1996-242 (2) - Laserfiche WebLink

Home Browse Search

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