HomeMy WebLinkAboutResolution # 3824 - group enrollment agreement with health allianceRESOLUTION NO. 3824
A RESOLUTION APPROVING A GROUP ENROLLMENT AGREEMENT
BETWEEN THE CITY OF CANTON AND HEALTH ALLIANCE, AND
DIRECTING THE MAYOR AND CITY CLERK TO EXECUTE AND DELIVER
SAID AGREEMENT ON BEHALF OF THE CITY OF CANTON, ILLINOIS.
WHEREAS, the Finance Committee of the City of Canton has determined that it is
necessary and in the best interest to enter into an agreement with Health Alliance to
administer the City's health insurance products as set forth in Exhibit A attached hereto
and incorporated herein; and,
WHEREAS, the City Council of the City of Canton has made a similar determination.
NOW, THEREFORE, BE IT RESOLVED by the Mayor and the City Council of the
City of Canton, Illinois, as follows:
1. That the Agreement attached hereto and incorporated herein as Exhibit A was hereby
approved by the Canton City Council.
2. That the Mayor and City Clerk of the City of Canton, Illinois are hereby authorized
and directed to execute and deliver said Agreement on behalf of the City of Canton.
3. That this Resolution shall be in full force and effect immediately upon its passage by
the City Council of the City of Canton, Illinois and approval of the Mayor thereof.
PASSED by the City Council of the City of Canton, Illinois at a regular meeting this
G.rh day of ~ e~t~~. , 2007 upon a roll call vote as follows:
AYES: Aldermen Berardi, Safff, West, Nidiffer, Meade, Strandberg, Lewis.
NAYS: None ,
ABSENT: Alderman Schenck..
APPROVED:
ti• ~ ,..
ATTEST: ~ (,~ ~, ' ~ XL`~~[i'
ancy Whi s, City Clerk
,~
GROUP ENROLLMENT AGREEMENT
BETWEEN
Health Alliance Medical Plans, Inc.
AND
City of Canton
Effective Period:
May 1, 2007 - Apri130, 2008
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TABLE OF CONTENTS
Section 1. General Purpose
Section 2. Definitions
Section 3. Obligations of Plan Sponsor
Section 4. Obligations of Health Alliance
Section 5. Ineligible Participants
Section 6. Legal Relationship Between Parties
Section 7. Rights of Parties and Members
Section 8. Term and Termination of Agreement
Section 9. Health Alliance Insolvency
Section 10. Amendments or Assignments
Section 11. Non-Discrimination
Section 12. Applicable Law and Dispute Resolution
Section 13. Notices
Section 14. Entire Contract
Section 15. Miscellaneous
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GROUP ENROLLMENT AGREEMENT
THIS AGREEMENT, executed in duplicate, each of which shall be considered an
original, is made and entered into between Health Alliance Medical Plans, Inc. ("Health
Alliance"), an Illinois domestic stock insurance corporation, with its principal office at 301
South Vine Street, Urbana, Illinois and City of Canton at 2 N Main, Canton, IL ("Plan
Sponsor").
RECITALS
WHEREAS, Health Alliance is a domestic stock insurance corporation validly organized,
duly authorized, and certified to do business in the State of Illinois to underwrite and issue health
insurance products, including but not limited to, HMO, PPO and POS type products; and
WHEREAS, Plan Sponsor employs individuals or has members ("Eligible Participants")
who it desires to obtain coverage for health care services for said Eligible Participants and their
Dependents from Health Alliance in accordance with the terms and conditions of the health
welfare benefit plan ("Plan") established by the Plan Sponsor; and
WHEREAS, Health Alliance and Plan Sponsor desire to enter into an agreement by
which Plan Sponsor will make available to Eligible Participants under the Plan the option of
obtaining coverage for health care services through health insurance products issued by Health
Alliance.
NOW, THEREFORE, in consideration of the promises, the above-stated recitals, which
are incorporated herein by this reference, and other valuable consideration, the adequacy and
receipt of which is hereby acknowledged, Health Alliance and Plan Sponsor agree as follows:
Section 1. GENERAL PURPOSE
1.1 The intent of this Agreement is to establish a harmonious relationship between
Health Alliance and the Plan Sponsor in regard to making available to Eligible
Participants the option of electing coverage for health care services under the
terms and conditions of this Agreement and the health insurance products
underwritten and issued by Health Alliance.
Section 2. DEFINITIONS
2.1 The definitions contained in Exhibit "A" the health insurance product elected by
an Eligible Participant, together with any Face Sheets, Amendments and Riders
attached thereto, ("Subscription Certificate"), in effect from time-to-time and
issued by Health Alliance to Eligible Participants who elect coverage under such
product are incorporated herein by this reference and shall, for the purposes of
this Agreement, have the same meaning and effect as set forth therein. True and
correct copies of the forms of the Subscription Certificate presently in effect for
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the health insurance products to be offered by the Plan Sponsor to Eligible
Participants under this Agreement are attached hereto and marked singularly or
collectively as Exhibit "A".
