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2023-098B
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2023-098B
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Last modified
3/18/2024 12:03:39 PM
Creation date
3/18/2024 11:53:00 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/16/2023
Control Number
2023-098B
Agenda Item Number
12.D.2.
Entity Name
Blue Cross and Blue Shield
Subject
Shield Transition Health Plan Administrative Services from
Blue Cross Shield of Florida Inc.(Florida Blue)
to Blue Cross Blue Shield National Alliance effective 10/01/2023 thru 9/30/2026
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by BCBSF in connection with the audit. Audits during the run -out period will also be subject <br />to cost. The parties agree that Employer will not hire a third party to conduct a contingent fee <br />audit, where the third party's compensation is based on a percentage of errors (whether <br />characterized as "savings", or "uncovered recoveries" or otherwise) discovered by such third <br />party. BCBSF will not pay any amounts based on audit results. Should Employer contract <br />with a third party to perform such contingent fee audit, BCBSF has no obligation under the <br />terms of this Agreement to cooperate with said third party in the conduct of such contingent <br />fee audit. <br />J. BCBSF is acting as an independent contractor. Except as otherwise provided in Article IV, <br />Employer agrees that BCBSF (and its subcontractors, as applicable) is acting only in a <br />ministerial capacity and is not and shall not be designated or deemed a Plan Administrator, <br />Plan Sponsor or fiduciary of any kind with respect to the Plan of Benefits for the purposes of <br />any applicable federal or state law. <br />K. Employer understands and agrees that BCBSF will rely on any beneficiary contact information <br />supplied by Employer to perform BCBSF's business functions as being accurate and able to <br />be used by BCBSF or its subcontractors or vendors for services under this Agreement or as <br />otherwise requested by Employer. Consequently, Employer agrees to the following: <br />1. Prior to supplying any contact information on the members of its plan, Employer is <br />exclusively responsible for securing any written or other consents or authorizations <br />that may be necessary for BCBSF or its subcontractors or vendors to perform <br />services under this Agreement or as otherwise requested by Employer; <br />2. Employer is responsible for immediately communicating to BCBSF in writing any <br />changes in such consents or authorizations that may impact BCBSF's use of the <br />contact information supplied; and, <br />3. BCBSF is not responsible or liable for any losses resulting in any way from failure <br />to contact individual members during periods when the members' consents or <br />authorization to use the contact information has been revoked. Employer <br />understands that, among other things, these obligations include all consents or <br />authorizations, if any, that may be required under the Telephone Consumer <br />Protection Act and the CAN -SPAM Act. Employer likewise understands that these <br />laws may require any such consents or authorizations to be specific to the uses <br />contemplated, to be in writing, and to specifically mention BCBSF and its <br />subcontractors and vendors. <br />L. Employer, on behalf of itself and its members, acknowledges and agrees that Employer and <br />BCBSF have not entered into a partnership, joint venture or other joint enterprise for the purpose <br />of providing the Services. <br />M. Each party is the sole and exclusive owner of its own name, logos, symbols, trademarks, trade <br />names and service marks (hereinafter Marks). Except as otherwise provided herein and/or in <br />order to perform its obligations under this Agreement, neither party will use the other party's <br />Marks without first obtaining the other party's prior written consent. <br />18 <br />
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