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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />4.5 Insurer Access. If Administrator administers Covered Products for more than one hundred <br />certificate holders on behalf of Insurer, Insurer shall, at least semiannually, conduct a review of the opera- <br />tions of Administrator. At least one such review shall be an on-site audit of the operations of Administra- <br />tor. Miss. Code Ann. § 83-18-13(3). <br />4.6 In the event Insurer and Administrator cancel the Agreement, notwithstanding the provi- <br />sions of the Agreement and this Addendum, Administrator, in its sole discretion, may, by written agreement <br />with Insurer, transfer all records to a new administrator rather than retain them for five (5) years. In such <br />cases, the new administrator shall acknowledge, in writing, that it is responsible for retaining the records of <br />Administrator as required by Miss. Code Ann. § 83-18-9(1). Miss. Code Ann. § 83-18-9(4). <br />5. Duties of Insurer. Insurer shall be responsible for determining the Covered Products, premium <br />rates, underwriting criteria, and Claims payment procedures applicable to such coverage and for securing <br />reinsurance, if any. The rules pertaining to these matters, as applicable, must be provided in writing by <br />Insurer to Administrator. The responsibilities of Administrator as to any of these matters shall be set forth <br />in the Agreement. It shall be the sole responsibility of Insurer to provide for competent administration of <br />its programs. Miss. Code Ann. § 83-18-13(1), (2). <br />6. Payment. <br />6.1 The Parties agree that Administrator will not collect any premiums or charges for insurance <br />paid by or on behalf of any Eligible Person for Insurer. The payment of return premiums or Claims by <br />Insurer to Administrator, if any, shall not be deemed payment to the Eligible Person or claimant until such <br />payments are received by the Eligible Person or claimant. Nothing herein shall limit any right of Insurer <br />against Administrator resulting from its failure to make payments to the Eligible Persons or claim- <br />ants. Miss. Code Ann. § 83-18-7. <br />6.2 To the extent Administrator pays a Claim from money collected for or on behalf of Insurer, <br />such Claim shall be paid by on drafts or checks of and as authorized by Insurer. Miss. Code Ann. § 83- <br />18-15(4). <br />7. Compensation. <br />7.1 Administrator's compensation under the Agreement is not contingent upon savings ef- <br />fected in the adjustment, settlement, and payment of losses covered by Insurer's obligations. This provision <br />shall not prohibit Administrator from receiving performance-based compensation for providing auditing <br />services and shall not prevent Administrator's compensation from being based on charges collected or the <br />number of Claims paid or processed. Miss. Code Ann. § 83-18-17(1). <br />7.2 Administrator shall disclose to Insurer all charges, fees, and commissions received from <br />all services in connection with the provision of administrative services for Insurer, including any fees or <br />commissions, if any, paid by insurers providing reinsurance. Miss. Code Ann. § 83-18-19(3). <br />8. Notice to Eligible Persons. Administrator shall provide a written notice approved by Insurer to <br />Eligible Persons advising them of the identity of, and relationship among, Administrator, Eligible Person, <br />and Insurer. Miss. Code Ann. § 83-18-19(1). Any policies, certificates, booklets, termination notices, or <br />other written communications delivered by Insurer to Administrator for delivery to Eligible Persons shall <br />129 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />