Finance Committee - Agenda - 7/6/2022 - P230
days prior to implementing such changes and shall require mutual consent between Sapphire
Digital and the Customer. Pursuant to the Engagement Plan, Sapphire Digital may send to
Members SmartShopper Program awareness communications, transactional communications
or communications related to the Member’s individual SmartShopper Program transaction or
experience via telephone, email, text and mailings. All printing, materials and associated
postage will be paid by Sapphire Digital as agreed to in the Engagement Plan. To the extent
necessary for Sapphire Digital to send such communications and upon request from Sapphire
Digital, Customer will provide contact information if available for such Members. Customer
agrees that for any contact information that Customer provides for use in connection with this
Agreement, Customer is responsible for obtaining from the Member consent necessary for the
use of that information. Customer acknowledges and agrees that Sapphire Digital shall not
become or be considered a plan fiduciary as a result of such communications or any other
actions taken under the SmartShopper Program.
b. On or before the Effective Date, Customer agrees to:
i. Deliver a leadership announcement in a form and format to be mutually agreed
upon by the Parties to all Members announcing the SmartShopper program and
encouraging Members to utilize the SmartShopper Program whenever they are
to procure a healthcare service covered under the SmartShopper Program.
ii. Deliver where applicable, communications to covered Members regarding the
SmartShopper Program.
c. Inthe event the Customer fails to comply with the Engagement Plan mutually agreed to or
otherwise comply with the obligations set forth in this Section 3, Sapphire Digital shall provide
written notice of such breach to Customer. In the event Customer fails to remediate such breach
within thirty (30) days of receipt of written notice, Sapphire Digital shall be permitted to stop
investing hard costs into the Engagement Plan (including but not limited to mailers). If such
breach is not remediated within sixty (60) days of written notice, the Agreement may be
terminated by either Party.
4. Incentive Reward Payments.
a. Sapphire Digital shall provide Incentive Reward Payments to Members that fully comply
with the terms of the SmartShopper Program and utilize a Cost-Effective Provider for a medical
procedure described in “Attachment B”. Sapphire Digital shall make the authorized Incentive
Reward Payments from the Incentive Fund. Funds held in the Incentive Fund account shall
be used by Sapphire Digital for the sole purpose of making Incentive Reward Payments.
Sapphire Digital shall return any unused funds upon termination or expiration of this
Agreement, after all outstanding Incentive Reward Payments have been made, but no later than
ninety (90) days after the termination or expiration date. Following the termination of this
Agreement for any reason, Sapphire Digital shall continue to provide runout Services during
the wind-down period (as provided in Section 1 above) of six (6) months following the
termination effective date. Such Services shall include, without limitation, processing the
payment of any and all Incentive Reward Payments with respect to eligible claims incurred by
Enrollees prior to the date of such termination. Enrollees are required to shop for the service
prior to the effective date of the termination of the Agreement and Sapphire Digital must
receive and process the confirmatory claims data for the service of a Cost- Effective Provider
prior to such termination date. Incentive Fund accounts do not bear interest. Furthermore,
Customer shall have the right to request, upon thirty (30) days advanced written notice, an
updated accounting of the funds in the Incentive Fund account.
