7.
(b)
(a)
and a set up fee of one hundred dollars ($100.00) for programming
costs and seventy-five dollars ($75.00) per hour for installation costs
associated with each request.
A quarterly report of enrollment status and activity by individual and
family subscriber, by group (may be provided in the form of a
monthly invoice for administration fees).
Annually
At least sixty (60) days prior to renewal, HPHC shall present to
Purchaser or its Designee a renewal package that contains: (a) a
detailed claims projection by plan type for the next policy period and
(b) proposed fully incurred administrative fees. Any affect ofthe
renewal package on the Funding of Covered Services (see
Attachment D) will be communicated to Purchaser or its Designee
after Purchaser’s annual open enrollment period.
Government Regulation. HPHC shall use reasonable efforts, within the
scope of its authority and responsibilities hereunder, to ensure that the Plan complies
with the requirements of any applicable state or federal statute, ordinance, law, rule, ’
regulation, or order of any governmental or regulatory body having jurisdiction over the
Plan. The Plan itself, however, is responsible for compliance with all applicable laws.
8.
FORM# PS_A01
(a)
(b)
(c)
Deposit and Disbursement of Funds.
HPHC shall maintain an accouniing of all monies received from
Purchaser or otherwise arising from the operation of the Plan and
shall make disbursements on behalf of the Plan in such amounts
and at such times as the same are required. HPHC shall maintain
and retain records clearly reflecting all transactions made for the
Plan and shall furnish such records to Purchaser, at Purchaser's
request.
HPHC shail serve as Purchaser's true and lawful attorney-in-fact to
bill and collect such amounts as may be payable to the Purchaser
for the Plan; to collect in the Purchaser's name accounts receivable
generated by such billing; and to take possession of and endorse in
Purchaser's name any cash, notes, checks, money orders,
insurance payments, and any other instruments received in
payment.
Upon termination of this Agreement, HPHC will continue to pay
claims (not including taxes or other governmental obligations as
described in section 10(c) below) incurred through the effective date
of termination, for a period not to exceed twelve (12) months (the
“run-out period”) on the condition that Purchaser continue to provide
funding for such claims payments in the same manner as is required
during the contract period. HPHC may charge interest in the
amount of fifteen percent (15%) annually on amounts which
05/17/2002
