Finance Committee

Attachment A with proper diligence. HPHC also agrees that:
(i) A trained HPHC representative shall be available to meet with representatives

of Purchaser and its Designee to discuss the costs, health care benefits, provider network,

administration of the Plan, and future directions of the Plan.
(ii HPHC shall maintain a toll free telephone number for use by Purchaser's

Members, Purchaser and its Designee. HPHC shali have trained personnel to answer _

1.15 Standard and Character of Performance. HPHC shall use customary and
reasonable care and proper diligence in the performance of Services under this Agreement. It
is understood and agreed by the parties that the term "customary and reasonable care and
proper diligence" does not make HPHC a guarantor of the correctness of all claims payments
and other services performed under this Agreement, but refers to the usual business practice
standards and conduct in such business.

as requested, in obiaining executed confidentiality agreements from any entity other than
Purchaser which Purchaser has requested receive any data HPHC deems confidential and/or
privileged. Both parties agree to cooperate with each other as necessary to assure compliance
with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).

administrative records shall'be and remain the sole property of Purchaser. In addition, all
information generated under and/or contained in HPHC’s information system pertaining to the
Plan, except for Member identifiable medical records and other privileged information, shall
also be and remain the property of Purchaser. HPHC shall assist in establishing, maintaining
and carrying out procedures for the keeping and preservation of the Plan’s books and reéords,
including providing for the manner and time of their preservation in accordance with ail

1.3 Approval of Materials. Purchaser retains the right to review printed materials,
which are distributed by HPHC to Members of Purchaser's Plan. Prior to distribution HPHC
shall provide Purchaser or its Designee sample copies of the printed materials. HPHC shall
distribute such materials to Purchaser’s Members unless Purchaser or its Designee instructs
HPHC to delay or cancel such distribution within a reasonable period of time prior to
distribution. See Attachment A for the provision of non-standard printed materials. This

HARVARD PILGRIM HEALTH CARE, INC.

PURCHASER SERVICE AGREEMENT

This Agreement, made effective and entered into this 1° day of July, 2002_(Effective
Date) by and between CITY OF NASHUA (hereinafter referred to as “Purchaser*), and
HARVARD PILGRIM HEALTH CARE, INC., a corporation organized under the laws of the .
Commonwealth of Massachusetts (hereinafter "HPHC"), - -

insurance benefits, $300,000 in long-term care benefits, $100,000 in present value of annuities, or $300,000 in life
insurance death benefits.

With respect to any one contract holder of an unallocated annuity contract, not including a governmental retirement
plan established under Section 401, 403(b) or 457 of the U.S. Internal Revenue Code, the Association will pay a
maximum of $5,000,000 in benefits, irrespective of the number of such contracts held by that contract holder.

ADDITIONAL INFORMATION:

SUMMARY:

The 1996 state law that provides for this safety-net coverage is called the New Hampshire Life and Health Insurance
Guaranty Association Act. Below is a brief summary of this law's coverage, exclusions and limits, This summary
does not cover all provisions of the law and it does not in any way change one's rights or obligations under the Act or
the rights or obligations of the Association.

COVERAGE:

SUMMARY OF THE 1996 NEW HAMPSHIRE LIFE AND HEALTH
INSURANCE GUARANTY ASSOCIATION ACT (RSA 408-B)
AND
NOTICE CONCERNING COVERAGE LIMITATIONS AND EXCLUSIONS

Group Name: CITY OF NASHUA

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The proposed services, rates and fees are effective from July 1, 2016 through July 1, 2617.

This contract will be issued in New Hampshire.