<br />7. To the extent allowed by law, the undersigned Employer will indemnify and hold harmless the Pool and its
<br />officers, agents, employees and representatives from all suits, actions, losses, damages (including punitive
<br />damages), claims or liability of any type, including without limiting the generality of the foregoing all
<br />expenses oflitigation, court costs, and attorney's fees, resulting from the failure of the undersigned Employer
<br />to give any notice required by this Agreement. The undersigned Employer will fund this obligation out of
<br />current revenues in the year the obligation is determined or will levy a tax to fund the obligation if current
<br />revenues are insufficient.
<br />
<br />III. Pool Duties
<br />I. The Pool staff will monitor changes in Continuation of Coverage and the case law which develops
<br />interpreting Continuation of Coverage,
<br />
<br />2, The Pool will provide election notices within 14 days of the receipt of notices of qualifying events sent by the
<br />Employer.
<br />
<br />3. The Pool will provide the appropriate notification letters to the employee or their dependent(s) as required by
<br />Continuation of Coverage statutes,
<br />These letters may include any or all of the following:
<br />a) benefit availability - initial notice, enrollment card and cost;
<br />b) confirmation of enrollment and payment coupons
<br />c) notice of termination letters
<br />I, Failure to reply
<br />2, Failure to make initial payment
<br />3. Failure to make regular payment
<br />4, End of eligibility (no longer qualified)
<br />5. End of eligibility period
<br />d) open enrollment
<br />e) contribution change and revised payment coupons
<br />o conversion to an individual policy
<br />g) Medicare eligibility
<br />h) verification of full-time student status
<br />i) verification of incapacitated child status
<br />
<br />4. The Pool will provide the Continuation of Coverage participants with ID cards, a benefit booklet, and other
<br />materials as the need may arise,
<br />
<br />5, The Pool will maintain records that all required notifications were sent and copies are available to the
<br />Member upon request.
<br />
<br />6, The Pool will collect the required contributions at the maximum amount allowed by law. Upon notice for the
<br />Employer under 11.1., the Pool has fourteen (14) days to send the Continuation of Coverage notice, Once the
<br />election notice is mailed the qualifying beneficiary has sixty (60) days to elect Continuation of Coverage, If
<br />the qualified beneficiary elects Continuation of Coverage the qualified benefit has forty-five (45) days from
<br />election to make the first payment. If insignificant partial payments are made TML IEBP contacts the
<br />qualified beneficiary for full payment. The qualified beneficiary has thirty (30) days from deficiency
<br />notification to make payment. Insignificant payment deficiency is $50 or 10% of amount due,
<br />
<br />7. The Pool will periodically provide the Employer, for their review, with the text of the letter and notices to be
<br />used in administering this Agreement. The Pool maintains final authority over the text of these letters and
<br />notices, The Pool reserves unto itself the right to modify the letters and notices as may be required pursuant
<br />to the Continuation of Coverage statute, any applicable case law and to promote the efficient administration
<br />of the Agreement.
<br />
<br />8, As allowed by law, the Pool will indemnify, defend, reimburse, and hold harmless the Employer and its
<br />employees from any and all liabilities, claims, demands, or suits arising from or related to the provision of
<br />Continuation of Coverage administrative services unless those liabilities, claims, demands, or suits arise out
<br />of the Employer's failure to give any notice as required in II, I, 2, 3, 4, 5 and 6 of this Agreement. The Pool,
<br />upon notice by the Employer will immediately investigate, handle, respond to and defend any such claims,
<br />demands or suits at its sole expense. If the liability, claim, demand or suit is based on negligence this contract
<br />of indemnity shall apply and the negligence of the Employer and the Pool will be on a percentage basis as in
<br />a pure comparative negligence situation under the law.
<br />
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