �� Fl�x. TFA� u�de�ta.l�r�s tn px��ide adxninis�ra.�ive �xvic�es ��cl�►. '�i'�''� �h� us� o�� e� an� rea�a�xable dilage�r� in xhe �x�� of i�s �we� �ttd �he �ae��a��ance af it� se�rvic�s, and shal� no� be liable £rnr �ny �o�s u�a.I� ;r�su�L� from its �eglige�ce or wi�l� misco�iduc�. . �.�.3 Nax�, A��ronriatii.n of F�x ds. I�t t�� ev�z�� �.a �u�xds ox itxxsuf�icxen� funds �.r� appz�op�ria�d and bud�e�d in az�y fisca� yer�r £a�` fe�s t�ue pursuant fa thzs Ag�reemezx�, �hr� Cxty sh�.iX notify'x`P,A as to the p;ro�p�i.ve date on �hi�h said :funds auava�z n�o 0 W�.� 7,�Q �dx],g@T ����iX4; f�is A�men� shall b� �ain���. an ��� I�st �ay a£ that mon� i� wb.i�h said aot�ee is ef�ec�it� v�i�hou� �►� �r�� �� �a t:h� Cit�r �� �n;y �x� �w�tai�aever, �o�p� a� ba �he �v�o� af fees ��e�a. �gree� �an %� ��ces �zxd���d �hraug� the ��'e�� d�te of te�nativn. �e�.� �F+�S�&�11� � ��► �i�t i9]�IDa OF ��lsl2 �i �i7.{3 ����k� ��� � held v�xdr i.il� ��° �.n.e�x£or�iaXe, �he v�i.di� a� ��e �nin� g�z�� ar prr�ovi�nn� �hall x��� be aff'ec�d �3ae�rebg. 13�5 �,Ja�ndices. �.cYx Ap�endi.� and �.�hib�i to �� A�eemex��, includi� '�`�A's Sid Pxopas�, is ��a� of this ,A,greern�n:� �s '�!`t se� �or�h ss � numlaered pax�a�h. 1�,6 a� �� u��ice re�,�ui�ad o� a�a�exnp��ted �t► be g�,w� pvxsuanti i� �he �rm,s }x�reoE �hall 'b� i�t w�i�ing �nd sen� bX �it�h��^ �erti,�ed �il, re�urn. z�eipE req�es�ed, pos�ag� P�repaid, %xzd delivery or tel�ax ta: Pr�den'� �iA�,� 1RETHO�X�`�' SEI.�EC."�' ��.A.N, �T�. �.�00 Suuiznit� Ave�.ue, Suit,� �00 F'arti W�xth, T� 761U1 Te�e�ax Nu�ex: ($�.7y $78-v88J : , . CI'�`X OF �`(]�t� WORrf� • ��oa �:��r�o� �v� `�%r�h� T�as 76�a2 Atte�t�an: Ris�c ��ag�er - . T�lefa� �Turnbe�r: Esl�) 87�.�359 I�.7 V�,ue aEnd Jurisdi.c�azx. Sha�d ax�y aa�ion, �rh�h.�� �rea� or s�ss�ted, at �.w a� equi��, �ri�� ou� �f the e��cu�ia�., �exfar'ina�.c�, ��.Q� pe�fo�m,ance ar nano �+e�°frrr�,xa�ce of �;i� �ee����, �enae �ax said ��t�an shall li� in Ta�n� �ov.n�': '�e�,s. �k�is A��e�ent sud an,� a�tio� in ca�nec�zo�. he�ewr�i� iu� and s�a.� %e govex��dk, canstrued and e�a�°ce�. by �he Iaws o� �he �a� o�'T�as. �3.5 .�,udx� a�d Revxew. �P.Pt�'r perfor�zxa�xr.e of se�'vices ax�.� �in�emaz�r� af reco�ds pursu�xt to th� ,t�greemen� shall f� �ubj� to xevi�w b� �b�e �ty a� �n,y �u�e. Review will 1�e at ��.� sa�e egge�se af �he Cxty and upvn reasozx�bi� mv�Zca duxi��;g ardi�ax�y �iusixxe�s haurs. TPA vt�l p�ovide ar�y re�rc��s and c�.a�a with �°esp�et to the pe.rft`oz�xa�x�e a� �e�vic� as xnay be �xec�ss�xy $-om �me tn �inae u�o� ��ii°f,y {�0) days p�r�ax wri��ex� x�u�s� b� the Gi�i,y. • ouas� �$.. 