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<br />GROUP BENEFITS SERVICES AGREEMENT <br />NON-PARTICIPATING <br /> <br />This Agreement is between the Employer named in the Schedule and the Texas Municipal League Group <br />Benefits Risk Pool, 1821 Rutherford Lane, Suite 300, Austin, Texas 78754 <br /> <br />SCHEDULE <br /> <br />1. Employer: City of Paris <br />2. Place of Delivery: Austin, Texas <br />3. Effective Date: May 1, 1997 <br />4. Monthly Service Charge: <br /> <br />A. Claims Administration <br />\ Medical $ 6.75 <br /> Dental $ 0.80 <br /> Vision $ 0.00 <br />B. U.R. $ 1.60 <br />C. PPO Access Fee $ 1.25 <br />D. Centers of Excellence s.J!J..S <br />E. Total $10.55 <br />F. Health Check - AutoAudit No Charge <br />G. Large Case Management $65.00/hr as required <br />H. Custom Claims Reports $60.00/programming hour <br /> <br />DEFINITIONS: The following terms where used in this Agreement, have these meanings: <br /> <br />o We, us, or our - The Texas Municipal League Group Benefits Risk Pool, known as the Group <br />Benefits Administrator herein, or any subcontractor which it designates to perform the functions <br />and meet the obligations to which it agrees in this Agreement. <br /> <br />o You or your - The Employer named in the Schedule. <br /> <br />o The Plan - The employee benefit plan which the Employer named in the Schedule has adopted to <br />provide medical expense benefits to eligible persons, as defined, and which is attached to and forms <br />a part of this Agreement. <br /> <br />o Eligible Persons - Employees and dependents who are eligible for benefits under the Plan. <br /> <br />You have adopted the Plan and asked us to administer the benefits it provides. Therefore, in consideration <br />of the mutual promises contained in this Agreement, it is agreed as follows. <br /> <br />EXHIBIT A <br />