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05-E TML Health Insurance Cnt
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05-E TML Health Insurance Cnt
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Last modified
9/12/2012 10:21:29 AM
Creation date
4/3/2002 5:52:47 PM
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AGENDA
Item Number
5-E
AGENDA - Type
RESOLUTION
Description
TML Health Insurance Agreement
AGENDA - Date
4/8/2002
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you and the enrollment record received by us, those persons will be considered eligible <br />persons. <br />d. You agree to remi[ any premium for stop loss, life or other insured contracts by the <br />twentieth (20th) of each month and understand we 'do not advance premiums in your behalf. <br />e. You agree that if we or any of our agents or employees are subject to any fine, penalty, <br />loss, damage, cost, expense or Iegal fee because of our administration of the Plan in good <br />faith according to the terms of the Plan document, you will pay or reimburse us for any <br />such fine, penalry, loss, damage, cost, expense or legal fee. In the event current revenues <br />are inadequate to fund the obligation at the time it is determined, you agree to take the <br />appropriate budgetary action sufficient to pay the obligation. <br />£ You agree to pay us a monthly service charge determined by multiplying the Monthly <br />Service Charge shown in the Schedule of this Agreement by the number of employees <br />covered under the Plan as of tfie first day of each calendar month commencing on the <br />Effective Date of this Agreement. Payment shall be due as of the first day of each calendar <br />month and shall be payable no later than the thiRieth (30th) of the month or the last day of <br />the month. <br />g. You agree to act on all benefit appeals in accordance with the provisions outlined by the Plan. <br />h. You agree that if a payment is made to or on behalf of an ineligible person or if an <br />overpayment is made to a covered person, the Group Benefits Administrator shall attempt, <br />with full cooperation and assis[ance of the Employer, to recover such payment through <br />reimbursement or from future benefits that become due to such person or entiry. The <br />Group Benefits Administrator shall not be responsible for any such payment or <br />overpayment unless it was due to gross negligence of the Group Benefits Administrator. <br />i. You agree to become a member of the TML Intergovernmental Employee Benefits Pool <br />and to be bound by the terms of the TML Intergovernmental Employee Benefits Pool <br />Interlocal Agreement. <br />III. DURATION OF AGREEMENT <br />This agreement shall take effect on the effective date and shall automatically be renewed for a <br />successive twelve (12) month period unless terminated by either party as set foRh in Section N. <br />Modification of the agreement is acceptable as outlined in Section V. <br />IV. TERMINATION OF AGREEMENT <br />a. You can terminate this Agreement by giving us written notice of your intent to do so, at <br />least 31 days prior to the termination date. <br />b. We can terminate this Agreement: <br />(i) immediately, by written notice to you, if you fail to maintain the bank account <br />required by the Plan, fail to pay our charges when due, or in any other way fail to <br />perform your duties under the Agreement; ~ <br />(ii) 31 days after giving you written notice of our intent to do so. <br />c. You agree to pay us for any outstanding charges by the last day of the month of your <br />receipt of our bill. If you do not pay such charges by the end of the month, you will also pay <br />us for any attorney's fees or other collection fees we incur, plus the maximum interest <br />allowed by law. <br />d. We will have no further obligation to process claims afrer this Agreement terminates. <br />
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