Laserfiche WebLink
<br />GROUP BENEFITS SERVICES AGREEMENT <br />NON-PARTICIPATING <br /> <br />This Agreement is between the Employer named in the Schedule and the TML Intergovernmental <br />Employee Benefits Pool, 1821 Rutherford Lane, Suite 300, Austin, Texas 78754 <br /> <br />PAYMENT RUN OUT SCHEDULE <br /> <br />I. Employer: City of Paris <br />2. Effective Date: 5/1/2006 <br />3. Administrative Service: <br />o Self funded Dental Claims incurred prior to 5/1/06 and received by TML IEBP (Self- <br />funded Dental II Plan) $ 3.25 Per Paid Claim <br />o Medical Claims incurred prior to 5/1/06 and received by TML IEBP $12.75 Per Paid <br />Claim <br />4. Optional Services provided during claim administration process: <br />o ClincaLogic No Charge <br />o Custom Claims Reports $150.00/programming hour <br />o Audits 15% of savings - External Vendor <br />o Subrogation 20% of savings- In House Counsel <br /> <br />This Amendment is made binding by the signature of your and our representatives who are duly <br />authorized to enter into such agreements. <br /> <br />TML Intergovernmental Employee Benefits Pool <br /> <br />City of Paris <br /> <br />Susan L. Smith <br />Print name <br /> <br />Print name <br /> <br />Executive Director <br />Title <br /> <br />Title <br /> <br />Date <br /> <br />Date <br /> <br />EXHIBIT .A.. <br />