2023-098B - Laserfiche WebLink

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interest added thereto and paid by BCBSF. The Employer agrees to recognize and abide by BCBSF's disposition of such demands for the payment of any taxes, assessments or costs whether paid, compromised, settled or litigated. (3) Revise the base Administrative Fee as of the effective date of a modification of the Plan that imposes greater duties, obligations or costs on BCBSF and/or its Designated Agent than contemplated by this Agreement. (4) BCBSF will provide employer an annual wellness fund of $50,000. III. The Employer agrees to remit its payment for the monthly Administrative Fees within fifteen (15) days after the receipt of an invoice. Late charges will be assessed on late payments, at the option of BCBSF, as described herein and as called for in Section VII of this Agreement. Late charges will begin to accrue on the day following the applicable due date. IV. Require pre -funding of claims payments based on adjudicated but unpaid Claims Amounts as described below; On Tuesday morning of each week after notice, an invoice for the Claims Amount will be available on the billing website. The invoice shall generally reflect, with respect to health care claims payable under the Plan of Benefits, claims that BCBSF has processed and approved for payment, but for which payment has not been issued ("Adjudicated Claims") and appropriate adjustments. The Employer will pay or cause to be paid the amount of the invoice no later than close of business on the same day that the invoice is issued; Upon receipt by BCBSF of proof of timely payment, BCBSF will provide for payment of the Adjudicated Claims. Late charges may be assessed on late payments. The Late charges will begin to accrue with respect to an unpaid invoice on the day following the day that an invoice is issued; BCBSF retains the right to suspend payment of claims immediately in the event that payment for the Claims Amount or Administrative Charges are not received as required herein; and BCBSF will account for adjustments in the estimated Claims Amount on the following week's invoice. BCBSF will stop paying all member claims or terminate this Agreement for non-payment. Notwithstanding the foregoing, BCBSF is not required to exercise any right to offset and may require that the Employer made any and all payments due under this Agreement. Claims Amounts are due and payable On Tuesday morning of each week after the Effective Date (unless such date is a federal holiday, in which case on the immediately following business day), BCBSF will notify Employer of the Claims Amount. If payment is made by draft, payment is due by 3:00 p.m. on the same day that Employer receives notice of the Claims Amount. If payment is made by wire, payment is due by Friday of the same week that it receives notice of the Claims Amount, provided that, if payment made by wire is not remitted in compliance with this Section V., BCBSF, in its sole discretion, may require all payments to be made by draft; and Employer has obtained Stop -Loss Insurance through BCBSF or a carrier that is affiliated with BCBSF, BCBSF will bill the Stop -Loss Insurance carrier directly for Claims Amounts that are covered by such Stop -Loss Insurance. 27