to all Medicare Drug Subsidies paid to Plan Sponsor as a result of the preparation by
PDA, with respect to the Reconciled Plan Years, of (i) a Reopening request filed
with CMS, (ii) a new Final Reconciliation filed with CMS or {iii} a Payment
Request made by PDA to CMS;
4.01
4.02
5.01
5.02
5.03
SECTION 4
RELATIONSHIP OF THE PARTIES
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
(e) Assist in the design and establishment of a system for the proper retention of
relevant data as may be proper and necessary for compliance with the Part D
Program and any audits by CMS in connection with the Medicare Drug Subsidies
for the Reconciled Plan Year.
2.02 Specific PDA Services — Ongoing Services. During the term of this Agreement, PDA shall
provide the following ongoing services:
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.09
2.01
“Einal Reconciliation” shall mean the last payment request filing made by a Plan Sponsor
with respect to a Subsidy Application, as required by 42 CFR §423.888(b)(4).
“Member” shall mean an individual enrolled for prescription drug coverage under the Plan,
including an individual continuing coverage in accordance with the Consolidated Omnibus
Budget Reconciliation Act of 1985, as amended (“COBRA”).
SERVICE AGREEMENT TO
REVIEW AND REOPEN
MEDICARE PART D SUBSIDY SERVICES
This AGREEMENT FOR MEDICARE PART D SUBSIDY SERVICES (this “Agreement” is
entered into by and between Part D Advisors, Inc., a Michigan corporation (hereinafter referred to as
“PDA”) and the City of Nashua (hereinafter referred to as “Plan Sponsor’) on behalf of itself and
the City of Nashua Health Plan (hereinafter referred to as the “Plan’”) and shall be effective as of
April 7.2017 (the “Effective Date”).
RECITALS
City of Nashua
Human Resources Department
229 Main Street - Nashua, NH 03060 (603) 589-3230
Fax (603) 589-3244
MEMORANDUM
To: Dan Kooken, Purchasing Manager
From: Larry Budreau, Human Resources Director
Subject: Part D Advisors — Service Agreement
Date: September 25, 2017
The Centers for Medicare & Medicaid Services (CMS), through the Retiree Drug Subsidy Program,
reimburse health plan sponsors for a portion of retiree prescription claims.
THE CITY OF NASHUA “The Cate City"
Financial Services
Purchasing Department
September 28, 2017
TO: MAYOR DONCHESS
FINANCE COMMITTEE
FROM: DAN KOOKEN, PURCHASING MANAGER
SUBJECT: COMMUNICATION - RETIREE DRUG SUBSIDY “REOPENING’ PLAN YEARS 2012
AND 2013
Please see the attached communication from Larry Budreau, Human Resources Director, dated
September 25, 2017 for information related to this request for contract approval.
\
oN PLANT:
es 37 MARGINAL STREET
CHELSEA, MA 02150
TELEPHONE: (617) 884-0027
OFFICE:
134 MIDDLE STREET, SUITE 210
LOWELL, MA 08152
TELEPHONE: (978) 458-6420
FAX: (978) 251-8244
:
HER RLS, i oo
August 18, 2017
Jon Ibarra, Supt. Of Streets
City of Nashua
Division of Public Works
9 Riverside Street
Nashua, NH 03062
Dear Mr. Ibarra:
The following quote on Buik Road Sait is offered for your consideration.
2017-18 ICE CONTROL SALT QUOTATION
CITIES/TOWNS OF NEW HAMPSHIRE IN DISTRICT 5
Based on the awarded NH Department of Transportation contract #8002193, Granite State
Minerals is pleased to extend the delivered price of $54.00 per ton of bulk road salt for the 2017-
2018 season. This price will remain firm until July 31, 2018. For inventory planning purposes,
we would appreciate if you return a completed and signed copy of this form via mail, fax 603-
