Intercare Holdings Insurance Services, Inc 5/8/2026

Page 12 of 22 2.10 CITY OF EVERETT RESPONSIBILITIES The city of Everett will be responsible for: • Review and approve any changes to personnel adjustments for the City of Everett account. • The city will provide the TPA with detailed information related to each new claim and additional information as necessary throughout the life of a claim. • The city Risk Manager will coordinate the forwarding of claim reports to the TPA, along with any relevant information about the claim. The city’s Risk Manager internally coordinates and processes all claims payments. • The city will assist the TPA and provide general direction as appropriate during the investigation of claims and make city personnel available for assistance and interviews. • The city will give the TPA settlement authority on a claim-by-claim basis. There is no independent settlement authority granted to the TPA. • The city understands that its insurance plan meets the definition of an "applicable plan" under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 [42 U.S.C. C.§ 1395y(b)(8)] ("MMSEA"). Further, the city understands that it meets the definition of a Responsible Reporting Entity ("RRE") and, as such, must report to the Centers for Medicare & Medicaid Services (“CMS”) certain bodily injury cases involving Medicare-eligible individuals. In compliance with the requirements of Section 111 of the MMSEA, the city has registered with CMS as an RRE. The city will designate the TPA selected as its Agent for purposes of reporting under Section 111 of the MMSEA. 2.11 CONTRACT TRANSITION In the event of a subsequent contract award to another supplier, the proposer shall ensure a cooperative and smooth transition to the new TPA and shall provide all records, status reports, and contract files as agreed upon in the provided notice of termination. All records remain the property of the city. 2.12 PRICING ADJUSTMENTS Prices shall remain firm for the duration of the initial contract period. Reasonable price changes based on market conditions and price or cost analysis may be requested on an annual basis after the initial contract period. The Supplier shall supply documentation satisfactory to the city, such as documented changes to the Producer's Price Index for the commodity, the Consumer Price Index for the Seattle-Tacoma-Bellevue area, or a manufacturer’s published modification of price change(s). The city will evaluate this information to determine if revising the price is fair and reasonable to the city's satisfaction. Requests for any such change must be made in writing to the Procurement Division. The city will issue a written contract amendment to implement the price adjustment, set the new prices, and establish the effective date. The Supplier shall give the city's Procurement Division sixty (60) calendar days' written notice prior to the effective date of the price increase. If the price increase request is not approved, the city may cancel by individual line item or contract. 2.13 PAYMENT Within thirty (30) days after delivery of a properly prepared invoice, but no more than once per month, the city will pay the supplier at the rate(s) stated on the price sheet. No down payment or advance payment of any kind will be made. Washington State law requires proof that the materials have been furnished, the services rendered, or the labor performed as described before