1995-026-RES WHEREAS, CITY COUNCIL DID ON JANUARY 9, 1995 ACCEPT THE BID FROM HEALTHCARE

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1.07 Purchaser shall designate in writing a contact person who will be empowered to act on behalf of Purchaser with regard to the terms of the Agreement and with whom Contractor can coordinate and resolve all questions arising in the course of administration. SECTION TWO OBLIGATION OF CONTRACTOR 2.0 I Contractor shall administer Purchaser's Benefit Program in accordance with the benefit plan description provided and the administrative practices and procedures established. 2.02 Contractor shall provide or arrange for suitable facilities, equipment and personnel necessary for proper administration of the Benefit Program. 2.03 Contractor shall, upon request, assist Purchaser is establishing appropriate banking arrangements for program administration. 2.04 Contractor shall provide standard administrative materials, including enrollment forms, participant and provider claim forms and two identification cards for each participant in the Benefit Program on the Effective Date of the Plan. The cost of reprinting additional identification cards shall be the obligation of the Purchaser. :',} 2.05 Contractor shall, upon request, assist Purchaser in incorporating the Benefit Program description and design into a plan document and booklet for Participants. The Contractor will provide one benefit booklet per participant enrolled in the Benefit Program on the Effective Date ofthe Plan. The cost of reprinting additional benefit booklets shall be the obligation of the Purchaser. 2.06 Contractor shall supply the initial check stock, thereafter the cost of additional checks shall be the obligation of the Purchaser. 2.07 Contractor shall provide claims processing services to include: a. Review and validation of all claims submitted for payment; b. Determination of benefits in accordance with the specification of the Benefit Program; c. Coordination of benefits with other plans, where appropriate; d. Preparation and mailing of explanation of benefit forms; and e. Preparation and mailing of claim drafts drawn on Purchaser's bank account as provided in Section Six herein. 2.08 Contractor shall establish liaison with Purchaser's designee, providers and Participants, as required, to obtain and follow-up on additional service information, to verify eligibility of Participants and to assist in resolving claims problems. 2 '/ ;, "1 ' .I!