HomeMy WebLinkAboutContractMATWE1 ee W
ADMINISTRATIVE SERVICES AGREEMENT
DATE:
PARTIES:
Effective Date:
Recitals:
August 20, 2024
City of Renton
1055 S. Grady Way
Renton, WA 98057
Healthcare Management Administrators, Inc.
10700 Northup Way, Suite 100
Bellevue, WA 98004
January 1, 2025
the "Plan
Administrator" and
Plan Sponsor"
HMA"
A. The Plan Administrator has established a self -insured Employee Welfare Benefit Plan for
the purpose of providing certain benefits to its eligible employees and their dependents
Participants");
B. The Plan Administrator desires to retain HMA to furnish claims processing and other
ministerial services with respect to the Plan; and
C. HMA is willing to furnish such services, based upon the terms and conditions set forth in
this Administrative Services Agreement (the "Agreement").
NOW, THEREFORE, in consideration of the mutual covenants and conditions contained herein, and
other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, and intending to be legally bound hereby, Plan Administrator and HMA agree as
follows:
Agreement:
Definitions. As used in this Agreement, the following terms shall have the following
meanings:
a) "Effective Date" means the day and year set forth above, which shall be the date
this Agreement becomes effective.
b) "Participants" means those employees and former employees of the Plan
Administrator, and their dependents, or other individuals who have met the
eligibility requirements of the Plan, have satisfied all other conditions to
participation in the Plan, and are properly enrolled in and eligible for benefits under
the Plan.
c) "Plan Administrator" means the person or organization responsible for the
functions and management of the Plan. The Plan Administrator may employ
persons or firms to process claims and perform other Plan -connected services. If
a Plan Administrator is not appointed in the Plan Document, then the Plan
Administrator is the Plan Sponsor.
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Relationship of Parties.
a) HMA Acting In Ministerial Capacity. The parties acknowledge and agree that
HMA is acting solely in a ministerial capacity in performing its duties and obligations
under this Agreement and shall have no discretionary authority or responsibility
with respect to the administration of the Plan. HMA shall have no power to
interpret ambiguities or conflicts that may exist in any provision of the Plan, but
shall abide by the decisions of the Plan Administrator on all questions of substance
and procedure respecting the Plan. HMA does not insure nor underwrite the
liability of the Plan Administrator under the Plan and shall have no financial risk or
liability with respect to the provision of benefits under the Plan. As such, HMA shall
not be deemed a fiduciary of the Plan.
b) Plan Administrator and Named Fiduciary. The parties agree that Plan
Administrator is, and shall at all times remain, the Plan Administrator and the
Named Fiduciary. The Plan Administrator shall oversee the administration of the
Plan and shall have the exclusive right to interpret the terms of the Plan and to
determine eligibility for coverage and benefits, which determination shall be
conclusive and binding on all persons; and shall have final authority with respect
to approval or disapproval of any disputed or doubtful claim.
HMA is not a fiduciary with respect to this engagement and shall not exercise any
discretionary authority or control over the management or administration of the
Plan, or the management or disposition of the Plan's assets. HMA shall limit its
activities to carrying out ministerial acts of notifying Plan Participants and making
benefit payments as required by the Plan. Any matters for which discretion is
required, including, but not limited to, decisions on claims and appeals of denied
claims, shall be referred by HMA to the Plan Administrator, and HMA shall take
direction from the Plan Administrator in all such matters. HMA shall not be
responsible for advising the Plan Administrator with respect to its fiduciary
responsibilities under the Plan nor for making any recommendations with respect
to the investment of Plan assets. HMA may rely on all information provided to it
by the Plan Administrator, as well as the Plan's other vendors. HMA shall not be
responsible for determining the existence of Plan assets.
c) Independent Contractor Relationship. Notwithstanding anything express or
implied in this Agreement to the contrary, the parties acknowledge and agree that
HMA is acting as an independent contractor, and for all purposes shall be deemed
to be an independent contractor in performing its duties, and fulfilling its
obligations, under this Agreement. Neither HMA, nor any individual performing
services on its behalf, shall be considered or construed to have created an
employee/employer relationship with Plan Administrator for any purpose
whatsoever.
3. Services to be Provided by HMA.
a) Summary Plan Description Services. Upon request, HMA shall prepare a
Summary Plan Description (SPD) setting forth the benefits and rights of the Plan
Participants under the Plan Administrator's plan. Final review and approval of
the SPD will be the responsibility of the Plan Administrator. The preparation of
any Summaries of Material Modifications, along with the distribution of the SPD
and any amendments is the responsibility of the Plan Administrator. Document
translation support and printing/distribution fulfillment support is available upon
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request for additional fees that will be quoted at the time requested. HMA shall
assist the Plan Administrator in communicating to Participants any and all
subsequent changes to the Plan approved by Plan Administrator.
b) Open Enrollment Materials Services. Upon request HMA shall prepare and
assist the Plan Administrator in distributing benefit booklets to the Plan
Participants. Initial booklet supply is not included as a part of the Plan set-up fee.
Subsequent supplies are also at the Plan Administrator's cost.
c) Claims Processing Services.
Subject to the provisions of Section 2, HMA agrees to provide the following
claims processing and payment processing services, including, but not limited to:
i) Answer telephone inquiries from employees of Plan Administrator
regarding eligibility and coverage under the Plan and respond to requests
for forms and status inquiries on filed claims and benefit payments. HMA
will provide customer service representatives between the hours of 6:00
a.m. to 6:00 p.m. PST, Monday thru Friday, during non -holiday
workweeks.
ii) Receive and process claims for payment of covered benefits for Plan
Participants in accordance with the provisions of the Plan, for claims
incurred on and after the Effective Date of this Agreement.
iii) Communicate with Plan Participants and health care providers as
necessary to obtain additional information deemed necessary to process
benefit claims.
iv) Request and obtain from the Plan Administrator, as necessary,
interpretations with respect to the provisions of the Plan and other
guidance as necessary for adjudication of claims.
v) Issue and distribute claims payments to providers and/or Participants,
from funds provided by the Plan Administrator, and provide appropriate
Explanation of Benefit forms ("EOB's") to Plan Participants and health care
providers, as applicable.
vi) Provide appropriate, timely written notice to a Plan Participant and the
provider of claim denial and the opportunity for review of the denial.
vii) Provide Plan Administrator with information and supporting
documentation associated with a member initiated second level appeal to
allow the Plan to render a determination on the appeal. In the event that
the Plan has purchased Claim Fiduciary Services, this provision shall not
apply.
