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2011/05/11 Council Agenda Packet
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2011/05/11 Council Agenda Packet
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Council Agenda Packet
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5/11/2011
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(ii) as of the effective date of any changes in applicable federal and state <br /> laws that would expand the scope of the services that HMA has agreed <br /> to 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 <br /> amendment to the Plan changes the amount or type of processing, <br /> services or responsibilities undertaken by HMA, effective as of the <br /> effective date of the amendment. <br /> If HMA elects to change any fees charged to the PCan Sponsor hereunder, HMA <br /> shall give prior written notice of such change to the Plan Sponsor and the Plan <br /> Sponsor may, if it does not want to retain HMA based on the new fee schedule, <br /> terminate this Agreement by sending written notice of termination to HMA. <br /> 5. Funding of Benefit Payments. <br /> (a) Responsibility for Funding Benefits. The City shall retain the responsibility <br /> for all Plan benefit claims. The City shall be responsible for: <br /> (i) All expenses incident to the Plan, including, without limitation, all <br /> premium taxes, or any other tax, including any penalties and interest <br /> payable with respect thereto,assessed against the City. <br /> (ii) The consequence to any person not a Party to this Agreement of any <br /> acts or omissions of City occurring during the operation of this <br /> Agreement that are alleged to be a breach of fiduciary duty or a breach <br /> of duty or trust, or other contractual duty, regardless of the source of <br /> law serving as a basis for such allegation; and <br /> (iii) Subject to Section 9 of this Agreement, any amounts that HMA may <br /> become liable for which arise from any legal action or proceeding related <br /> to the-recovery of benefits under the Plan or the administration of the <br /> Plan; and <br /> (iv) City is responsible for providing accurate and timely eligibility information <br /> and timely review and approval of the SPD, Plan Summaries and <br /> Amendments within a timely manner of the City's receipt of said <br /> documents in accordance with the City's normal administrative review <br /> practices. HMA shall have no liability for claims processed according to <br /> approved plan documents and instructions from the Plan Sponsor, or <br /> resulting from inaccurate information provided by the City. <br /> (v) Funding for benefits by the Plan Sponsor will occur within ten (10) <br /> business days, commencing on the date written notification is sent by <br /> HMA, unless otherwise agreed upon in writing. <br /> (vi) In no event shall HMA have the responsibility to provide funding for the <br /> payment of benefits to Plan Participants, for payment of premiums for <br /> excess loss insurance or for expenses of the Plan. <br /> HMA,Inc.TPA Agreement Page 4 8910-02191C <br /> 15 <br />
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