1�.9 i�'��_ of %iame. '�h� Git� shall �a� us�r ��e� nam.� c,f �FA e�r.ep� a� �ut�oriu�d in �nri� x'lE'� six�r.1� �ot us� �he ne�e a�C f�e City �cep� �s n�ess�r ��r ��e p�rfarw,ax�r,� af � Agreemen� an� �s �utho�ed i�n ��in.g TFA $ia�.il no� perf'orm an.� �rt`it�e� or aral s�ys af Coverad Pe��s wiles� �'ie Ci�y a�d �"�A. have a�d in wri.t-�ng �o fche �cape, a�rttea�, ���crd �f cazx�ac�, ptt�Pase ax�d publict��iam o£ �ur�rey. �u� su�rep shall ea�a:vass oni� � City's Caw�re�. �"e�ns, �p'� w�h�. tb.e �y is wi�3� ��ra�le� �e� af ather g�raups simila��y �an�ac�d. �en c�n��t i� z�qui�ed, �TP� shal�. cont�c� the Cit,y's rasi� man,age� wh� mixst $� a�; c�isag�e� i� wri�n� with f,he su��y wi'�iin ��vezx d�qs af�er bei�g �ont�G� bg �P.P� at° such su�ey wiu be deen�ed acc�p�able by �b.e Gi�y. 1�.10 ,�e��nent. �� �ee�uent si�li nvt b� mead�f'ied �x �ended e�c�ap� z� wxkt�r szgzt�d by � o£��.,,i� Of TFA amd t$e City. '�k�� waivex by a parLy a� a b�ac� o�r �via�a�ian a£ a�y ��a�rnsi.on c�� this ,A,greemea� $1r�all. no� a��°a.te �, ax �e cvnsi:Y`usd to be, a wai,vex ni any subs�queat bxeach vr v%o�a�ian �hereo£ �5.�.� �nf4�_ __,a�z�. '�`k�� invali.dx�r a� u�e�a£orceabili� of any �exbas� or proviszoxxs her�o� s�xali nat, ux�;1t� othexwise sg��ri her�in, affec� the w�idiL�r o� �n£arceab�IiL� a�` a�xxq- ot�.� t,�� dr �rovxsi�n. af tb�zs Agr��r►.���. �.3.i2 �- e . T�� �eadings cont�i.a.ed 1��rein a�e �or canve�i.enr� c�f �e£ex�euce an�y a�d a�e x�a� iu�ended to de�Z�.e, 1iz�zit ox descri�e �xe �ca�re ar in'�e�x� af ��r prvvxsxan of ��xzs A�'�z�.ez��. IS.�.3 Wa.. a%v�z�. �`he w�ve� by ei�he�r par�y v� a� of ��xe �eFms o�C pravisivns of thi� A�ee�na�n� ��all no� be de�m�d ta cansLitu.f� a w�ic�rer o£ any a� i�ts ot�e�r �e��na vx° p�a�isiaz�. �fo w�,av�r vf �a.e p�rovisi�o�,s nf �hi� k�e�n�zx'� shal� b� deemed to ccrns�,t�be a c�nti�.v�g w�uve�e �e�� u�I�s ��he�ris� e�pPes��y ��o�d� herei$. ��.�.4 �€ec}�ii.on i�x Ct�un�exr,�r�s. 'X'his �,�eeeme�t n�y be e�c�cuted ittatt �ounf�r�a�s, alI Q£ �vhich �aget��r sha1.I cnns�ftu� az�e and '�:e same i�x�►s�rzime��. �3_�5 Access �o F►rsaks a�ri Records. U1��i}. ��he �pira�iv�x of four yea� a�er �ie �urnis�xi�.g o�' se�vices �u�n� �a this Ag�re�u�ent, '�PA s�all ma�e ava.i�ab�.a u�a� r��rittem r�c�u� of t�z� Secr��xy of �T�th �uud �um�, Se�vices, or �y �f �h�it� �luiy $u�horiz�d �represem�Ga�,v�s, a co�ay o�this Ag�m�n�, anc� thas� �i`i� ba�►}�, documex�Fs and recax�ds �1a�.�t ���ss�rry f,� cE�Gify the na�ure snd exi�� af cas� i�ncu�ed by ��'A uaxd�r �hi.