Section 3.OBLIGATIONS OF PLAN SPONSOR
3.1 Eligibility and Enrollment: Plan Sponsor shall make available to Eligible
Participants the opportunity to elect coverage for health care services pursuant to
the terms and conditions of the health insurance products issued by Health
Alliance, identified in Exhibit "A" referred to in Section 2, and pursuant to the
terms and conditions of the Health Alliance Eligibility and Enrollment
Requirements that are attached hereto and marked as Exhibit "B" and which by
this reference are incorporated herein.
3.2 Contribution Requirements: Plan Sponsor shall contribute towards the payment
of the monthly premium for each Eligible Participant's coverage under the
selected Subscription Certificate an amount equal to or greater than the Health
Alliance minimum employer contribution referred to in Exhibit "B". Such
contributions shall not financially discriminate against Eligible Participants
electing coverage pursuant to the Subscription Certificate and shall be
proportionately equal to Plan Sponsor's contributions for Eligible Participants
who elect other plans of coverage offered by Plan Sponsor.
3.3 Remittance of Premiums: Plan Sponsor shall collect and remit to Health
Alliance the full monthly premiums on behalf of any Member for coverage under
the Subscription Certificate attached hereto as follows:
Commencement
(1) 1 sc-15cn
of month
(2) 16cn-31 Sc
of month
Payment
On or before 1 Sc day of the
month coverage commences.
On or before 1 Sc day of the
month following commencement
of coverage.
Coverage under the Subscription Certificate shall commence for each Member on
the date specified in writing by the Plan Sponsor to Health Alliance,
notwithstanding the fact that the day specified may not be the first day of a
calendar month; except that no coverage will be provided for any Member who
enrolled on or between the sixteenth (16cn) and the thirty-first (31St) days of a
calendar month and whose Group membership is terminated on or prior to the
fifteenth (15cn) day of the following month. Plan Sponsor will not be entitled to a
premium refund for such terminated Member. Plan Sponsor shall collect and
remit all monthly premiums for continuation coverage provided pursuant to this
Agreement. Plan Sponsor shall not be obligated to remit premiums for
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continuation coverage of any Member in the event Plan Sponsor does not receive
payment for the same from the Member. All premiums, including those for
continuation coverage, shall be due on the first (1 S`) day of each month
commencing with the effective date of this Agreement. If the premium for any
Member is not paid within thirty-one (31) days after it becomes due, the
Member's coverage under the Subscription Certificate shall be terminated as of
that date or as otherwise maybe provided bylaw.
3.4 Termination and Premium Remittance: For a Member whose coverage under
the Subscription Certificate is terminated because of termination of employment
or membership, relocation outside of the HMO Service Area (if HMO coverage is
elected), change in status as a Dependent, divorce or legal separation from a
Member, death of a Member, becoming entitled to Title 18 Social Security
Benefits, or otherwise, and the Member does not elect continuation coverage, Plan
Sponsor shall not be required to collect and remit monthly premiums on behalf of
such a Member, if the effective date of coverage termination occurs on or between
the first (ls`) and the fifteenth (15`h) day of a calendar month. If the effective date
of termination occurs on or between the sixteenth (16`'') and the thirty-first (31 S`)
day of a calendar month, Plan Sponsor shall remit to Health Alliance the full
monthly premium on behalf of the Member for that month.
3.5 Effective Dates of Coverage and Termination: Plan Sponsor shall, within ten
(10) days of the date coverage commences and/or terminates for each Member
under the applicable Subscription Certificate, send written notice to Health
Alliance of the effective date of each of such events. Health Alliance shall be
entitled to rely on such notice as the warranty of Plan Sponsor and its
representatives concerning the effective date of commencement and termination
of the Member's coverage. Plan Sponsor shall not be entitled to receive a refund
of any portion of a premium paid to Health Alliance as a result of Plan Sponsor's
failure to accurately notify Health Alliance, in writing, of the effective date of
termination of the Eligible Participant's employment or membership.
3.6 Continuation Coverage Notice to Members: Upon the occurrence of a
qualifying event, as defined in the Consolidated Omnibus Budget Reconciliation
Act (COBRA"), Public Law 99-272, (29 U.S.C. Section 1161, et seq.) as
amended from time-to-time, and as defined in the State of Illinois continuation
coverage regulations, the Plan Sponsor shall provide to each Member notice of
the Member's right to elect continuation coverage pursuant to the provisions of
COBRA and/or state continuation.
3.7 Notice of Termination of Agreement: Plan Sponsor shall promptly notify Health
Alliance of the occurrence of any of the following events, which constitute
"causes" for termination of this Agreement under Section 8.2: (i) dissolution of
the Plan Sponsor, by operation of law or otherwise; (ii) in the event of HMO
coverage, Plan Sponsor withdrawing its business, or a portion thereof, from the
Service Area and no longer maintaining business activities within the Service
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Area utilizing full-time active employees.
