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<br />CONTINUATION OF COVERAGE ADMINISTRATIVE AGREEMENT <br /> <br />WHEREAS, the undersigned Employer is an Employer Member of the Texas Municipal League Group Benelits Risk Pool <br />(hereinafter referred to as the 'Pool'): <br /> <br />WHEREAS, the undersigned Employer sponsors an employee benefit plan; <br /> <br />WHEREAS, the undersigned Employer is responsible for the administration of its employee benefit plan as the Plan <br />Administrator: and <br /> <br />WHEREAS, the undersigned Employer wants the Texas Municipal League Group Benefits Risk Pool to assist the Employer <br />in complying with the requirements of Continuation of Coverage. <br /> <br />NOW THEREFORE, in consideration of the promises. mutual covenants and agreemwts contained herein. the undersigned <br />Employer and the Pool agree as follows: <br /> <br />1. Effective Date <br /> <br />As ofthe Iirst day of May <br />for the undersigned Employer. <br /> <br />. 19 ~ the Pool will commence Continuation of Coverage administration~ <br /> <br />11. Employer Duties <br /> <br />1. The undersigned Employer wal notify the Pool', Contract/Administrative Procedures Analyst assigned <br />to the Employer via FAX or Telephone (with a written follow up) within one (I) business day of a <br />qualifying event, as defined by the Continuation of Coverage statute and its amendments. of a Covered <br />Employee for which the Employer has immediate knowledge. Examples of this include termination: <br />resignation: death: retirement if the employee does not enroll for retiree coverage when oHered under the <br />Employer's benefit plan; reduction in hours (including reduction to zero hours) and absence from work <br />for a non job related injury or mnm after all earned sick leave, vacation leave and extended leave pursuant <br />to an adopted policy which is on file with the Pool has been exhausted. <br /> <br />2. The undersigned Employer wm distribute Attachment A, which advises each employee of their rights and <br />responsibilities under Continuation of Coverage. The Employer wal certify through a letter to the Pool <br />that the Attachment A was distributed to all Covered Employees as of the date the Pool conmlCnced <br />Continuation of Coverage Administration. <br /> <br />3. The undersigned Employer will distribute Attachment A to all employees who become covered by the <br />Employer's benefit plan after the date the Pool commenced Continuation of Coverage administration and <br />include verification of the distribution with the enrollment card when it is submitted to the Pool. <br /> <br />4. The undersigned Employer will notify the Pool via FAX or Telephone (with a written follow.up) within <br />one (I) business day of gaining knowledge tbt an employee has legally separated. divorced or a Covered <br />Dependent is no longer eligible for coverage (e.g. a child, over age 19, who is no longer a full-time stlldent <br />enrolled for 12 or more credit hours). <br /> <br />5. The undersigned Employer will notify the Pool at least ten (10) business days prior to any open <br />enrollment peclod. The notice to the Pool will include the dates of the open enrollment. <br /> <br />6. The undersigned Employer will immediately notily the Pool of any suspected claim, demand or suit <br />arising from the administration of Contlnuation of Coverage. <br /> <br />7. <br /> <br />The undersigned Employer will indemnify and hold harmless the Pool and its orficers, agents, employees <br />and representatives from all milS, actions. losses. damages, claims or liabaity of any type, including <br />without limiting the generality of the foregoing all expenses of litigation, court costS, and attorney's fees, <br />resulting from the failure of the undersigned Employer '0 give any notice required by this Agreement. <br />The undersigned Employer will fund this obligation out of current revenues in the year the obligation is <br />determined or will levy a t:llC to fund the obligation if current revenues are insufficient. .,~, = <br /> <br /> <br />TN11 <br /> <br />EXHIBIT A <br />.... .._.._- <br /> <br />GItOUI' tn:Nt:nTS RISK PO( <br />