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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
Fields
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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ARTICLE III — DUTIES OF CLIENT <br />A. Client shall be solely responsible for determining the eligibility of its employees and their dependents to <br />participate and receive benefits under the Plan. <br />B. Administrator has established and shall maintain a website located at www.rxbenefits.com (the "Website") <br />through which Client shall have the ability to access, revise and update the eligibility and enrollment <br />information of Client's Members. Client agrees that it shall be solely responsible for effecting timely <br />revisions and updates to the enrollment information through the Website (or, in the alternative, through a <br />secure file transfer protocol (ftp) site or via secure electronic data file in a format acceptable to Administrator <br />delivered to Administrator via electronic mail) and shall be responsible for the accuracy of the enrollment <br />information and any and all revisions and updates to the enrollment information. Upon becoming aware of <br />errors in the enrollment information, Client shall promptly correct the information as necessary through the <br />Website or via other acceptable alternative means provided for above in this Article IH.B. Administrator <br />shall not be responsible for Prescription Drug Claims payments made to Members or ineligible and former <br />employees of Client who are no longer or, if applicable, should never have been Members, based on <br />information that is or was inaccurate, was not updated or not updated on a timely basis, or otherwise revised <br />as required by Client or this Agreement. Administrator agrees that revisions and updates to the enrollment <br />or other applicable Member or Prescription Drug Claim information made as described above will be <br />considered for purposes of this Agreement revised and updated within 48 hours of receipt by Administrator <br />of written notice from Client of such revision or update. For emergency revisions and updates that need to <br />be effective on the same day and not the next business day, Client must call in or fax such revisions and <br />updates to Administrator during Administrator's normal business hours and follow up with Administrator as <br />appropriate to ensure such revisions and updates become effective on the same day to the extent reasonably <br />possible. In addition, to the extent such emergency revisions are communicated by Client to Administrator <br />orally (e.g., via telephone), Client agrees (and it shall be Client's sole responsibility) to provide Administrator <br />with a written description in reasonable detail setting forth the emergency revisions and/or updates within 48 <br />hours after such emergency revisions/updates were orally communicated by Client to Administrator. <br />C. Administrator will provide unique alphanumeric passwords ("Passwords") to Client that will permit Client <br />to access, revise, and update the enrollment information on the Website. Client will distribute the Passwords <br />to the individuals named on the list of authorized users (the "Users"), which is included in Section A of the <br />Client Application. Client is responsible for all uses of the Passwords, whether or not authorized by Client. <br />Client is responsible for maintaining the confidentiality of the Passwords and ensuring that the Users maintain <br />such confidentiality also. Client agrees to immediately notify Administrator of any unauthorized use of the <br />Passwords of which Client becomes aware or has a reasonable basis to believe. To amend the list of Users, <br />Client must notify Administrator in writing of such amendment(s). Within one (1) business day after the <br />business day on which Administrator receives such amendment(s) in writing from Client, Administrator will <br />deactivate the Password(s) issued to any deleted User(s) and will activate and issue new Password(s) for any <br />new User(s) identified by Client. Although the Website is password protected, Administrator cannot and <br />does not guarantee (and expressly disclaims -and all such liability herein) that Client's enrollment information <br />will not be subject to unauthorized access by third parties, and Client hereby, knowingly and voluntarily, <br />releases, discharges and holds harmless Administrator and its directors, officers, employees, agents and other <br />representatives (collectively, "Representatives") from and against all Losses resulting from, arising out of or <br />relating to any unauthorized access or otherwise, except where such Losses result solely from the willful or <br />intentional act or misconduct of Administrator. The foregoing release and discharge provided for in the <br />immediately preceding sentence shall apply to any enrollment information of Client and/or its Members <br />regardless of the medium or means in which it is stored, maintained, updated, revised or exchanged (i.e., <br />whether on the Website, through a file transfer protocol (ftp) site, via electronic data file or otherwise). In <br />addition, notwithstanding anything in this Agreement to the contrary, Administrator shall not (and Client <br />acknowledges and understands that Administrator) shall not be liable or otherwise held responsible for <br />fraudulent Prescription Drug Claims submitted by any Member, other third party acting or purporting to act <br />on any Member's behalf or any unauthorized party using any Member's prescription drug card, information <br />or otherwise. <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />6 <br />
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