3.8 Continuation of Coverage For Non-Renewal of Contract After Termination
of Agreement: Notwithstanding any other provision of this Agreement to the
contrary, a Member's right to elect or receive continuation coverage under the
terms of this Agreement shall not survive the termination of this Agreement.
Continuation coverage for Members who elected such coverage prior to the
termination of this Agreement shall terminate upon the effective date of the
termination of this Agreement. Plan Sponsor shall provide notice to each Member
who has elected continuation coverage under the terms of this Agreement of the
effective date of termination and of the Members' rights to elect conversion
coverage thereafter pursuant to the provisions of COBRA.
3.9 Member Non-Liability: In no event, including but not limited to, nonpayment by
Health Alliance under this Agreement, Health Alliance's insolvency, or breach of
this Agreement by Health Alliance, shall Plan Sponsor seek any type of payment
from, bill, charge, collect a deposit from, seek compensation, remuneration or
reimbursement from, or have any recourse against any Member, persons acting on
the Member's behalf (other than Health Alliance), if any, for services provided
pursuant to this Agreement.
Section 4. OBLIGATIONS OF HEALTH ALLIANCE
4.1 Acceptance for Enrollment: Health Alliance shall accept for enrollment Plan
Sponsor's Eligible Participants who meet the Eligibility Enrollment Requirements
as set forth in Exhibit "B" attached hereto.
4.2.1 Health Care Services Pursuant to Subscription Certificate: Commencing with
the effective date of this Agreement set forth in Section 8.1, Health Alliance shall
arrange for and/or pay for covered health care services described in the
Subscription Certificate issued by Health Alliance to Eligible Participants, and as
amended by Health Alliance from time-to-time during the terms of this
Agreement. Health Alliance's obligation to arrange for and/or pay for covered
health care services under the respective Subscription Certificate shall also be
subject to the limitations, Co-payments, Coinsurance or Deductible amounts and
eligibility requirements set forth in Exhibit "B".
4.2.2 Health Alliance does not deliver services to Members. Health Alliance has
undertaken through its various products to arrange for and/or pay for the coverage
of health care services to Members and has entered into agreements with various
health care providers for the purpose of providing and delivering health care
services to Members entitled to such services under the terms and conditions of
the Subscription Certificate. Among the provisions of these agreements is the
reimbursement of the health care providers for the cost of the health care services
delivered and provided to Members. Health Alliance and the health care providers
are independent contractors with each responsible for the performance of their
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respective duties under the contracts. The decision to receive or decline any health
care service is the sole responsibility of the Member, the Member's legal guardian
or the Member's authorized representative.
4.2.3 For HMO Plans, Health Alliance has provided in its agreements with the
providers it contracts ("Participating Providers") that in the event of Health
Alliance's insolvency or other cessation of operations, the Participating Providers
will provide Medically Necessary covered services to Members through the
period for which a premium has been paid to Health Alliance. Participating
Providers will provide Medically Necessary covered services to Members
confined in an inpatient facility on the date of insolvency or other cessation of
operations until their discharge.
4.2.4 For HMO Plans, Health Alliance has provided in its agreements with the
Participating Providers that it will provide the Participating Providers with initial
information and adequate notice of change in benefits, co-payments, and all
operational policies and procedures that Participating Providers must comply as a
condition of participation.
4.2.5 Plan Sponsor shall have no obligation with respect to the Subscription Certificate
or with respect to the health care services described therein, except to the extent
of its obligation under this Agreement.
4.3 Premium Payments: Premium payments payable each month on behalf of
Members for coverage under the respective Subscription Certificate during the
term of this Agreement as specified in Section 8.1, and any adjustments thereto,
shall be as set forth in Exhibit "C", which is attached hereto, and by this reference
is incorporated herein.
4.4 Premium Changes: Except as set forth below, Health Alliance will not increase
the premiums for coverage of health care services described in the Subscription
Certificate issued to an Eligible Participant pursuant to their election of coverage
hereunder during the term of this Agreement. Health Alliance may, at any time
upon the occurrence of one or more of the following events, increase or decrease
the premiums for coverage of health care services described in the Subscription
Certificate: (i) the number of Eligible Participants changes by more than 20%; or
(ii) a change in federal or state law that effects the level of health care services
Health Alliance is required to provide under the Subscription Certificate that
results or may result in a change in the level of the cost of health care services to
Health Alliance; or (iii) discovery subsequent to the date of this Agreement of
information if known to Health Alliance at the time the Agreement was entered
into would have materially affected the acceptance of the risk by Health Alliance.