viii) Make available to plan participants and providers claim submission forms
for use by Plan Participants in submitting claims to HMA.
ix) Apply payment integrity programs and services as outlined in the Claims
administrative Fees and/or Client Intent documents. Such programs and
services include, but are not limited to, coordination of benefits activities,
facility and coding review on eligible claims as per our internal thresholds,
medical necessity reviews, subrogation and other collection activities, and
collection of overpayments or improper payments made to any
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Participants, as reasonably possible. HMA shall perform the necessary
services with respect to obtaining recoveries, including, but not limited to
fraud, waste, and abuse claim review services, third party claim
recovery/overpayment recovery services, sending questionnaires,
providing and receiving documentation, as applicable. HMA has the
discretion to utilize the services of a third -party in connection with such
matters. Plan Administrator acknowledges that waiver or reduction of a
recovery may be necessary as a result of the particular facts or law
applicable to the recovery. HMA shall refer requests for negotiation or
waiver of a claim to the Plan Administrator for final determination. There
may be fees for these services as outlined in the Claim Administrative Fee
Schedule and/or the Client Intent. In the event that additional recovery
services are needed, HMA, subject to the approval of the Plan
Administrator, shall arrange for the purchase of such recovery services.
Any fees charged to HMA for recovery services will be passed on to the
Plan Administrator for payment. HMA reserves the right to retain a nominal
percentage of the net recovery to the Plan Administrator to compensate
HMA for increased administrative fees associated with recovery services.
x) Screen claims to avoid duplicate payments and maintain procedures that
facilitate consistency in claims processing in accordance with the Plan.
xi) Prepare such reports concerning Plan Participants' benefits as the Plan
Administrator and HMA may hereafter agree upon.
xii) HMA shall coordinate for the approval of claims for payment by the Plan
Administrator. Once Plan Administrator has approved the claims via
issuing the requested funding then HMA shall pay from the Plan
Administrator bank account, if provided, or shall issue an order to the Plan
Administrator or other person with authority to disburse funds of the Plan
Administrator to pay the expenses of operation of the Plan incurred
pursuant to the performance of this Agreement (excluding Plan
administration fees unless specifically authorized)HMA shall honor any
assignment of benefits of a person eligible for benefits under Plan to any
person or institution, which is a proper and qualified assignee if applicable
under the terms of the Plan.
d) Initial Transition services.
When the Plan Administrator desires that HMA begin performance under this
Agreement prior to completion and execution of a restated SPD, HMA shall perform
claims processing in accordance with the Plan Administrator's existing SPD. In no
event will HMA process any claims on a "run-in" basis. Nor will claims be processed
utilizing a prior carrier/administrator's network discounts. All claims will be
adjudicated in accordance with the terms of the network(s) accessed through
HMA. The Plan Administrator hereby acknowledges that any claims which require
reprocessing as a result of changes between the prior SPD or the Plan
Administrator's instructions and the restated executed SPD will be subject to an
additional reprocessing fee at HMA's discretion. The Plan Administrator further
acknowledges that claims which are paid pursuant to the benefits and exclusions
described within the prior SPD or the Plan Administrator's instructions, may be
determined to be ineligible for reimbursement pursuant to any excess loss policy.
e) Transparency Regulation Support.
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To the extent the Plan is obligated under 26 CFR Part 54 [TD 9929], 29 CFR Part
2590, and 45 CFR Parts 147 and 158 (the "Transparency Regulations") to make
filings or obtain approval from any state or other jurisdictional governing agency,
HMA will notify and assist the Plan regarding such filings. Subject to the limitation
described below, HMA agrees to provide, on behalf of the Plan, all publications of
information and disclosures (collectively, "the Disclosures") necessitated by the
price transparency requirements set forth in the Transparency Regulations and the
Consolidated Appropriations Act of 2021 Divisions BB and EE, amending the Public
Health Service Act, the Internal Revenue Code, and the Employee Retirement
Income Security Act ("CAA Transparency Provisions"). Notwithstanding the
foregoing, HMA shall have no obligation to make the Disclosures with respect to
benefits or services for which HMA is not supporting the Plan (i.e. dialysis carve -
outs and Pharmacy services, except those covered under an HMA partner
Pharmacy Benefit Manager Contract). HMA shall exercise in its sole discretion in
interpreting the applicable federal standards for the Disclosures on behalf of the
Plan pursuant to the Transparency Regulations and CAA Transparency Provisions.
Under no circumstances shall HMA be liable for the direct or indirect payment of
Plan benefits, regardless of fault.
f) HB 1065 & No Surprises Act/IDR Balance Billing Support.
If the Plan files directly with the State to Opt -in to the HB 1065 program, HMA
shall provide standard claim processing services to those qualifying claims. In
addition, HMA shall adjust processing to apply pricing as required by 1065 and No
Surprises Act regulations and to assist the Plan with good -faith negotiation and
arbitration case processing. HMA will apply the outcome of any arbitrator's
decision on the Plan's behalf. The Plan retains all funding obligations for 1065
and No Surprises Act claims including all ancillary fees and expenses, including but
limited to any negotiation support fees charged by HMA and/or its vendor partner.
HMA makes no representations implied or otherwise around the Plan's Stop Loss
Carrier's independent decision to cover the claim amounts included in an award
issued by an arbitrator. The Plan should take steps to ensure that their Stop Loss
Partner will cover any arbitration award issued in favor of a provider.
g) Stop Loss administration support.