� ��x�a.enx. �£'�`�A caz�rzes out a�,y o� �e d��xe�s of t�� ,�greementi vs+��h a va�tz� of $�.�,U04 ax mare �v�� a�welv� mau�k� pe�°i�d ��roug� � sub��tirac� �x�h a. r��ated org�aniza�azz, suc�x subcaz�trac� rr�usti con� � r.�at�s� ta t�ze ef�ect �ha� untzl xh� �piraL-�ozx of ��u,� years �E�-,�r t��; fu�nisbin� of servic� unde�° ��x� subcoxit�ac�, '��e rela�d axga�p�i����on sha.}� ma�e avai�abie upon w�rit�n �reques� a� the S�c���xy df H��th az�d �-Tuma� �rvices Qx �k�e U.S. Cvrn��z�oller C'x�n�z�a],, or ax�y 4f �hezx du�y a�t�Zoriz�d re�xesenta��ves, �he subeou�xaet, ax�d ��ose of i.�s bvv�ks, dacu�.x�.ents az�d 41��i� _g_ �- xecozds �hat ar� me�ssat� ta cextify ths �.$tvre anc� �nt of av� incwr�red bp� SeXec� �ia� ur�dex �hc� su�c7an�trac�. �3,�.6 Assf�axn��jttt and D� e tion. � A�eexue�zt shall ha Uinding u�a�a�. and iat�ux� fi�o �xe benefi� o£ �he pax�it� h�eLro and '�heir x+espe�iv� sv.cGessors and assi�,ms. �'eithe�c part�► shall a�si�n, submous�c� op v�e�se deX�g�#� ��s �ght� a�;d xespa�rs�i.��i�s unrl�r this ,�gxeeme�t vv�.�hout the v�her's pr�ar� wr�i�iem consent, v�rhi,eh eo�s�nE mt� h� wi��teld saZe]sq �t th� distr��ion. v£ stx��, pa�, . �'i�TAIESS �VHEk�4F, a.�xd as du�y authori��d, �he ga�i�es here�a execute this .�,g�reernent vsr�th �e �ffect�.ve Da�e h�z�zn provi�det�. _ �RT� �'�HdD�S�' SEL� �'LAN, �C. Dl�f� �1''Q�L'�'H T��AS ��`i� $��T��`T'i`� � . ,� ,�•r� - � r �., :�. �. - . f. 3 � . f � w Q� ' � A3.'�'FS'�: CI`�.'X 0�' FOR,'� �URT� ���� i ��i 7 f �� � r � �, z� ' / . � 11,���.I�-��� �� .1. � r 1; .Ps,�pR.���7 AS �Q �'��Vi AND ��;GA���'I*: r�� / � �o i�c,.c� � C�Ly A�t�xney �-��-- �� Dg� dixss3z -1�- - 0 �'�� o�/' ��r�� '���t J�� �'��as ����� �� ����� ���������� �� '" 1 ; f � _ ,. +i; , . � D!4'i'E ' ' k�i�$Ti�N�� NlIi4�ER �,Q(l k�J�#k�� PA(3� 1DI�6I9� I C.`���k��$ I �5�iROU� f � Of � s�s�r�c� R�N�INAL �F �OfVT#�A�T"� FOR �ROUP M�[�I��l. ��fV��il`� PRO�R�4h+l� �CJR ACT11�� �I�1D R�71F��l� �M�LOY££� F�R F`f 1���-94 R�COf1r1Nl�N�ATI�N: It is r�cornme�cied th�t tk�e �it� ��ur�cil auth�rix� �he �i�y 3u��nag�r �o: 1. ��cercise #i�e se��nr� �n���l optian ta r�n�w #he cc�r�tra�t� for �ro�ision af �raup rnedi�al bonefits fnt efigibl� �ctive �nd retired empl�yees an� their eligibl� d�p�nd�nts with H�rris Ni�tx��dJs# I�le�i##� �'[�n {I-�lNtN�'� ��d I-��rri� SeJect �€an, Inc. eEf�ctive L}�t���� 1, �9�� t��rot�c�rf �ept��n�er �0, 1���, for �n �moun� r�o# to �xcesd ���,7'��,��i�.