4.5 Forms: Health Alliance shall provide Plan Sponsor with all forms necessary for
its Eligible Participants to elect coverage for the health care services under the
health insurance products identified in Exhibit "A" and to effectuate the other
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terms of this Agreement.
Section 5. INELIGIBLE PARTICIPANTS
5.1 Persons not eligible to participate in Health Alliance through the Group are: (i)
proprietors, partners, stockholders, directors and their relatives unless they are on
the payroll and meet the hours worked and minimum employer contribution
requirements; (ii) former employees unless covered pursuant to COBRA; (iii)
consultants, lawyers and individuals retained on an advisory basis; (iv) agents and
independent contractors; (v) temporary or substitute employees; and (vi)
individuals who do not meet the definition of Dependents as specified in the
Subscription Certificate.
5.2 Early retirees are not eligible unless covered pursuant to COBRA or the Group
makes a contribution towards their health insurance coverage. The Group must
establish reasonable age and service requirements for retirees to be covered.
Retirees with Medicare A and B as primary coverage are not eligible for benefits
under the Indemnity Plan.
Section 6. LEGAL RELATIONSHIP BETWEEN PARTIES
6.1 Purposes: The relationship between Health Alliance and Plan Sponsor during the
term of this Agreement is that Health Alliance under its HMO Subscription
Certificate arranges for and pays for health care services, and under other
Subscription Certificates reimburses the Provider for which the Member received
out-of-network health care services; and Plan Sponsor is the administrator of the
Plan.
6.2 Independent Contractors: Notwithstanding any of the provisions of this
Agreement, each party is acting independently of the other in their respective
capacities concerning the provisions of this Agreement; and further, this
Agreement shall not be construed to mean that either of the parties is acting as the
agent, employee or representative of the other, but, in fact, each party recognizes
that it is acting in the capacity of an independent contractor concerning the
obligations of each pursuant to this Agreement.
6.3 No Implied Rights or Authority: Neither Health Alliance or Plan Sponsor now
has, or at any time in the future shall have, any express or implied rights or
authority to assume or create any obligation or responsibility on behalf of, or in
the name of, the other, unless such obligation or responsibility is mutually agreed
to by the parties and is evidenced by an amendment in writing to this Agreement
signed by both parties.
6.4 ERISA Reporting: Plan Sponsor shall prepare and file all reports require
pursuant to the Employee Retirement Income Security Act of 1974 (29 U.S.C.
Sec. 1001, et. seq.) and the United States Internal Revenue Code, as amended
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from time-to-time. If some or all of the information necessary to enable the Plan
Sponsor to comply with the above-referenced requirements is maintained by
Health Alliance, it shall provide that information to Plan Sponsor upon request.
Section 7. RIGHTS OF PARTIES AND MEMBERS
7.1 Nothing in this Agreement, whether expressed or implied, is intended to confer
any rights or remedies under or by reason of this Agreement on any person other
than the parties to it and their respective successors and assigns, nor is anything in
this Agreement intended to relieve or discharge the obligation or liability of any
third person to any party to this Agreement, nor shall any provision give any third
person any right of subordination or action over or against any party to this
Agreement.
7.2 The rights of each Member arise out of, and are subject to, the terms and
provisions of the Subscription Certificate issued to them by Health Alliance and
not out of any of the terms or provisions of this Agreement.
7.3 Health Alliance is obligated by federal and state law to protect and keep
confidential certain information it receives and/or maintains with respect to
Members. Such information will be disclosed by Health Alliance to Plan Sponsor
or its authorized representative only upon presentation by Plan Sponsor of an
original consent and authorization signed by the Member or the Member's legal
representative, which consent and authorization is in a form acceptable to Health
Alliance and which specifies the information to be released.
Section 8. TERM AND TERMINATION OF AGREEMENT
8.1 Effective Date and Term: The effective date of this Agreement shall be the 1St
day of May and the term shall extend to and include the 30th day of April unless
sooner canceled or terminated as provided for herein. At the end of the first year
of this agreement and at the end of each year thereafter, this Agreement shall
automatically be renewed for an additional one (1) year term, unless written
notice by either party to the other of its intent not to renew the Agreement is given
at least thirty-one (31) days prior to the end of the Agreement year. Exhibits "B"
and "C" will be renewed each year in a like manner unless notice of any change in
the Exhibits by either party is given to the other party at least thirty-one (31) days
prior to the end of the Agreement year. Such amended Exhibits "B" and "C" shall
be attached hereto and by this reference incorporated herein.
