2.01
2.02
(d) Staff a processing center with US-based, live-answer staff during the hours of 8:00am —
8:00pm ET, Monday through Friday, and a toll-free number unique to each Plan Sponsor;
(ce) Provide a secure web portal for 24/7 upload of member documents and status of member
verification;
(f) Produce a Report of Findings detailing the result of the verification process and
coordinate a meeting to discuss any relevant recommendations for the Plan;
(g) Supply the Plan with copies in a mutually agreed upon electronic format of all documents
that were collected during the review. Any physical documents received during the
review will be destroyed securely.
SECTION 2
RESPONSIBILITIES OF PLAN SPONSOR
Preparation and Provision of Eligibility List and Plan Information. Plan Sponsor shall:
(a) Prepare a complete and accurate set of enrollment records for all Members at the outset
of the engagement for use in the Dependent Eligibility Verification. Such records shall be
delivered to PDA as a single file in an electronic format acceptable to PDA as soon as
practicable following the Effective Date;
(b) Provide PDA with a complete copy of the Plan Document, Summary of Benefits, (and
summary plan description, if separate), Benefits at a Glance, and other Plan information
as applicable, including any amendments and summary of material modifications that go
into effect during the review period;
(c) 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;
(d) Be solely responsible for any state sales or use taxes imposed on the service fees paid to
PDA;
(ce) Notify PDA of any communications with members regarding the Dependent Eligibility
Verification as well as any other enrollment related member surveys during the course of
the project.
HIPAA Compliance. Notwithstanding any provision in this Agreement to the contrary, Plan and
the 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
Health Insurance Portability and Accountability Act (HIPAA) and implementing 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.
City of Nashua 2 DEV SA Revised January 2020