��}, anct 2. R�ne�nr t�e insura�ce a�r��rnen� �ri#}� J��r� �11den �i�e Insuran�e �ampany far a� arnount not t� exceed ��5,�8�.00 and authqrixe p�y�'nerlt o� FrrPmi�arn� f�r speCifi� and ag�ra�ata sto��lo�s ins�r�n�� for tt�e �ity's selF-#ur�dod pler� of group ir��dEc�l b�nefi�s. Cll�{:l.�S�l��3; Dn Ju�y ��, 1�9� �MFx� �• 1��56�t t?�e �kt� �ourtcil au#horlxed �o�#ra�#s vwitF� F�iarri� ��tk�odist Weal�h Pla� �or pra�isior� of �r���� me�Gcai b�r��fixs {h���[h rrtain�en�n�c� prgar�ix�tipnl 2��d Flarris ��lect I�lan. Inc. far �dmie��s��ration pf �he �ity"s selt-kunded ind�mnit�+-typ� plae� witE� four annuaC opt�o�� to r�r�ew. A pravGsi�� af �he or��rnal corrt�a�t witi� HNfhll� limit�d cnst i���:r�ases at r��ewal to � maxirrkurrw o� ��.�°� for the iir�t a�cf se�ond renewal y�ars for the i�s�re� healtl� mair�t�nance or��,nization b�r�efi�s. le� the firs# �p#�a�al re�ev�ral year. HMWP �rapos�� a$.�9�o ra#a ir�crea�e v�h�ch �n+as re�ri�wed �r�� a�cepted. D�Ting negoL'i��ion� f�r rert�wal �� th� s�c�nd aptior�al year, �taFf, ►n�i�h tlr� $ssis�ar�c� of it� c����,lta�t, �ff�cli�+e Pla� NJanag�rr�er�t, In�., v�ra� a�le t� ne��tia�� a r�duc�Eo� of prer�'�ium o� �°I� �nri�h bene�its a�d c�pa�rtienxs �asicall�r r�m�inin� t�e �ame. The staf� reco.r�mend� rer�ewal �t th� �anEracts ba��d o� the cant�actors' camplian�e wi�h c�r�tra�t provi�i�ns and �h� de�r�e of ��tisfacti�n arr�oe�g th� ��ti�re �rtid r�tir��l �mploy��s. � Cor��rib�ti�n: It is recor�m�n�ed tk��t �I�e con#rw��tior� f�r t�ti� �arti�ipa�t� rem�in the s�rr�e as ih� p�ior year and the decf��s� i� tl�� gr�u� �x��dic2�l ���e�rts �os# be �sed t� I�v�r�r �he �it�r's �ost �F the Pl�n isee �#tachertient� 1-�1. �� �'Rnl�tl oi5 r�;pr.laR papQ• �'i��r �,� �o� �o���, �"ea��x4� �c���� c�� �'o��i� �'c������c��a� DATL REF�[�N�i� NI,I�M.��F[ �.00# ifAF� PJ4{�E � ������� �`-����� I '� ������ � � �� � ���x��T I���v�w��, o� ca�����Ys r-o� ���u� �r�oi��� ��rv��i�� ��o���nns Fo� A�TIV� �#NQ RETIR�D �Nl�'�O�f��� FOR F1' � 993-9� r-����� �rv���r��rio�v����TiF����r�ar�: TF�e D3rector �� �isc�a ��rvr��s cert�f�es ths# �unds �re ��rail�l��� in tE�e curren� o��r�#i�g bu�g�#, as a��ro�ri��ed, of #he C�roup Ne�l�h fn�ura�ce Fund. CB,� n 5f�l�oo�i4lt� fiio� Ctl� Mnnnger'� �ff7co Ly: CMorloo $ar�+olj Qrikiuo�lusk i�r�5xriwu�l ilp�d. Suaur� �ull■ �'nr A<I�li�ionnl Iniarm�ti4n Caut�rcl: SuYnn �uiir � GL1NU T A��'.�UN'1' � (:LhfTfe.R � A.�'!ClUNT �st�} #I S[Sf} H53_� {fr,,,�s1 FEPS I��R,i 6533 � vnriaua [�I4$�2fi ��7.i49�.966,6D vnrirruR OIS83•i0 SS.��fi.S$fi.�4 C17`Y SF�C1kf:TA1tY ��������� �I�� ���I�[��� L "r I L� 1�;•�1� �� ��� �kty Scci�4ar�r �[ Ih� Ci1 y oi Pox! Woilh„YarAs �"� Fnli'�Ir`C or rn,y,�I�iM ;�,i��o