8.2 Termination for Cause: This Agreement maybe terminated by either party "for
cause" by giving the other party thirty-one (31) days notice in writing of such
intention to terminate this Agreement. For the purposes of this Paragraph,
"termination for cause" is defined as termination for: (i) an intentional or willful
violation of any of the provisions of this Agreement by a party; (ii) failure by a
party to abide by all applicable state and federal laws and regulations that pertain
HAGEA-00 9
to them; (iii) dissolution of the Plan Sponsor, by operation of law or otherwise;
(iv) Plan Sponsor's current membership level falls below twenty-five percent
(25%); (v) in the event of HMO coverage, Plan Sponsor withdrawing its business,
or a portion thereof, from the Service Area and no longer maintaining business
activities within the Service Area utilizing full-time active employees. The party
seeking to terminate this Agreement "for cause" must specify in writing to the
other party the nature of the "cause" resulting in the termination. The Group
agrees to continuously maintain the required participation established in (iv)
above and understands that if the required participation is not maintained the
Group will have sixty (60) days to meet the participation requirements or
coverage will be terminated.
Section 9. HEALTH ALLIANCE INSOLVENCY
9.1 Health Alliance has taken the following steps, in addition to the requirements of
federal and state law applying to it relating to Member non-liability, to ensure in
the event of its insolvency the provision to Members of the covered health care
services to which they are entitled under the Subscription Certificate issued to
them by Health Alliance:
9.1.1 Health Alliance has in place and shall maintain at all times during the term of this
Agreement the minimum capitalization and deposit requirements required by the
provisions of the Illinois Insurance Code and the Illinois Department of Insurance,
and the federal Health Maintenance Organization Act;
9.1.2 Health Alliance has in place and shall maintain at all times during the term of this
Agreement insolvency insurance insuring against liabilities incurred for claims by
Members for the thirty (30) day period prior to the date of insolvency;
9.1.3 Health Alliance has in place and shall maintain at all times during the term of this
Agreement a policy of reinsurance covering the cost of claims in excess of the per
Member per year amounts presently in force; and
9.1.4 Health Alliance shall timely pay all assessments tendered by the Illinois Health
Maintenance Organization Guaranty Association during the term of this
Agreement.
Section 10. AMENDMENTS OR ASSIGNMENTS
10.1 Amendments: Except as otherwise expressly set forth herein, including without
limitations Section 10.1, 12.3 and 15.4, this Agreement shall not be amended,
altered, changed or assigned at any time without the express written consent of
each of the parties hereto and any such amendments of this Agreement shall be by
written amendment signed by each of the parties and made a part of this
Agreement. The foregoing notwithstanding, Health Alliance shall have the right
to amend this Agreement upon thirty (30) days notice to Plan Sponsor in order to
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conform the terms and provisions hereof to applicable state and federal law.
10.2 Assignments: The specific duties and obligations of the parties as set forth in this
Agreement shall not be assigned or transferred to other persons or entities without
the express written consent of both parties hereto, which written consent shall not
be unreasonably withheld.
Section 11. NON-DISCRIMINATION
11.1 Health Alliance: Health Alliance shall not discriminate against any person on the
basis of age, sex, race, religion, origin, health status, physical or mental condition,
national origin or source of payment.
11.2 Plan Sponsor: Plan Sponsor shall not discriminate against any person on the
basis of age, sex, race, religion, origin, health status, physical or mental condition,
national origin or source of payment.
Section 12. APPLICABLE LAW AND DISPUTE RESOLUTION
12.1 This Agreement shall be governed by and construed in accordance with the laws
of the State of Illinois.
12.2 For purposes of this Section, "Dispute" means any conflict, disagreement,
demand or claim between Plan Sponsor and Health Alliance arising out of or
related to the interpretation or application of this Agreement or breach thereof.
12.3 Resolution of Disputes shall be subject to good faith negotiation between the
parties. The complaining party shall notify the other party in writing of such
Dispute and the parties shall attempt to resolve the Dispute within ninety (90)
days of the date of such notice, or within such time as is mutually agreed upon by
the parties in writing. In the event the Dispute cannot be settled by the mutual
cooperation of the parties, Health Alliance, or its designated representative, shall
refer the appeal to an independent review organization identified by a nationally
recognized professional board or association or to a nationally recognized
arbitration service, such as the American Arbitration Association or the National
Health Lawyers Association Alternative Dispute Resolution Service. Health
Alliance and Plan Sponsor shall share equally in paying any fee charged by such
independent review organization or arbitration service. The parties hereto shall be
legally bound by the outcome of any such appeal. Health Alliance reserves the
right to amend this appeal procedure at any time and shall notify Plan Sponsor of
any such amendment.
12.4 An arbitration provision is not a substitute for a party's right to maintain a legal
action if the party so desires; and in no way affects or limits the parties ability to
take legal action in a court of law, prior to voluntarily agreeing to enter into an
arbitration proceeding. Any controversy or claim arising out of or relating to this
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11
agreement, or the breach thereof, maybe settled by arbitration. The arbitration
will be conducted pursuant to the applicable rules of the American Arbitration
Association and in accordance with the Uniform Arbitration Act 710 ILCS 5/1
et.seq. within a reasonable time limit (30 days after the parties agree to arbitrate
their dispute is a reasonable time limit for selecting and appointing independent
arbitrators, 15 days is a reasonable time limit for an expedited review provision).
