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Healthcare Management Administrators (HMA) 2/20/2025
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Healthcare Management Administrators (HMA) 2/20/2025
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Last modified
3/5/2025 11:14:50 AM
Creation date
3/5/2025 11:13:13 AM
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Contracts
Contractor's Name
Healthcare Management Administrators (HMA)
Approval Date
2/20/2025
End Date
12/31/2025
Department
Human Resources
Department Project Manager
Chelsi Bardwell
Subject / Project Title
HMA 2025 Renewal
Tracking Number
0004705
Total Compensation
$372,032.00
Contract Type
Agreement
Contract Subtype
Professional Services (PSA)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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HMA TPA Agreement Page 11 4/22 <br />(vi)The number of Participants covered under the Plan, collectively and <br />separately classified by benefit coverage eligibility, enrollment, geographic <br />area, age, sex, earning level, dependent coverage classifications, and in <br />such other manner, as HMA shall require from time to time. <br />(vii)Ensure that its systems as well as any vendors utilized by the Plan Sponsor <br />to track, update, maintain and transfer eligibility information to RGA is able <br />to support privacy restrictions including but not limited to Confidential <br />Communications as may be requested by Plan Participants. <br />(viii)The Social Security numbers for all Participants covered under the Plan. <br />(ix)All Plan design modifications and benefit changes shall be communicated <br />to HMA at least ninety (90) days prior to the intended effective date, <br />including review and approval of the SPD, Plan Summaries and <br />Amendments. In accordance with the regulations under the Patient <br />Protection and Affordable Care Act (PPACA), Plan Sponsor acknowledges <br />the obligation to notify all plan participants of any plan changes no less <br />than sixty (60) days in advance of the effective date of the modification <br />or change. Retroactive plan design changes may be prohibited under <br />PPACA. <br />(b)Duty to Provide Materials. Plan Sponsor shall provide directly to HMA through <br />HMA to applicable third parties, all materials, documents (including summaries for <br />employees), reports, and notice forms, as may be necessary or convenient for the <br />operation of the Plan, or to satisfy the requirements of governing law, as may be <br />determined or prepared from time to time by HMA. Where distribution to <br />employees is required, such materials shall be furnished in sufficient quantity and <br />shall be appropriately distributed by the Plan Administrator. <br />(c)Fidelity Bond. The Plan Sponsor shall provide a fidelity bond for fiduciaries and <br />employees as required by ERISA for the benefit of the plan. <br />(d)Network Compliance. The Plan Sponsor’s ability to access the Provider <br />Network(s) that it has access to through the access fees paid to HMA under this <br />Agreement is subject to the Plan’s ongoing adherence to Network requirements as <br />may be communicated either by HMA or the Network(s) directly from time to time. <br />Plan understands that failure to comply with requirements may result in the loss <br />of network discounts and/or the ability to use the PPO Network. Examples, of <br />provider network requirements that the Plan will comply with include but are not <br />limited to timely payment and reimbursement consistent with the terms of a <br />Provider’s contract with the Network, Plan design requirements, such as <br />maintaining a 10% benefit differential between Preferred/In-Network, <br />Participating, and/or Out-of-Network benefit tiers. <br />7.Term and Termination. <br />(a)Initial Term. The initial term of this Agreement shall be for a period of one year, <br />commencing as of the Effective Date of this Agreement and terminating, if not <br />renewed, one year thereafter (the “Initial Term”), unless sooner terminated in <br />accordance with the provisions of this Paragraph 7.
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