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month period following such termination and upon receipt by BCBSF of payment in full of <br />all statements as specified above, BCBSF will refund the advanced deposit, if any. <br />XII. A. Inter -Plan Arrangements <br />BCBSF and its Designated Agent have a variety of relationships with other Blue Cross and/or <br />Blue Shield Licensees referred to generally as "Inter -Plan Arrangements." These Inter -Plan <br />Arrangements operate under rules and procedures issued by the Blue Cross Blue Shield <br />Association ("Association"). Whenever members access healthcare services outside the <br />geographic area BCBSF's Designated Agent serves (i.e. South Carolina), the claim for those <br />services may be processed through one of these Inter -Plan Arrangements. The Inter -Plan <br />Arrangements are described generally below. <br />Typically, when accessing care outside the geographic area BCBSF's Designated Agent <br />serves (i.e. South Carolina), members obtain care from healthcare providers that have a <br />contractual agreement ("participating providers") with the local Blue Cross and/or Blue <br />Shield Licensee in that other geographic area ("Host Blue"). In some instances, members <br />may obtain care from healthcare providers in the Host Blue geographic area that do not have <br />a contractual agreement ("nonparticipating providers") with the Host Blue. BCBSF remains <br />responsible for fulfilling our contractual obligations to Employer. BCBSF's and/or its <br />Designated Agent's payment practices in both instances are described below. For purposes <br />of Inter -Plan Arrangements, BCBSF is a Host Blue for services provided within Florida. <br />This disclosure describes how claims are administered for Inter -Plan Arrangements and the <br />fees that are charged in connection with Inter -Plan Arrangements. (Note that Dental Care <br />Benefits, except when not paid as medical claimsibenefits, and those Prescription Drug <br />Benefits or Vision Care Benefits that may be administered by a third party contracted by <br />BCBSF and/or its Designated Agent to provide the specific service or services are not <br />processed through Inter -Plan Arrangements.) <br />B. B1ueCard® Program <br />The B1ueCard® Program is an Inter -Plan Arrangement. Under this Arrangement, when <br />members access covered healthcare services within the geographic area served by a Host Blue, <br />the Host Blue will be responsible for contracting and handling all interactions with its <br />participating healthcare providers. The financial terms of the B1ueCard Program are described <br />generally below. <br />1. Liability Calculation Method Per Claim — In General <br />a. Member Liability Calculation <br />Unless subject to a fixed dollar copayment, the calculation of the member liability on <br />claims for covered healthcare services will be based on the lower of the participating <br />provider's billed covered charges or the negotiated price made available to BCBSF <br />and/or its Designated Agent by the Host Blue. <br />b. Employer Liability Calculation <br />The calculation of Employer liability on claims for covered healthcare services <br />processed through the B1ueCard Program will be based on the negotiated price made <br />29 <br />