The arbitration maybe binding on both parties or non-binding upon the insured,
but in all instances must be entered into on a voluntary basis. Arbitrators must be
fair, impartial, and free of any conflicts of interest or the appearance of a conflict
of interest. By voluntarily agreeing to enter into an arbitration proceedings, the
parties should be aware and understand that they maybe giving up certain rights
to have their dispute settled in and by a court of law, except to the extent that
Illinois law may provide for judicial review of arbitration proceedings. An
arbitration provision in no way affects a party's ability to file a complaint with the
Illinois Department of Insurance in connection with a claim or any other dispute.
To contact the Department write to: The Illinois Department of Insurance,
Consumer Service Division, Springfield, Illinois 62767.
Section 13. NOTICES
13.1 Any notice required under the terms of this Agreement shall be sent by United
States mail with postage prepaid thereon, addressed as follows, and such notice
shall be effective upon the earlier of (i) receipt by the party to whom it is
addressed or (ii) one (1) day after such notice is sent:
City of Canton Health Alliance Medical Plans
Attn: Kathy Luker Attn: Marketing Department
2 N Main 301 South Vine St.
Canton, IL 61520 Urbana, IL 61801
13.1.1 In the alternative, notice may behand-delivered to the parties specified above at
the address stated and the person delivering such notice shall obtain a written
receipt specifying the date, time, place and to whom the notice was hand-
delivered.
Section 14. ENTIRE CONTRACT
14.1 This Agreement constitutes the entire contract between Health Alliance and Plan
Sponsor with respect to making available to Eligible Participants the option of
electing coverage for health care services under the terms and conditions of this
Agreement and the health insurance products underwritten and issued by Health
Alliance. This Agreement supersedes any and all previous agreements, whether
verbal or written, between the parties relating thereto. This Agreement maybe
changed, modified or amended only by a written agreement executed by Health
Alliance and Plan Sponsor.
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Section 15. MISCELLANEOUS
15.1 Severability and Supervening Laws: The invalidity or unenforceability ofany
term or provision of this Agreement shall not impair or affect any other provision
hereof which shall remain in full force and effect. Except that the parties
recognize that this Agreement at all times is to be subject to applicable state, local
and federal law. The parties further recognize that this Agreement shall be subject
to amendment in such laws and regulations and to new legislation. Any provisions
of the law that invalidate, or otherwise are inconsistent with, the terms of this
Agreement or that would cause one or both of the parties to be in violation of law,
shall be deemed to have superseded the terms of this Agreement, provided
however, that the parties shall exercise their best efforts to accommodate the
terms and intent of this Agreement to the greatest extent possible consistent with
the requirements of law. In the event the parties are unable to accommodate the
terms and intent of this Agreement to the greatest extent possible consistent with
the amended requirements of law, then this event shall be an additional "cause"
for termination under Section 8.2.
15.2 References and Section Headings: Any reference to the singular shall include
reference to the plural, and vice versa. The headings of the various sections of this
Agreement are not a part hereof, and are inserted merely for convenience in
locating different provisions and shall be ignored in construing this Agreement.
Any reference herein to a "Section" shall be interpreted as relating to the
identified section of this Agreement unless otherwise stated.
15.3 Authority: Each individual signing this Agreement warrants that such execution
has been duly authorized by the party for which he or she is signing. The
execution and performance of this Agreement by each party has been duly
authorized in accordance with all applicable laws and regulations and all
necessary corporate action has been taken, and this Agreement constitutes the
valid and enforceable obligation of each party in accordance with its terms.
15.4 Survival: It is the express intention and agreement of the parties hereto that
Sections 1, 2, 8.1, 8.2, 11.1, 11.2, 12.1, 12.2, 12.3, 12.4, 15.5, 15.6, and 15.8 shall
survive the termination of this Agreement for any reason.
15.5 Other Contracts: The parties to this Agreement agree to execute, acknowledge,
deliver, file and record any and all other notes, contracts or documents reasonably
necessary for the execution and performance of the terms, conditions, and intent
of this Agreement or to comply with the requirements ofany regulator or judicial
authority, upon the approval of their respective legal representatives.
15.6 Attorneys' Fees: In the event ofany litigation by any party to enforce or defend
its rights under this Agreement, including but not limited to, mandatory
arbitration of disputes as provided for in Section 12.3 above, the prevailing party,
in addition to all other relief, shall be entitled its costs and to reasonable attorneys'
HAGEA-00 13
fees.
15.7 Compliance With Applicable Laws: Each of the parties hereto shall abide by all
applicable state and federal laws and regulations that pertain to them.
15.8 Counterparts: This Agreement maybe executed in separate counterparts, each of
which when so executed shall be an original; but all such counterparts shall
together constitute but one and the same instrument.