Provide Stop Loss administration support to the Plan Administrator. HMA may
accept pre -funding checks from Plan Administrator's Stop Loss carrier on behalf of
the Plan Administrator, however such acceptance shall not deem HMA a Plan
Fiduciary. Plan Administrator retains all fiduciary responsibility associated with the
Plan. HMA shall submit reimbursement requests to Plan Administrator's stop loss
carrier on behalf of Plan Administrator, however, submission for reimbursement
does not guarantee payment under the stop loss policy, and HMA bears no
responsibility for the actions of any stop loss carrier. HMA's support will include,
to the extent requested by the Plan Administrator, facilitating claim submission for
prescription drug claims to the Plan's stop loss carrier. Plan Administrator
acknowledges and agrees that timing of prescription claims including but not
limited to refills and grace periods, invoicing of claims, obtainment of any prior
authorizations, benefit alignment with SPD language and adherence with any
substantiation requirements as administered by the PBM that might be required in
order for such prescription claims to be eligible for coverage under the applicable
stop loss policy are all factors outside of the control of HMA. Plan Administrator
acknowledges that HMA shall not be liable for any prescription related coverage
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determination made by the Stop Loss Carrier. Furthermore, the Plan Administrator
is responsible for providing approved Summary Plan Documents to the Stop Loss
Carrier and acknowledges that delays in timely approval and submission of
Summary Plan Description(s) may result in claim reimbursements being held or
denied. Plan Administrator acknowledges that out of Plan exceptions made by the
Plan Administrator may not be covered by stop loss without the express advance
written consent of the stop loss carrier. All out of Plan exceptions are made at the
Plan's sole risk and liability. Plan Sponsor acknowledges and agrees that in
exchange for the performance of Stop loss support provided by HMA,
compensation in the form of an administrative fee will be paid to HMA by Preferred
Stop Loss Carriers. If the Stop Loss Carrier selected by the Plan Sponsor is non -
preferred, HMA at is sole election may agree to work with the Stop Loss Carrier
but Plan Sponsor shall be charged a Stop Loss Interface fee as outlined in the
Schedule of Fees accepted by Plan Sponsor. HMA reserves the right to decline to
work with any Stop Loss Carrier, MGU or other Intermediary in its sole discretion.
h) Plan Administrator Vendor Payment Administration Support
One of the ministerial functions offered by HMA on behalf of the Plan
Administrator may be the payment of other vendors who have been selected by
the Plan Administrator and who are providing contracted services to the Plan
Administrator's benefits plan (aka consolidated billing). Timely payment of these
vendors is solely contingent upon the Plan Administrator providing timely funding
as stipulated in Section 5(a) of this Agreement. HMA does not insure nor
underwrite any liability of the Plan Administrator or the Plan and shall have no
financial risk or liability with respect to the provision of, or payment for, any
benefits under the Plan, including but not limited to payments to outside vendors
on behalf of the Plan Administrator.
i) HMA Vendor Partners.
The work to be performed by HMA under this Agreement may, at its discretion, be
performed directly by it or wholly or in part through a subsidiary or affiliate of HMA
or under an agreement with an organization, agent, advisor, or other person of its
choosing. HMA may delegate certain portions of its work under this Agreement to
any other entity. As the ultimate beneficiary of any such agreement, the Plan
Administrator by its execution of this Agreement acknowledges that it will be
ultimately responsible for and bound to the payment terms of HMA's contract with
the vendor for any costs associated with such services which cannot be
incorporated into HMA's fees or which otherwise fall outside the scope of this
Agreement. HMA is willing to facilitate certain Plan functions on behalf of Plan
Administrator with selected vendor partners of Plan Administrator under the
following conditions:
i) HMA reserves the right to charge an additional fee to account for
anticipated costs associated with providing services in conjunction with
any specific stop loss carrier. Any such fee shall be reflected on Claim
Administrative Fee Schedule and/or Client Intent, attached hereto, and
will be communicated to Plan Administrator in advance.
ii) HMA reserves the right to charge an additional fee for any custom
reporting required by a vendor partner that is beyond HMA's standard
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report package. Any such fee shall be reflected on Claim Administrative
Fee Schedule and/or Client Intent, attached hereto, and will be
communicated to Plan Administrator in advance.
iii) Plan Administrator
iv) HMA shall not be liable for claims processed in error based on information
provided by Plan Administrator or Plan Administrator's third party vendor,
including but not limited to inaccurate, incomplete or missing eligibility
information or Plan design changes (i.e. broker, stop loss, eligibility
vendor, intermediary etc.) on behalf of the Plan Administrator.
j) Fidelity Bond. HMA shall maintain and pay the cost of a fidelity bond in the
amount of not less than One Hundred Thousand Dollars ($100,000.00) and an
errors and omissions insurance policy in the amount of not less than One Million
Dollars ($1,000,000.00).
k) Record Keeping. HMA shall maintain all records relating to the investigation,
processing, and payment of all claims for benefits for a period consistent with its
then current record retention policies and procedures or as required by law.
Upon termination of this Agreement or upon request, these records shall be
transferred to the Plan Administrator or other person or entity, at the Plan
Administrator's request.
The Plan Administrator, the Plan Administrator or their agents or representatives
may examine any records maintained by HMA regarding claims for benefit
payments, benefits paid and the issuing of checks for payment of benefits under
the Plan.
Fees to HMA.
a) Fees for Claims Processing Services. As compensation for the administration
and claims processing services, Plan Administrator shall pay to HMA the fees set
forth on Claim Administrative Fee Schedule and/or Client Intent, which is attached
hereto and made a part hereof. Fees shall be based on the number of Participants
enrolled under the Plan on the first day of the month in which services are being
billed, and shall be due and payable within 10 business days of receipt of monthly
invoice. Fees for any newly enrolled Participants entering on or after the first day
of the month shall be charged retroactive to the date of enrollment and shall be
payable on the first day of the month following the date of enrollment. Any
adjustments in fees for retroactive changes in enrollment will be made on the first
billing cycle immediately following the submission of the change in writing to HMA.
b) Fees from Outside Vendors. HMA may be entitled to a portion of the fees
charged by outside vendors, as set forth on Claim Administrative Fee Schedule
and/or Client Intent if applicable. Plan Administrator acknowledges that HMA may
receive administrative fee payments from its third -party vendors for administering
a Program. HMA may require third -party vendors to meet certain service level
requirements that include a penalty for not meeting such requirements. HMA will
retain any service level penalty amounts and administrative fees paid by its third -
party vendors as compensation for administering the Program.
c) Use of External Vendors. Plan Administrator's use of outside vendors and
solutions is subject to review and approval of HMA, which will not be unreasonably
withheld, provided that the vendor does not violate any Network restrictions and
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any operational and data integration expectations required by HMA can be
accommodated. Any carve -outs from HMA's services may require execution of hold
harmless and/or Data Confidentiality Agreements. HMA reserves the right to
access an integration fee which shall be accessed to Plan Administrator along with
any ongoing file support fees that the Vendor may charge to send data to HMA on
behalf of Plan. Plan Administrator acknowledges and agrees that they are solely
responsible for ensuring compliance with all regulatory requirements and actions
of their selected vendors, and understands that HMA's support of transparency or
other regulatory mandates shall not extend to the products or services involving
any vendors and/or products/services that are not procured through HMA's
contracts and partnerships.
d) Fees for Negotiated Savings. In the event that HMA is able to negotiate a
reduced fee charged by a provider, HMA shall be entitled to retain a percentage
of the negotiated savings as stated in the Claim Administrative Fee Schedule
and/or Client Intent. In the event that additional negotiation services are needed,
the Plan Administrator and HMA shall mutually agree upon a fee schedule for such
services. In the event that HMA is able to negotiate additional savings with a
preferred (in -network) provider, fees for HMA's negotiation services will only apply
to the additional savings retained below the applicable network rate.
e) Shared Savings Programs. HMA offers a variety of Care Management and
Condition Management solutions designed to steer utilization and care to optimal
site of care and/or provider. HMA's fees for these programs may include case rates
and/or percentage of savings as shown within the current Client Intent and/or
Claim Administrative Fee Schedule. HMA shall notify Plan Administrator of new
programs and solutions and advise of fees specific to each offering and provide
the opportunity to include these programs within their scope of services with HMA.
