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2018-015A1
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2018-015A1
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Last modified
12/21/2020 11:37:35 AM
Creation date
5/9/2018 1:10:52 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
01/23/2018
Control Number
2018-015A1
Agenda Item Number
12.D.1.
Entity Name
RxBenefits
Subject
Administrative Services Agreement for Prescription Benefits
Alternate Name
Health Insurance Drug Benefits
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20. At no charge, ESI must be able to transfer data to Client's other vendor partners (e.g., medical plan <br />administrator, stop loss vendor, disease management vendor, catastrophic claimant advocate, etc.), with an <br />appropriate non -disclosure agreement in place. <br />21. ESI can provide the fully identified NCPDP expanded format to Client's consultant on a quarterly basis at no <br />additional charge for use by both the InfoLock team and the Pharmacy Analytics Team. <br />22. InfoLock Data feeds that are in place will be honored even after termination at no cost to Client or Client's <br />consultant. In other words, if the Agreement is not renewed following the Term, InfoLock must still receive <br />the 4th quarter data even though it will not be available until after termination of this Agreement. <br />AUDITS <br />23. Third Party Audits- Client may employ a third party auditor, at Client's sole cost and expense, to conduct <br />audits of the terms of this Exhibit A. including, but not limited to: <br />24. <br />Pharmacy Claims transactions <br />Financial performance guarantees <br />Client's consultant (Lockton) may perform a pre -implementation audit prior to the Effective Date. <br />MISCELLANEOUS <br />25. Any costs bidding entities may incur as it relates to attending meetings, site visits or negotiations are the <br />responsibility of Administrator. <br />26. Client will not be responsible for any unpaid Member co -payment or co-insurance amounts. <br />27. Client may not terminate this Agreement without cause and may only terminate this Agreement as expressly <br />provided for in Article VI of the Agreement. <br />28. If this Agreement is terminated prior to the completion of a Contract Year, the financial guarantees associated <br />with that partial Contract Year will still apply and be reconciled accordingly. <br />29. Coordination of Benefits claims accounted for in the claims data and discount guarantees by a flag indicating <br />that a transaction utilized COB functionality within the RxCLAIM system. COB claims are excluded from <br />pricing guarantees, but are assessed an administrative fee if applicable. <br />RxBenefits - ESI will be able to support Client's custom/current Rx Plan Design. <br />E. EXECUTION BY CLIENT <br />Client hereby represents and warrants that the information contained in Section A of this Client Application <br />is true and correct in all respects and Client hereby agrees to the specific terms, conditions and financial <br />arrangements set out in Sections B, C and D of this Client Application. Client agrees that if any information <br />in Section A changes, Client will give Administrator prompt notice of such changes. Furthermore, Client <br />understands that this Client Application Exhibit A) is a part of the Administrative Services Agreement <br />between Client and Administrator to which it is attached and incorporated into by reference and that Client <br />is bound by all terms and conditions of such Administrative Services Agreement. <br />All capitalized terms used in this Client Application but not specifically defined herein shall have the <br />meanings given to such terms in the Administrative Services Agreement to which this Client Application is <br />attached and made a part of. <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />31 <br />
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