2023-098B - Laserfiche WebLink

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claims costs, premiums (including for any stop -loss coverage), or fees from other vendors for any coverage to be reported by BCBSF. Alternatively, Employer may supply BCBSF, by no later than 30 days from the initial group outreach following the reference year at issue, with the COBRA applicable premium amount (less the 2% administrative fee, if applicable) for the coverage to be reported by BCBSF. Employer also must include, in the information supplied to BCBSF pursuant to this paragraph, the average monthly premium (or premium equivalent) amount that Employer paid or will pay toward the coverage on behalf of members (including dependents) for the reference year. (20) E -Verify BCBSF is registered with and will use the Department of Homeland Security's E -Verify system (www.e-verify.gov) to confirm the employment eligibility of all newly hired employees for the duration of this agreement, as required by Section 448.095, F.S. BCBSF is also responsible for obtaining an affidavit from all subcontractors utilized in the fulfillment of this agreement, as required in Section 448.095(5)(b), F.S., stating the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. B. Records: BCBSF shall maintain such records as are needed to perform the services set forth in this Agreement and shall ensure that their Designated Agent shall maintain claim records and such other records as are needed to perform such services. C. Information: BCBSFL shall be entitled to rely on any information provided to it by Employer; shall base certain eligibility, coverage and other determinations in the performance of its responsibilities under this Agreement in reliance on the information so provided; and shall not be required to confirm or verify the accuracy, authenticity or completeness of any information so provided. BCBSF's only obligation hereunder shall be to compile such information accurately and to utilize such information in performing its responsibilities under this Agreement. D. Third Party Liability (Subrogation/Reimbursement/Workers' Compensation/Class Action and Other Group Litigation): (1) Subrogation/Reimbursement/Workers' Compensation If BCBSF or its Designated Agent becomes aware of a subrogation, reimbursement or workers' compensation claim (hereinafter collectively referred to as "subrogation"), BCBSF or its Designated Agent shall use its standard processes and procedures to attempt to recover the subrogation claim. BCBSF or its Designated Agent shall charge an additional fee based on a percentage of the subrogation amount recovered (hereinafter the "Subrogation Fee"). The Subrogation Fee is listed on Exhibit B and is not included in the Administrative Charge or any other fee described herein. BCBSF or its Designated Agent, in its sole discretion, shall settle and resolve all such claims on any basis it determines as reasonable, including collection of less than the entire amount of such claim and contributions to the member's attorney's fees. BCBSF or its Designated Agent is not required to initiate court proceedings to comply with this Section II. D. In the event BCBSF or its Designated Agent determines litigation is necessary to recover a subrogation or workers' compensation claim, BCBSF or its Designated Agent will notify Employer, and Employer will be solely responsible for the decision to pursue litigation and funding all litigation costs and expenses, including attorney's fees. 13