3/27/2018 3:16:42 PM
9/1/2017 2:29:52 PM
Official Document Type
Blue Cross and Blue Shield of Florida, Inc.
Group Health Plan
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1 <br />party notifies the other party of its intent not to extend this Agreement at <br />least 30 days prior to the applicable anniversary date. <br />SECTION II <br />DUTIES AND RESPONSIBILITIES OF THE EMPLOYER <br />2.1 Final Authority. <br />The Employer retains all final authority and responsibility for the Group <br />Health Plan including, but notJimited to, the benefits structure of the Group <br />Health Plan, claims payment decisions, cost containment program <br />decisions, utilization benefits management, compliance with the <br />requirements of COBRA (Consolidated Omnibus Budget Reconciliation Act <br />of 1985, as amended), compliance with the requirements of ERISA <br />(Employee Retirement Income Security Act of 1974, as amended), <br />compliance with reporting and remitting abandoned property funds, and <br />compliance with any other state and federal law or regulation applicable to <br />the Employer or the administration of the Group Health Plan. <br />The Employer agrees to provide the Administrator with any information the <br />Administrator reasonably requires in order to perform the administrative <br />services set forth herein. <br />2.2 Eligibility and Enrollment. <br />As of the first day of the term of this Agreement, the Employer will have <br />delivered to the Administrator enrollment information regarding eligible and <br />properly enrolled members, as defined by the Group Health Plan. The <br />Employer shall deliver to the Administrator all employee and dependent <br />eligibility status changes on a monthly basis, or more frequently as mutually <br />agreed by the parties. <br />The Employer shall be responsible for providing each covered employee <br />with a copy of the plan document which shall include the Group Health <br />Plan. <br />2.3 Financial Obligations. <br />A. Claims Payment; Reserve Requirement <br />The Employer is financially responsible for the payment of all claims <br />properly submitted and paid in accordance with the Group Health <br />Pian. Financial arrangements regarding the payment of such claims <br />960904.1 2 <br />
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