3.02
3.03
3.04
(c) Provide PDA with a complete copy of the Plan Document (and summary plan
description, if separate), including any amendments and summary of material
modifications that were in effect during the Reconciled Pian Year;
(d) Be solely responsible to inform PDA of any changes in the information it previously
supplied PDA;
(e) Be solely responsible for reconciling any conflicting data provided by the Plan
Sponsor, its contractors and/or vendors, including confirmation of retirement dates
and confirmation of the final Covered Retiree List that is submitted for a new Final
Reconciliation for the Reconciled Plan Year; and
(f) Be solely responsible for any fees charged by its vendors to provide any data or
information to PDA, including negotiations with the vendors to reduce or eliminate
any proposed charges.
Drug Subsidy Reopening Request and Related Tasks
(a) To enable PDA to fulfill all of its duties regarding the Medicare Drug Subsidies,
Plan Sponsor consents to and authorizes PDA’s designation of an employee or a
representative of PDA to be the “Account Manager” for purposes of filing the
Reopening Request and, if granted, a new Final Reconciliation with CMS that are
filed after the Effective Date, with all the authority that designation entails,
including necessary authority as may be necessary in the Subsidy Application and
any follow-up processes.
(b) To enable PDA to fulfill all of its duties regarding the Medicare Drug Subsidies,
Plan Sponsor consents to and authorizes PDA’s designation of employees or
representatives of PDA to be the “Cost Repoxter” and “Payment Requester” for
the Reconciled Plan Year with all the authority those designations entail, including
the necessary authority to (i) gather, organize and submit appropriate information to
CMS and (ii) request Medicare Drug Subsidy payments from CMS.
(c) Plan Sponsor shall provide its full and good faith cooperation in the procurement;
access and/or review of such other reasonable information as may be determined by
PDA to be reasonably necessary in order to perform its services hereunder.
HIPAA Compliance. Notwithstanding any provision in this Agreement to the contrary, Plan
Sponsor shall, during the term of this Agreement, be solely responsible for ensuring that the
Plan is and remains in full compliance with the privacy and security requirements under the
Heaith Insurance Portability and Accountability Act (HIPAA) and impiementing regulations.
In particular, Plan Sponsor shall have in place all necessary business associate agreements,
Plan amendments, and related documentation to the extent required under HIPAA in order to
(i) permit the disclosure of protected health information (within the meaning of HIPAA) to
Plan Sponsor and (ii) establish the permitted and required uses and disclosures of protected
health information by Plan Sponsor.
Compensation. In consideration for the services set forth herein, Plan Sponsor shall pay PDA
the compensation and applicable reimbursements as set forth on Exhibit A.
City of Nashua 4 SA Revised March 2016
