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w, 3.7 provider pricing agreements or any other information which is of a confidential or proprietary nature, as determined by the Administrator. The source or sources of payment under the Group Health Plan are to be only the assets of the Employer, and the Administrator will have no liability whatsoever for providing a source from which payments will be made under the Health Care Plan. tt tt-FAIRROM.- t- . • •. When amounts are paid or payable by the Administrator to providers of services outside the state of Florida under this Agreement and the Group Health Plan, reimbursement to the out-of-state provider and the insured's financial responsibilities (e.g. coinsurance requirement limits) may be determined based upon the provider arrangements, if any, the Blue Cross and/or Blue Shield (herein "BCBS") Plan in the area where services are provided has with its providers. The Administrator will coordinate with the appropriate BCBS Plan when reimbursement and financial responsibilities are to be handled under these special programs. Participation in such programs allows the Administrator to make available out -of -area services at rates that would generally not be available had BCBSF paid the provider directly. c1� Under these programs, when an out-of-state BCBS Plan reports its provider lY payments to the Administrator, it may either report the actual payment or average payment calculated according to a method approved by the an Administrator and/or by the Blue Cross and Blue Shield Association, an association of independent Blue Cross and/or Blue Shield Plans. The payments may sometimes be greater than charges. Additionally, each such BCBS Plan may charge an access fee, which will be added to the claim charge from. such Plan. Such access fee will generally not exceed 10 percent (or $2000 for any claim) of the discount/differential savings which result from the BCBS Plans' health care provider network agreements. The ' . total -n.!11curt p%.,d by 'y. A �.., •... -, considered the amount of they claim under this Agreement and shall be the financial responsibility of the Employer. 960904.1 Additionally, the following charges, will be paid for each claim processed under these special programs. These charges will be paid out of the Employer's Administrative Fee which is set forth in the Agreement. 6 2 --�' 65