The Parties acknowledges that HMA and its affiliates have no obligation to pay
rebates in connection with Covered Drugs dispensed by Providers and
administered to Participants as part of a Covered Service.
f) Fees for Repricing of Out of Network Claims. HMA shall be entitled to retain
30% (thirty percent) of the gross savings obtained on all out of network claims
that are repriced, reduced by negotiation or reduced due to audit. The remaining
70% (seventy percent) of savings will be passed on to the client in the form of
reduced claims costs.
There will be no cost to the Plan Administrator for this service for claims that
experience no repricing or negotiated savings.
g) Reprocessing Fee. In the event a retroactive amendment or the Plan
Administrator's failure to fund claims in a timely manner results in the need to
reprocess claims, the Plan Administrator agrees to pay HMA's reasonable expenses
in performing that service.
h) Appeals and other PPACA Related Fees. Any fees incurred by HMA on behalf
of the Plan for appeal related services, including but not limited to costs incurred
by an Independent Review Organization, as well as fees incurred as a result of
PPACA mandated services (i.e. language translation assistance services) shall be
the sole responsibility of the Plan.
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i) Bank fees and Charges. All bank related fees or transaction charges (Non -
Sufficient Funds fees, dishonored checks, canceled ACH transfers, etc.) incurred
by HMA in connection with the services provided to Plan Administrator shall be the
responsibility of Plan Administrator.
j) Right to Change Fees. HMA shall have a right to change any fees charged to
the Plan Administrator hereunder
i) as of the first day of any Renewal Term;
ii) as of the effective date of any changes in applicable federal and state laws
that would expand the scope of the services that HMA has agreed to
provide hereunder.
iii) notwithstanding the fees in effect under this Agreement, should there be
a change in any law or regulation that results in increased costs to HMA,
HMA shall increase its fees to cover such increased costs.
iv) as a result of Plan Amendments, HMA shall have the right to change its
fees upon written notice to the Plan Administrator in the event any
amendment to the Plan changes the amount or type of processing,
services or responsibilities undertaken by HMA, effective as of the effective
date of the amendment.
v) as a result of an enrollment change that necessitates a change in how the
Plan's primary networks are setup. Additional network access fees, as
applicable, for Primary network access in additional States to
accommodate enrollment shifts shall be passed through to the Plan for
payment.
If HMA elects to change any fees charged to the Plan Administrator hereunder,
HMA shall give prior written notice of such change to the Plan Administrator as
soon as practicable, but in the case of a change pursuant to item (i) no fewer than
30 days prior to the effective date of the change, and the Plan Administrator may,
if it does not want to retain HMA based on the new fee schedule, terminate this
Agreement by sending written notice of termination to HMA.
5. Funding of Benefit Payments and other Expenses and Obligations.
a) Responsibility for Funding Benefits. Plan Administrator shall retain the sole
responsibility for payment of all Plan benefits. HMA's role shall at all times be
merely to process payment. Funding for benefits by Plan Administrator shall occur
within ten (10) business days of the date written claim notification is sent by HMA,
unless a different time period was previously agreed upon in writing. Failure to
meet this requirement shall require Plan Administrator to fund all future obligations
under this Agreement by "ACH Pull" method of payment, and may result in
suspension of services and/or termination of the Agreement under Article 7(d).
HMA reserve the right to modify acceptable payment methods that it will accept
at any time upon 30 days advance notice to the Plan Administrator.
b) Responsibility for Plan expenses. Plan Administrator has sole responsibility
for payment of all expenses incident to the Plan, including, but not limited to, all
premium taxes, or any other tax, including any penalties and interest payable with
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respect thereto, assessed against Plan Administrator. Plan Administrator. In no
event shall HMA have the responsibility to provide funding for the payment of
benefits to Plan Participants, for payment of premiums for excess loss insurance
or for expenses of the Plan.
c) Designated Account. The Plan Administrator shall establish, and at all times
maintain in strict compliance with all applicable federal and state laws, specifically
including, without limitation, a central disbursement checking account (the
Designated Account"), and shall deposit in said Designated Account sufficient
funds to pay:
all compensation and fees owing to HMA for services rendered hereunder;
ii) all benefits owing to Participants in accordance with the terms of the Plan,
following receipt of claim notification;
iii) all premiums and fees owing by the Plan Administrator to third parties for
excess loss insurance, PPO arrangements and utilization review; and
iv) all other authorized costs and expenses incurred by HMA in performing its
duties hereunder.
d) Designated Account. The Plan Administrator shall establish, and at all times
maintain in strict compliance with all applicable federal and state laws, specifically
including, without limitation, a central disbursement checking account (the
Designated Account"), and shall deposit in said Designated Account sufficient
funds to pay:
all compensation and fees owing to HMA for services rendered hereunder;
ii) all benefits owing to Participants in accordance with the terms of the Plan,
following receipt of claim notification;
iii) all premiums and fees owing by the Plan Sponsor to third parties for excess
loss insurance, PPO arrangements and utilization review; and
iv) all other authorized costs and expenses incurred by HMA in performing its
duties hereunder.
e) Timely Funding. Company is expected to meet the funding requirements this
Article 5. If Company fails to meet these requirements, (i.e. claims are not funded
timely or payment made to HMA are insufficient to meet the Plan's obligations,
HMA shall have the right to all legal remedies under the law, including but not
limited to, immediately requiring the Company to provide all future funding via
ACH method for all fees, claims and Plan costs, including premiums payable to
vendors providing services to Plan at Plan Administrator's request (consolidated
billing).
