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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 9 4/22 <br />(ii)as of the effective date of any changes in applicable federal and state laws <br />that would expand the scope of the services that HMA has agreed to <br />provide hereunder. <br />(iii)notwithstanding the fees in effect under this Agreement, should there be <br />a change in any law or regulation that results in increased costs to HMA, <br />HMA shall increase its fees to cover such increased costs. <br />(iv)as a result of Plan Amendments, HMA shall have the right to change its <br />fees upon written notice to the Plan Sponsor in the event any amendment <br />to the Plan changes the amount or type of processing, services or <br />responsibilities undertaken by HMA, effective as of the effective date of <br />the amendment. <br />(v)as a result of an enrollment change that necessitates a change in how the <br />Plan’s primary networks are setup. Additional network access fees, as <br />applicable, for Primary network access in additional States to <br />accommodate enrollment shifts shall be passed through to the Plan for <br />payment. <br />If HMA elects to change any fees charged to the Plan Sponsor hereunder, HMA <br />shall give prior written notice of such change to the Plan Sponsor as soon as <br />practicable, but in the case of a change pursuant to item (i) no fewer than 30 days <br />prior to the effective date of the change, and the Plan Sponsor may, if it does not <br />want to retain HMA based on the new fee schedule, terminate this Agreement by <br />sending written notice of termination to HMA. <br />5.Funding of Benefit Payments and other Expenses and Obligations. <br />(a)Responsibility for Funding Benefits. Plan Sponsor shall retain the sole <br />responsibility for payment of all Plan benefits. HMA’s role shall at all times be <br />merely to process payment. Funding for benefits by Plan Sponsor shall occur <br />within ten (10) business days of the date written claim notification is sent by HMA, <br />unless a different time period was previously agreed upon in writing. Failure to <br />meet this requirement shall require Plan Sponsor to fund all future obligations <br />under this Agreement by “ACH Pull” method of payment, and may result in <br />suspension of services and/or termination of the Agreement under Article 7(d). <br />HMA reserve the right to modify acceptable payment methods that it will accept <br />at any time upon 30 days advance notice to the Plan Sponsor. <br />(b)Responsibility for Plan expenses. Plan Sponsor has sole responsibility for <br />payment of all expenses incident to the Plan, including, but not limited to, all <br />premium taxes, or any other tax, including any penalties and interest payable with <br />respect thereto, assessed against Plan Sponsor. In no event shall HMA have the <br />responsibility to provide funding for the payment of benefits to Plan Participants, <br />for payment of premiums for excess loss insurance or for expenses of the Plan. <br />(c)Designated Account. The Plan Sponsor shall establish, and at all times maintain <br />in strict compliance with all applicable federal and state laws, specifically including, <br />without limitation, the fiduciary bank account requirements of ERISA, a central <br />disbursement checking account (the “Designated Account”), and shall deposit in <br />said Designated Account sufficient funds to pay: <br />(i)all compensation and fees owing to HMA for services rendered hereunder;
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