1N WITNESS WHEREOF, the parties have executed this Agreement on the date and year
appearing under the signatory lines.
HEALTH ALLIANCE CITY OF CANTON
MEDICAL PLANS, INC.
By:
AT'
Dat
sy:
ATTEST:
Date:
HAGEA-00 14
Exhibit B
City of Canton
ELIGIBILITY REQUIREMENTS
Requirement Health Alliance Group Requirements
Descriptions Reauirements ns/n~ nnm _ na/zn/~nnQ
Benefits Administrator Varies by Group Kathy Luker
and/or Local Contact:
Total Number of Employees Eligible for
Health Insurance Benefits: (including Varies by Group 151
those em to ees who waive covera e)
Total Number of Employees:
(including those employees not eligible for Varies by Group 180
covera e
Service Area: Varies by Group Service Areas applicable to the Group:
To be eligible for enrollment in the Plan,
you must live or work within the Service
Area. Listed below are the counties within
which Health Alliance Medical Plans, Inc.,
is authorized to offer the Health Alliance
PPO Plan.
Adams, Alexander, Boone, Brown, Adams, Alexander, Boone, Brown,
Bureau, Carroll, Cass, Champaign, Bureau, Carroll, Cass, Champaign,
Christian, Clark, Clay, Coles, Crawford, Christian, Clark, Clay, Coles, Crawford,
Cumberland, DeWitt, Douglas, Edgar, Cumberland, DeWitt, Douglas, Edgar,
Edwards, Effingham, Fayette, Ford, Edwards, Effingham, Fayette, Ford,
Franklin, Fulton, Greene, Grundy, Franklin, Fulton, Greene, Grundy,
Gallatin, Hamilton, Hancock, Hardin, Gallatin, Hamilton, Hancock, Hardin,
Henderson, Henry, Iroquois, Jackson, Henderson, Henry, Iroquois, Jackson,
Jasper, Jefferson, Jersey, Johnson, Knox, Jasper, Jefferson, Jersey, Johnson, Knox,
LaSalle, Lawrence, Lee, Livingston, LaSalle, Lawrence, Lee, Livingston,
Logan, Macon, Macoupin, Marion, Logan, Macon, Macoupin, Marion,
Madison, Marshall, Mason, Massac, Madison, Marshall, Mason, Massac,
McDonough, McLean, Menard, Mercer, McDonough, McLean, Menard, Mercer,
Montgomery, Morgan, Moultrie, Ogle, Montgomery, Morgan, Moultrie, Ogle,
Peoria, Perry, Piatt, Pike, Pope, Pulaski, Peoria, Perry, Piatt, Pike, Pope, Pulaski,
Putnam, Randolph, Richland, Rock Putnam, Randolph, Richland, Rock
Island, Saline, Sangamon, Schuyler, Scott, Island, Saline, Sangamon, Schuyler, Scott,
Shelby, St. Clair, Stark, Stephenson, Shelby, St. Clair, Stark, Stephenson,
Tazewell, Union, Vermilion, Wabash, Tazewell, Union, Vermilion, Wabash,
Washington, Warren, Wayne, White, Washington, Warren, Wayne, White,
Whiteside, Williamson, Winnebago, Whiteside, Williamson, Winnebago,
Woodford, Boone (Iowa), Calhoun Woodford, Boone (Iowa), Calhoun
(Iowa), Carroll (Iowa), Clinton (Iowa), (Iowa), Carroll (Iowa), Clinton (Iowa),
Dallas (Iowa), Greene (Iowa), Hamilton Dallas (Iowa), Greene (Iowa), Hamilton
(Iowa), Hardin (Iowa), Jasper (Iowa), Lee (Iowa), Hardin (Iowa), Jasper (Iowa), Lee
(Iowa), Marshall (Iowa), Polk (Iowa), Sac (Iowa), Marshall (Iowa), Polk (Iowa), Sac
(Iowa), Scott (Iowa), Story (Iowa), Tama (Iowa), Scott (Iowa), Story (Iowa), Tama
(Iowa), Webster (Iowa), Wright (Iowa) (Iowa), Webster (Iowa), Wright (Iowa)
Eligibility Requirements:
(1) Number of Hours Worked: Employees must be actively at work 40
averaging [20-40] or more hours per week
with the exception of approved leaves of
absence.
(2) Effective Date of Dependent Coverage may continue through the last day 19/25 Last Day of the Month
Coverage Termination: of the birth month if age [ 19-27]. For
full-time students, coverage may continue
through [the last day of the month of
graduation] OR [through the day of
graduation], cessation of studies or
age [19-27], whichever is earlier.
(3) Effective Dates of Coverage: New Hires: Coverage is effective the first First of the Month Following One Complete
Applications must be submitted within of the month following [30, 60, 90, {or Calendar ~'~tP'of Employment
31 days from the eligibility date or specify} days] of employment.
during a special enrollment period.