6. Plan Administrator Requirements.
a) Duty to Provide Data to HMA. Plan Administrator acknowledges that the
effective performance by HMA of the administrative services outlined herein will
require that the Plan Administrator furnish various reports, information, and data
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to HMA. Plan Administrator shall provide the following reports and information to
HMA, together with such other data as HMA may from time to time request:
Accurate and timely identification and verification of individuals eligible for
benefits under the Plan, kinds of benefits to which such individuals are
entitled, date of eligibility and such other information as may be necessary
for processing of benefit payments;
ii) Notification to HMA, on a monthly or more frequent basis, of all changes
in participation whether by reason of termination, change in classification,
new enrollment, or any other reason, inclusive of an effective date of such
change;
iii) Administer its enrollment changes consistent with the terms of coverage
it offers under its Summary Plan Description(s). Plan Administrator must
ensure that coverage dates are effective and terminated in accordance
with the terms of coverage offered to Plan Participants;
iv) File Enroll Clients must review and supply updated/correct termination
dates (if applicable) in response to Termination By Absence reporting that
shall be supplied to Plan Administrator via the Employer reporting portal
on a weekly basis for changes in enrollments due to a member being
dropped from the last file submitted to HMA. Plan Administrator
acknowledges and agrees that HMA is authorized to use the receipt date
of the file in which the member was dropped as the date to terminate
coverage under the Plan via Termination By Absence handling protocol.
Plan Administrator may use a HRIS/enrollment vendor provided that the
Plan Administrator remains responsible for data accuracy, timeliness of the
information passed to HMA and shall ensure file specifications conform to
HMA's file layout requirements which may be updated from time to time
with notice to Plan Administrator and its vendor. HMA shall rely upon the
information supplied to it, and shall not be liable for errors resulting from
data quality issues received from the file(s) received on Plan
Administrator's behalf;
v) Plan Administrator shall ensure that its COBRA administrator is provided
the accurate termination date and reason for termination for which to base
COBRA offers from;
vi) The number of Participants covered under the Plan, collectively and
separately classified by benefit coverage eligibility, enrollment, geographic
area, age, sex, earning level, dependent coverage classifications, and in
such other manner, as HMA shall require from time to time.
vii) Ensure that its systems as well as any vendors utilized by the Plan
Administrator to track, update, maintain and transfer eligibility information
to HMA is able to support privacy restrictions including but not limited to
Confidential Communications as may be requested by Plan Participants.
viii) The Social Security numbers for all Participants covered under the Plan.
ix) All Plan design modifications and benefit changes shall be communicated
to HMA at least ninety (90) days prior to the intended effective date,
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including review and approval of the SPD, Plan Summaries and
Amendments. In accordance with the regulations under the Patient
Protection and Affordable Care Act (PPACA), Plan Administrator
acknowledges the obligation to notify all plan participants of any plan
changes no less than sixty (60) days in advance of the effective date of
the modification or change. Retroactive plan design changes may be
prohibited under PPACA.
b) Duty to Provide Materials. Plan Administrator shall provide directly to HMA
through HMA to applicable third parties, all materials, documents (including
summaries for employees), reports, and notice forms, as may be necessary or
convenient for the operation of the Plan, or to satisfy the requirements of
governing law, as may be determined or prepared from time to time by HMA.
Where distribution to employees is required, such materials shall be furnished in
sufficient quantity and shall be appropriately distributed by the Plan Administrator.
c) Fidelity Bond. The Plan Administrator shall provide a fidelity bond for fiduciaries
and employees for the benefit of the plan.
d) Network Compliance. The Plan Administrator's ability to access the Provider
Network(s) that it has access to through the access fees paid to HMA under this
Agreement is subject to the Plan's ongoing adherence to Network requirements as
may be communicated either by HMA or the Network(s) directly from time to time.
Plan understands that failure to comply with requirements may result in the loss
of network discounts and/or the ability to use the PPO Network. Examples, of
provider network requirements that the Plan will comply with include but are not
limited to timely payment and reimbursement consistent with the terms of a
Provider's contract with the Network, Plan design requirements, such as
maintaining a 10% benefit differential between Preferred/In-Network,
Participating, and/or Out -of -Network benefit tiers.
Term and Termination.
a) Initial Term. The initial term of this Agreement shall be for a period of one year,
commencing as of the Effective Date of this Agreement and terminating, if not
renewed, one year thereafter (the "Initial Term"), unless sooner terminated in
accordance with the provisions of this Paragraph 7.
b) Renewal. Renewal of this Agreement shall be accomplished by attaching to this
Agreement a revised Client Intent or other such document that may be presented
by HMA to Plan Sponsor that confirms Plan Sponsor's intent to renew its services
with HMA, which identifies the services to be performed and the associated fees
to be paid, along with any other associated disclosure documents that may be
presented as a Renewal offer by HMA (the "Renewal") that is signed by the parties
to this Agreement and setting forth the term of such renewal (the "Renewal
Term"). In the event a revised Renewal Client Intent is not signed by the parties,
but the parties continue to perform under this Agreement, then it shall be deemed
to be renewed for successive one (1) year periods until terminated. HMA at its sole
discretion may continue to provide services for a period of time under the last
executed Client Intent or initial sale documents but shall be entitled to payment of
all fees as outlined in the Renewal Client Intent upon execution without any
proration or forgiveness due delay in execution.
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c) Termination by Either Party. This Agreement may be terminated by either
Plan Administrator or by HMA by written notice of intention to terminate given to
the other party, to be effective as of a certain date set forth in the written notice,
which shall not be less than ninety (90) days from the date of such notice.
Upon termination by either party, within thirty days after the date of termination,
HMA shall prepare and deliver a complete and final accounting and report as of
the date of termination of the financial status of the Plan to the Plan Administrator,
together with all books and records in its possession and control pertaining to the
administration of the Plan. All claim files, enrollment materials and other papers
necessary for claim payments under the Plan shall be available to the Plan
Administrator upon the date of termination of this Agreement. If requested, HMA
will process run -out claims (claims incurred prior to the date of termination). The
charge for run -out claim processing will equal 3 months of current administrative
fees and the duration will be 12 months. HMA will provide a final accounting to
Plan Administrator on its order.
