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<br />EXmBIT NUMBER ONE <br /> <br />Specifications For <br /> <br />ADMINIS1RATIVE SERVICES AGREEMENT <br /> <br />Between <br /> <br />HEALTIICARE BENEFITS, INe. (CONTRACfOR) <br /> <br />and <br /> <br />CITY OF PARIS <br /> <br />These specifications are to apply beginning with the Effective Date of the Agreement <br />between the parties to which this Exhibit is attached, and shall continue in force and effect <br />until the Agreement is terminated or this Exhibit is superseded in whole or in part by a later <br />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 year this <br />Agreement is in effect, the monthly administration fee shall be an amount equal to 8.00 times <br />the number of Participants enrolled in the Benefit Program on the first day of each month, <br />of which Purchaser's appointed agent is to receive $0.00. <br /> <br />ITEM TWO <br />OTIIER SERVICES <br /> <br />As provided in paragraph 2.18 of Section Two of the Agreement, the following additional <br />services shall be furnished: <br /> <br />A This service will be provided by Inpatient Certification Program Blue Cross and Blue <br />Shield of Texas, Inc. acting as agent of Contractor. <br /> <br />B. Toll-Free number has been included in the Administration Charge. <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 <br />claims handling procedures shall be followed: None <br /> <br />1 <br />