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<br />EXHIBIT NUMBER ONE <br /> <br />Specifications For <br /> <br />ADMINISTRATIVE SERVICES AGREEMENT <br /> <br />Between <br /> <br />~ <br /> <br />HEALTHCARE BENEFITS, INC. (CONTRACfOR) <br /> <br />and <br /> <br />CITY OF PARIS (PURCHASER) <br /> <br />These specifications are to apply beginning with the Effective Date of the Agreement between the parties to <br />which this Exhibit is attached and shall continue in force and effect until the Agreement is terminated or this <br />Exhibit is superseded in whole or in part by a later executed exhibit. <br /> <br />ITEM ONE <br />ADMINISTRATION FEE <br /> <br />As provided in Paragraph 5.02 of Section Five of the Agreement, for the first (1st) year this Agreement is in <br />effect, the monthly administration fee shall be an amount equal to eleven and 2511 00 dollars ($11.25) <br />multiplied by the number of Participants enrolled in the Benefit Program on the first (I st) day of each month, <br />of which the Purchaser's appointed agent is to receive none and 001100 dollars ($0.00). <br /> <br />ITEM TWO <br />OTHER SERVICES <br /> <br />As provided in Paragraph 2.18 of Section Two oftlle Agreement, the following additional services shall be <br />furnished: <br /> <br />A. Inpatient Certification Program will be administered by Blue Cross BIue Shield of Texas, Inc. acting <br />as agent of Contractor. <br /> <br />ITEM THREE <br />SPECIAL CLAIMS PROCESSING <br /> <br />As provided in Paragraph 2.15d of Section Two of the Agreement, the following special claims handling <br />procedures shall be followed: None. <br />