Otherwise, "Late Entrant" coverage Late Entrants: Coverage is effective the
applies. first of the month after Health Alliance Same as Standard
receives the Group application/change form.
A pre-existing condition limitation period of
up to 18 months could apply.
(4) Effective Date of Employee Coverage Coverage terminates the date the employee Coverage Terminates at the End of the
Termination: leaves employment. Premiums for the Month in which the Employee Leaves
Group shall not be entitled to receive a month of termination are payable according
refund of any portion of a premium to the 15th of the month rule. See
paid to Health Alliance as a result of the "Remittance of Premiums", Section 3.3 of
Group's failure to accurately notify the Group Enrollment Agreement.
Health Alliance in writing within 31
days of an employee's effective date of
termination.
Layoff Policy: Employees on temporary layoff authorized Same as Standard
Health Alliance will allow employees by the Group will be allowed to pay 100%
on temporary layoffs longer than six of their own premium for a maximum of six
months to remain on the Plan if the months.
Group resumes monthly contributions
for these employees that meet or exceed There must be a documented bona fide
the "Minimum Group Contribution" reason to believe that the employee will be
after the initial six month period. recalled in six months or less.
Return from Layoff Policy: Coverage is effective immediately upon Same as Standard
return from layoff.
Leave of Absence Policy: Employees on leaves of absence (medical, Same as Standard
Health Alliance will allow employees disability, education or personal leave)
on leaves of absence longer than six authorized by the Group will be allowed to
months to remain on the Plan if the pay 100% of their own premium for a
Group resumes monthly contributions maximum of six months.
for these employees that meet or exceed
the "Minimum Group Contribution" There must be a documented bona fide
after the initial six month period. reason to believe that the employee will
return to work upon conclusion of the leave
of absence.
Return from Leave of Absence Policy: Coverage is effective immediately upon Same as Standard
return from leave of absence.
Rehire Policy: Treat as a new hire. Same as Standard
Job Status Change Policy: Treat as a new hire. Same as Standard
Non-benefit eligible to benefit eligible
Transfer Policy: Coverage is effective the first of the month Not Applicable
following the date of transfer.
Retiree Coverage: Yes/No
In order to be eligible at retirement, Varies by Group yes
retirees must receive at least a 25%
contribution from their former Group
toward the cost of the single premium
rate or the retiree must be "Primary
Medicare Eligible."
- ";Medicare Eligible" Policy: HMO Benefits: Same as Standard
This policy applies to certain retired If a "Medicare Eligible" Member does not
employees age 65 and older and their elect Part B coverage when they are first
covered dependents, and disabled eligible then Health Alliance shall
persons eligible for Medicare primary determine payment as if the Member had
coverage. elected Part B coverage. This is required for
small and large Groups.
Indemnity Benefits:
"Medicare Eligible" Members are not
eligible for Health Alliance Indemnity
benefits.
Minimum Group Contribution: t
For full-time employees, Health Varies by Group. Specific employer Employees Pay 3% of e For All
Alliance requires a Minimum Group contribution should be identified when it is Coverages; ~~y
Contribution of 50% toward the cost of greater than the required 50%.
0
the single premium. Contributions for .p
part-time employees can be reduced by If employer contribution is 100%, all ~
d
the ratio of part-time to full-time hours. eligible employees are required to
participate.
Pre-existing Condition Limitation Policy: Apre-existing condition limitation period of No Pre-Existing Limitation Period Will
up to 12 months will apply to initial Apply.
enrollees and new hires.
Remittance of Premiums: Premiums must be paid by the first of each Same as Standard
month. A 31-day grace period is allowed
before automatic termination.
Special Enrollment Period: This period represents a time in which an Newly Married Spouse:
Any eligible Dependent may enroll individual may enroll in Health Alliance: No Pre-Existing Limitation Period Will
during a special enrollment period. Apply,
Applications must be submitted within 1) [f there has been a change in family
31 days from the date of the event. status involving a newly married Newborn:
Otherwise, "Late Entrant" coverage spouse, newborn, newly adopted child, No Pre-Existing Limitation Period Will
applies. stepchild or a legal guardianship Apply.
change. Coverage would then be
effective upon the date of the event. Newly Adopted Children:
No Pre-Existing Limitation Period Will
2) If other coverage was terminated as a Apply.
result of loss of job/loss of coverage
provisions. Loss ofjob/loss of Loss of Job/Loss of Coverage:
coverage provisions include divorce, No Pre-Existing Limitation Period Will
death of the spouse, termination of the Apply.
spouse's employment (voluntary or
involuntary), termination of the plan by
the spouse's group, modification of the
plan by the spouse's group to terminate
coverage for the class of employees of
which the spouse is a Member or
expiration of COBRA coverage with
another Group. Coverage would then
be effective the day after the coverage
was lost.
ronnlll:69664
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