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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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EXHIBIT 3— DISCLOSURE OF PROTECTED HEALTH INFORMATION <br />FOR PLAN ADMINISTRATION <br />BlueCross and BlueShield of Florida, Inc. and Indian River County <br />Group Health Plan ("GHP") must promptly notify BCBSF in writing if any of the information contained in EXHIBIT <br />3 changes. <br />PART I <br />Name(s) and Title(s) of Employer representatives (i.e. employees of Employer) authorized to request and receive <br />the minimum necessary Protected Health Information from Administrator: <br />Suzanne Boyll, HR Director <br />Shelia O'Sullivan, HR Generalist <br />Ed Halsey, Internal Audit <br />Raeanne Cone, Assistant Chief Deputy Comptroller <br />Marcela Pacheco-Hoel, Benefits Administrator <br />Elissa Nagy, Chief Deputy Comptroller <br />Suzann Minuse, Payroll Coordinator <br />Kristen Daniels, Director of Management and Budget <br />for the performance of the following plan administration functions for GHP unless otherwise indicated by GHP: <br />• Actuarial and statistical analysis <br />• Claims/membership inquiries <br />• Procurement of reinsurance or stop loss coverage <br />• Quality assessment and improvement activities <br />• Performance monitoring <br />• Other health care operations <br />• Payment activities <br />PART II <br />Identify the name(s), title(s) and company name(s) of any individual(s) from organizations other than Employer <br />or Group Health Plan ("GHP") (examples of such "GHP Vendor" types of services include, but are not limited to, <br />stop -loss carriers; reinsurers; agents, brokers or consultants; or external auditors) that Employer or GHP hereby <br />authorizes to request and receive the minimum necessary Protected Health Information to perform plan <br />administration functions and/or assist with the procurement of reinsurance or stop -loss coverage: <br />Company Name <br />Type of Service Performed <br />(Example: stop -loss carrier, <br />reinsurer, agent, broker <br />Name of Individual Performing <br />Service <br />Title of Individual Performing <br />Service <br />Lockton <br />Broker <br />Emily Jackson <br />Account Executive <br />Lockton <br />Broker <br />Amanda Ismaili <br />Account Manager <br />Lockton <br />Broker <br />Cassidy Buck <br />Account Analyst <br />Lockton <br />Broker <br />Rachel Hargrove <br />Senior Account Executive, Clinical Consultant <br />Lockton <br />Broker <br />Elizabeth Kri as <br />Account Executive, Clinical Consultant <br />Lockton <br />Broker <br />Carolyn Micali <br />Health Risk Solution Consultant <br />Lockton <br />Broker <br />Tressa Chretien <br />Pharmacy Benefits Consultant <br />Lockton <br />Broker <br />Dennis Dulaney <br />VP, Actuary <br />Lockton <br />Broker <br />SL Reporting <br />stoplossreporting@lockton.com <br />Lockton <br />Broker <br />SL Support <br />stoploss@lockton.com <br />Lockton <br />Broker <br />Jonathan Bruemmer <br />Senior Claims Analyst(stop loss <br />Infolock <br />Data/Analytics Vendor <br />om data@Sciohealthanalytics.c <br />Analytical Mailbox <br />Infolock <br />Data/Analytics Vendor <br />infolock@lockton.com <br />Analytical Mailbox <br />Infolock <br />Data/Analytics Vendor <br />Courtney Hutton <br />Data Coordinator <br />Rx Benefits <br />PBM Consultant <br />Donna Buzhardt <br />Account Executive <br />Rx Benefits <br />PBM Consultant <br />Latanya Edwards <br />Account Manager <br />
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