2011/05/11 Council Agenda Packet

• 2 ADMINISTRATIVE SERVICES AGREEMENT DATE: April 28, 2011 PARTIES: City of Everett the"City" 2930 Wetmore Avenue Everett,WA 98201 Healthcare Management Administrators, Inc. "HMA" 220 120th Ave NE, Ste. D200 Bellevue, WA 98005 Effective Date: January 1, 2011 When the City is acting as the Plan Sponsor under this Agreement, it will be referred to as the "Plan Sponsor," and when it is acting as the Administrator under this Agreement, it will be referred to as the"Plan Administrator." As Plan Sponsor, the City is acting in its capacity as the settlor of the Plan; and, as the Plan Administrator, it is acting in its fiduciary capacity. Recitals: A. The Plan Sponsor has established a self-insured Employee Welfare Benefit Plan, for the purpose of providing certain benefits to its eligible employees and their dependents (the "Plan"); B. The Plan Administrator desires to retain HMA to furnish claims processing and other ministerial services with respect to the Plan; and C. HMA is willing to furnish such services, based upon the terms and conditions set forth herein. NOW, THEREFORE, in consideration of the mutual covenants and conditions contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound hereby,the City and HMA agree as follows: Agreement: 1. Definitions. As used in this Agreement, the following terms shall have the following meanings: (a) "Effective Date"means the day and year set forth above, which shall be the date this Agreement becomes effective. (b) "Participants" means those employees and former employees of the City, and their dependents, who have met the eligibility requirements of the Plan, and have satisfied all other conditions to participation in the Plan. HMA, Inc.TPA Agreement Page 1 8910-021910 12