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1988-040-RES WHEREAS, the City Council of the City of Paris, is desirous of continuing to provide health coverage for
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1988-040-RES WHEREAS, the City Council of the City of Paris, is desirous of continuing to provide health coverage for
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8/18/2006 4:34:08 PM
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4/15/2005 6:20:33 AM
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CITY CLERK
Doc Name
1988
Doc Type
Resolution
CITY CLERK - Date
5/9/1988
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<br />B. Blue Cross and Blue Shield of Texas, Inc. will furnish the Employer a Health <br />Contract report within ninety (90) days after the end of each Accounting <br />Period, detailing Specific Health Stop Loss Benefits, if any. Health Contract <br />Underwritten Premium, Incurred Health Benefits, Specific Health Contract Stop <br />Loss Premium and Heal th Contract Administration Charge for such Accounting <br />Period and all other data required for settlement, as provided herein. If the <br />report reflects that the Health Contract Underwritten Premium exceeds the sum <br />of: (1) Incurred Health Benefits plus (2) Health Contract Administration <br />Charge, plus (3) Specific Health Contract Stop Loss Premium (if any), such <br />excess shall be termed herein as the Health Contract Accounting Period <br />Surplus; if the results thus obtained is a negative figure, such amount shall <br />be termed herein as the Health Contract Accounting Period Deficit. Based on <br />the report, the following applies: <br /> <br />1. If the report reflects a Health Contract Accounting Period Deficit, such <br />deficit shall be combined with any deficits carried forward from <br />previous Accounting Periods and the total of such deficits shall, for <br />the accounting required for the next succeeding Accounting Period, be <br />termed the Health Contract Standing Deficit. <br /> <br />2. If the report reflects a Health Contract Accounting Period Surplus, any <br />such surplus shall be first applied against the Health Contract Standing <br />Deficit, if any, such excess shall be reduced to zero. <br /> <br />C. If Item IV (a) of IV (b) of the Exhibit is indicated "Applied For" and the <br />report provided for in Section B above reflects Specific Health Stop Loss <br />Benef its for the Accounting Period involved, Blue Cross and Blue Shield of <br />Texas, Inc. will settle with the employer within 30 days of such report for <br />any Specific Health Stop Loss Benefits. <br /> <br />D. On termination of the Health Contract or the 30th day following the notice <br />provided for in Paragraph C of Article IV of this Agreement, the time <br />intervening between the end of the last previous Accounting Period and the <br />termination date or the 30th day following such notice shall, regardless of <br />the number of months involved, be considered an Accounting Period and shall be <br />termed herein as the Final Accounting Period. Except as otherwise provided <br />below, reports and settlements for the Final Accounting Period shall be <br />effected in accordance with the provisions of the foregoing Sections of this <br />Article III, and Specific Health Stop Loss Benefits will not extend beyond the <br />end of the Final Accounting Period. Within ten (10) days after the end of the <br />Final Accounting Period, all the Remaining Health Contract Administration <br />Charges as specified in Item VI of the Exhibit are to be paid to Blue Cross <br />and Blue Shield of Texas, Inc. within fifteen (15) days of the end of the <br />Final Accounting Period, the Remaining Heal th Contract Underwritten Premium <br />shall be transferred to the Employer's Account by the Employer and the Flex <br />Pay Banking arrangements provided for in Article II hereof shall continue for <br />twenty-four (24) months following the end of the Final Accounting Period. <br />After transfer of Remaining Health Contract Underwritten Premium, Draft <br />Authority is the Remaining Health Contract Underwritten Premium and no further <br />drafts will be made on the Employer's Bank. In the event that the Remaining <br />Health Contract Underwritten Premium is insufficient to pay for the remaining <br />claims liability, Blue Cross and Blue Shield of Texas, Inc. will bill the <br />Employer for such remaining claim liability up to the amount of any Health <br />Contract Accounting Period Surplus developed by the accounting for the Final <br /> <br /> <br />+v <br /> <br />
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