In the event that HMA offers and Plan Administrator accepts a multi -year fixed
rate guarantee for a Renewal Term, Plan Administrator will be subject to an early
termination fee, as described within the Client Intent, if termination occurs prior
to the end of the applicable Renewal Term for which the rate guarantee applies
for any reason outside HMA's breach of this Agreement for which indemnification
provisions under Section 9 are applicable. The early termination fee will be
payable in additional to any run -out service fees or other costs owed by Plan
Administrator to HMA.
d) Events Triggering Immediate Termination. In the event of willful misconduct
or gross negligence by a party to this Agreement, the other party may terminate
this Agreement immediately upon written notice. In addition, HMA shall have the
right, in its sole and absolute discretion, to terminate this Agreement immediately
if:
i) After written notice to cure, the Plan Administrator Plan Administratorfails
to cure a material breach of any provision of this Agreement within ten
days of the date of the notice to cure. A material breach includes, but is
not limited to, failure to pay fees or charges owing HMA, failure to fund
benefit payments in a timely manner, or failure to fund the Designated
Account as specified in Section 5 above. The notice to cure shall describe
the nature of the breach with reasonable particularity; or
ii) The Plan Administrator becomes insolvent, is adjudicated bankrupt,
voluntarily files or permits the filing of a petition in bankruptcy, makes an
assignment for the benefit of creditors, or seeks any similar relief under
any bankruptcy laws or related statutes.
e) Termination of Plan. If the Plan is terminated, for whatever reason, this
Agreement shall automatically terminate as of the effective date of such
termination except as set forth in 7(c) if run -out processing is elected.
8. Effect of Termination. Upon termination of this Agreement, all obligations of HMA
hereunder, specifically including but not limited to all obligations to process claims for
benefits and disburse benefit payments, shall terminate, and all rights of Plan Administrator
hereunder shall cease, and HMA shall not be liable to Plan Administrator for any damage
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whatsoever sustained or arising out of, or alleged to have arisen out of, such termination.
Notwithstanding anything express or implied herein to the contrary, the termination of this
Agreement shall not affect the right of HMA to receive and recover all fees then owing by
the Plan Administrator to HMA hereunder or the rights of the parties under Sections 9 and
10 of this Agreement.
9. Indemnification and Lawsuits Against the Parties
a) Claims Disputes. In the event a dispute arises with a Participant or other third
party over GHP benefits or any action taken by HMA related to the payment of
GHP benefits in the performance of HMA's duties under the Agreement (referred
to in this Agreement as a "Claim Dispute"), the Parties agree to the following:
i) When a Party reasonably determines that a Claim Dispute may arise, the
Party will promptly notify the other Parties in writing as to the issues
involved in the Claim Dispute; and
ii) If HMA is a party to any legal action related to or arising out of a Claim
Dispute, HMA will defend itself against any such legal action (including,
but not limited to, litigation, arbitration, and/or mediation) brought by or
on behalf of any Participant or other third party, and HMA will have full
discretionary authority in all matters related to the conduct, defense, or
settlement of any such action, including, but not limited to, the selection
of counsel and pursuit of any counter- or cross -claim. As provided in
Section 9(b), GHP and Plan Administrator, jointly and severally, shall are
responsible for pay HMA's legal fees and costs, including attorney fees,
incurred by HMA in defending any legal action related to or arising out of
a Claim Dispute, in addition to GHP and Plan Administrator's indemnity
obligations set forth in Section 9(b). including but not limited to, the
payment of counsel and filing, court, arbitrator, mediator, and other
similar fees and expenses, and Plan Administrator and GHP, jointly and
severally, agree to reimburse and indemnify HMA for such costs, provided
that Upon request, HMA shall provide supporting documentation, to GHP
or Plan Administrator, of its litigation defense costs.
b) Indemnification. The Parties agree to the following indemnification provisions:
i) Plan Administrator and GHP, jointly and severally, will indemnify, defend
and hold harmless HMA, HMA Affiliates, and their respective directors,
officers, employees (acting in the course of their employment, but not as
claimant) and agents, for that portion of any liability, settlement and
related expense (including the cost of legal defense through and including
any appeals) resulting solely and directly from Plan Administrator's or
GHP's breach of this Agreement, negligence, gross negligence, willful
misconduct, criminal conduct, fraud or breach of a fiduciary responsibility
related to or arising out of this Agreement.
ii) HMA will indemnify, defend and hold harmless Plan Administrator and
GHP, their affiliates and their respective directors, officers, employees
acting in the course of their employment, but not as claimant) and agents,
for that portion of any liability, settlement and related expense (including
the cost of legal defense through and including any appeals) resulting
solely and directly from HMA's breach of this Agreement, negligence, gross
negligence, willful misconduct, criminal conduct, fraud or breach of a
fiduciary responsibility related to or arising out of this Agreement.
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iii) Plan Administrator and GHP, jointly and severally, will remain obligated
for: (1) indemnifying HMA for any Claim Dispute under Section 9(a) of this
Agreement, including the litigation defense fees and costs set forth in
Section 9(a)(ii); (2) indemnifying HMA from any claim or loss which results
from Plan Sponsor's incorrect certification of Participant eligibility; (3) the
payment of all GHP benefits; (4) any fines or penalties imposed by federal,
state, or other regulator in connection with HMA filing forms, analysis or
other required documents to such regulators on GHP's or Plan Sponsor's
behalf; (5) any tax consequences, fees, or penalties resulting from the
GHP plan design; and (6) the payment of all benefits, costs or damages
when the acts giving rise to the liability were performed by Plan Sponsor
or GHP, or by HMA upon Plan Administrator's or GHP's direction. HMA will
not be considered negligent if HMA's claims processing services are
performed in accord with the standards of Section 3(c). HMA will not be
considered negligent for failing to meet any standards listed in ASC
Performance Guarantees Addendum, the consequences of any such failure
of which are addressed exclusively in the Performance Guarantees
Addendum.
c) Exclusion from Indemnification. Regardless of fault, HMA shall not be
responsible for funding the Plan's benefit payments, or for Plan Admnistrator's lost
profits, extrapolations of improper benefit payments, exemplary, special, punitive
or consequential damages.
10. Records Access and Audit Rights. Subject to the provisions of this Paragraph 12, Plan
Administrator Plan Administrator may audit HMA's compliance with its obligations under
this Agreement and HMA shall supply Plan Administrator, with access to information
acquired or maintained by HMA in performing services under this Agreement. HMA shall
be required to supply only such information which is in its possession and which is
reasonably necessary for the Plan Administrator to conduct such audit, provided that such
disclosure is not prohibited by law or by any third -party contracts to which HMA is a
signatory. Plan Administrator Plan Administrator hereby represents and warrants that, to
the extent any disclosed information contains Protected Health Information (as defined by
the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA"))
about a Participant, Plan Administrator Plan Administrator has the legal authority to have
access to such information. Plan Administrator shall give HMA 60 days' prior written notice
of its intent to perform such an audit and its need for such information and shall represent
to HMA that the information, which will be disclosed therein, is reasonably necessary for
the administration of the Plan. All audits and information disclosure shall occur at a
reasonable time and place and at the Plan Administrator's sole cost and expense. Prior to
commencement of any audit, all Auditors will be required to sign an HMA Auditor
Agreement.
11. Overpayment or Improper Payment of Plan Benefits. If any payment is made
hereunder to an ineligible person, or if it is determined that an overpayment or improper
payment has been made to any party, HMA shall make reasonable efforts to recover the
overpayment or improper payment, but shall not be required to initiate court proceedings
for any such recovery. If HMA is unsuccessful, HMA shall notify Plan Administrator in order
that Plan Administrator may take such action as may be available to it.
12. Additional Payments to Claimants. Plan Administrator may, by written notice to HMA
signed by an executive officer of the Plan Administrator, instruct HMA to pay claims, which
in HMA's opinion are not payable under the Plan, upon the condition that such instruction
expressly releases HMA from any liability in connection therewith. Plan Administrator Plan
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Administrator hereby acknowledges that such payments will not qualify for credit toward
excess or stop loss insurance coverage, and as such, are considered "outside" the Plan,
unless otherwise agreed upon in writing by the Plan's stop -loss carrier. Plan Administrator
Plan Administrator retains all legal requirements for such payment.
13. Cooperation in Defense of Claims. HMA and Plan Administrator shall advise each other
as to matters which come to their respective attentions involving potential legal actions or
regulatory enforcement activity which involve the Plan or are related to the activities of
either party with respect to the Plan or this Agreement and shall promptly advise each
other of legal actions or administrative proceedings which have actually commenced.
14. Notice of Third Party Administrator's Capacity. HMA shall notify all Participants in
writing of its identity and its relationship to the Plan and the Plan Administrator in such
form and manner as approved by the Plan Administrator.
15. Plan's Compliance with Laws. Plan Administrator represents and warrants that the
Plan presently complies with all applicable federal, state and local laws and regulations,
specifically including, , Mental Health Parity and Addiction Equity Act ("MHPAEA"), Patient
Protection and Affordable Care Act ("PPACA") the Consolidated Omnibus Budget
Reconciliation Act of 1985, as amended ("COBRA"), HIPAA and HITECH, the Consolidated
Appropriations Act of 2021, and covenants and agrees that it will, at its sole cost and
expense, take all action necessary to cause the Plan's continued compliance with all
applicable federal, state and local laws and regulations during the term of this Agreement.
Plan Administrator is solely responsible for obtaining any actuarial analysis, non-
discrimination testing, or actuarial determinations required by the Plan. HMA's services to
assist Plan Administrator's with their compliance obligations are limited to directly
supporting the services provided by HMA to the Plan Administrator, and do not extend to
any services that the Plan Administrator is receiving through external parties (i.e. PBM,
benefit specific carve -outs, advocacy services, etc.), unless otherwise agreed to in writing
by a duly authorized officer of HMA as an addendum to this Agreement, for which the Plan
Administrator remains solely liable.
18. Miscellaneous.
a) Entire Agreement. This document is the entire, final and complete Agreement
and understanding of the parties regarding the subject matter hereof and
supersedes and replaces all written and oral agreements and understandings
heretofore made or existing by and between the parties or their representatives
with respect thereto.
b) Severability. In the event any one or more of the terms, conditions or provisions
contained in the Agreement or any application thereof shall be declared invalid,
illegal or unenforceable in any respect by any court of competent jurisdiction, the
validity, legality or enforceability of the remaining terms, conditions or provisions
of this Agreement and any other application thereof shall not in any way be
affected or impaired thereby, and this Agreement shall be construed as if such
invalid, illegal or unenforceable provisions were not contained herein.
c) Restriction on Assignment. Except as provided in section 3(c), neither party
shall assign or transfer any of its rights or delegate any of its duties or obligations
hereunder, directly or indirectly, without the prior written consent of the other
party; provided, however, that either party may, upon 60 days written notice to the
other party, assign this Agreement in its entirety to any person or entity, other than
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a direct competitor of the other party, which acquires the business of the assigning
party or with which the party merges or is consolidated or affiliated, provided that
the permitted assignee agrees in writing to be bound by the terms of this
Agreement. Any attempted assignment, transfer or delegation in violation of this
Paragraph 18(c) shall be null and void.
d) Notices. All notices, requests, demands and other communications required or
permitted to be given or made under the Agreement shall be in writing and shall
be deemed delivered, if by personal delivery, on the date of personal delivery, if
transmitted and confirmed by electronic mail or facsimile transmission, on the date
of the transmission, if by U.S. certified or registered mail, postage prepaid, on the
third business day following the date of deposit in the United States mail, or, if by
nationally recognized overnight courier services, on the first business day following
the date of delivery to such service, and shall be sent to Plan Administrator or
HMA, as the case may be, at the address shown on the first page of this
Agreement, or to such other address, person or entity as either party shall
designate by notice to the other in accordance herewith.
e) Binding Effect. This Agreement shall be binding upon, inure to the benefit of,
and be enforceable by, the parties hereto and their respective successors and
permitted assigns.
f) No Third Party Beneficiaries. Nothing in this Agreement, express or implied,
is intended to confer on any person, other than the parties hereto, any right or
remedy of any nature whatsoever, and nothing in this Agreement shall create, or
be deemed to create, any rights, obligations or legal relationship between HMA
and any Participant in the Plan.
g) Fines and Penalties. In the event that Plan Administrator fails to provide any of
the data specified in Article 6 of this Agreement, Plan Administrator
Requirements, and said failure results in a fine or penalty, the full amount of the
fine or penalty shall be passed through to Plan Administrator for payment.
h) Force Majeure. The parties will make their best effort to deliver services at the
time specified herein. However, neither party shall have an obligation or liability
whatsoever arising out of, or in connection with, any delay or failure to perform
any of its duties or obligations under this Agreement, or any loss or damage
incurred as a result thereof, if such delay or failure is caused, in whole or in part,
either directly or indirectly, by act of God, fire, war, riot, civil insurrection, accident,
embargo, governmental priority, failure of third parties to perform, criminal act
unless committed by someone in the employ of the offending party), strikes or
other labor dispute, decree or order of any court or government, or any other
occurrence, act, cause or thing beyond the control of the parties, whether related
or unrelated or similar or dissimilar to any of the foregoing, which prevents, hinders
or makes fulfillment of this Agreement impractical, any of which shall, without
liability, excuse either party from performance of this Agreement.
i) Authorization. Plan Administrator represents and warrants to HMA that:
i) it is a corporation duly organized, validly existing and in good standing
under the laws of the state in which it is organized;
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ii) the execution, delivery and performance of this Agreement has been duly
authorized by all requisite action of Plan Administrator's Board of
Directors; and
iii) this Agreement constitutes a valid and binding contract of Plan
Administrator in accordance with its terms.
j) Attorneys' Fees. In the event of a dispute under this Agreement, the prevailing
party shall be entitled to recover reasonable costs and attorneys' fees incurred in
connection with such dispute.
k) Waiver. No waiver of any provision of this Agreement shall be deemed, or shall
constitute, a waiver of any other provision, whether or not similar, nor shall any
specific waiver constitute a prospective waiver or release the applicable party from
any duties for continued performance. No waiver shall be binding unless executed
in writing by the party making the waiver.
1) Amendment. No supplement, modification or amendment of this Agreement
shall be binding, unless the same is in writing and signed by duly authorized
representatives of both parties.
m) Arbitration. Plan Administrator and HMA shall submit any and all disputes
relating to or arising out of this Agreement to final and binding arbitration.
Arbitration will be before a single arbitrator in Seattle, Washington, who is affiliated
with a recognized panel of arbitrators such as the American Arbitration Association,
Judicial Dispute Resolution or Judicial Arbitration & Mediation Services. Either
party may initiate an arbitration by giving written notice to the other of a demand
for arbitration. If the parties fail to agree upon the arbitrator to be used within
ten (10) days of a party's arbitration demand, the arbitrator may be appointed by
the Superior Court of the State of Washington for King County pursuant to Chapter
7.04 RCW at the instance of either party, and both parties shall submit to the
jurisdiction of such court for the purpose of any such appointment. The arbitrator
shall be an individual who is or has been actively engaged in the practice of law
or who has served as state or federal court judge. Except as otherwise specified
by this Agreement or other written agreement of the parties, the arbitration shall
be conducted in accordance with the Commercial Arbitration Rules of the American
Arbitration Association ("AAA"), using the Expedited Procedures applicable to such
rules (irrespective of the size or nature of any parry's claim), but need not be
administered by the AAA. The parties agree that any suit brought to compel
arbitration or enforce an arbitration award shall be brought in the applicable court
in Seattle, WA and the parties consent to jurisdiction thereof for that purpose.
n) Governing Law. This Agreement shall be deemed to have been executed and
entered into in Bellevue, Washington and shall be governed, construed, performed
and enforced in accordance with the laws of the State of Washington, without
regard to its conflict of law principles.
o) Headings. The headings used in this Agreement are solely for convenience of
reference, are not part of this Agreement, and are not to be considered in
construing or interpreting this Agreement.
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p) Counterparts. This Agreement may be executed in one or more counterparts,
each of which shall be deemed an original, and all of which together shall
constitute one and the same instruments.
q) HIPAA. The Plan Administrator shall appropriately safeguard and limit the use and
disclosure of enrollees' Protected Health Information, which the Plan Administrator
may receive from HMA, in accordance with the requirements of 45 Code of Federal
Regulations §164.504(f)(2).The Plan Administrator agrees that the Plan will be in
compliance with all requirements involving the use or disclosure of protected
health information as provided for in 45 C.F.R. Part 164. The duties and
responsibilities of HMA in connection with the requirements imposed by HIPAA and
regulations promulgated thereunder will be set forth in the Business Associate
Agreement entered into between the Parties to this Agreement.
r) Proprietary Information, Confidentiality. Neither party shall disclose
proprietary information to any other entity without the prior written consent of the
party that holds the right, title and interest in the information. Nothing in this
section shall prohibit the disclosure of any information required by law, but in the
event of any such disclosure, the disclosing party shall immediately notify the other
party in writing, describing the circumstances of and extent of the disclosure. This
provision shall survive termination of this Agreement. To the extent that the Plan
Administrator requests access to and is granted access to information that is
Proprietary and Confidential to HMA and/or one of its Vendors, such as by way of
example Provider Network Agreements or negotiated rates, the Plan Administrator
agrees to maintain such data or information in strict confidence and shall not use
or disclose any Confidential Information with anyone who is not bound by a non-
disclosure Agreement that is as protective as the Plan Administrator would use for
its own proprietary and confidential information. Each party agrees that
unauthorized disclosure of Proprietary and Confidential Information of the other
party may cause such other party irreparable harm and that any breach or
threatened breach of this provision by either party will entitle the other party to
seek injunctive relief, without the need of posting a bond, prohibiting the break,
in addition to any other legal or equitable remedies available to it, which remedies
will not be deemed exclusive, but will be cumulative.
s) Systems Property of HMA. To perform its duties hereunder, HMA shall use
certain computer systems (including, but not limited to, software) and other
systems and property. Such systems and property are proprietary and the
exclusive and confidential property of HMA. The hiring of HMA to provide services
under this Agreement gives neither Plan Administrator nor the Plan any right to
such systems, or to the inspection thereof. HMA reserves the right to change its
systems and other technology at any time and from time to time, without notice
or obligation to Plan Administrator or the Plan. Confidential system property of
HMA is not accessible to the Plan Administrator or Plan Administrator except as
provided in Section 12 of this Agreement.
t) Marketing/Advertising Authorization. By executing this Agreement, Plan
Administrator consents to HMA's use of the Plan Administrator's company name,
logos, trademarks, and identifying information in marketing materials during the
period which Plan Administrator remains an active HMA client.
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IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their
duly authorized representatives on the respective dates set forth below, effective as of the
day and year first above written.
Plan Administrator:
City of Renton
By:
Name: Armondo Pavone
HMA:
Healthcare Management Administrators, Inc.
By:
Name:
Title: Mayor Title:
Date: 10/17/2024 Date:
Jason A. Seth, City Clerk
C'ORPORA` O\
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November 13, 2024 | 4:48 PM PST
President & CEO
Aadam Hussain