HomeMy WebLinkAboutAgreements/Contracts - Human ResourcesNOTE TO FILE:
Signed by BOCC on 1/22/19 without being on ASC agenda
(walked on by Kirk in his HR agenda):
Amendment to Administrative Services Agreement, Healthcare
Management Administrators (HMA) Effective January 1, 2018.
K19-009
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HEALTHCARE MANAGEMENT AOM1MSTRA7ORS
Amendment to Administrative Services Agreement
This amendment shall modify the Administrative Services Agreement ("Agreement")
between Grant County ("the Plan Sponsor'), Plan Sponsor's self-funded group health
plan known as Grant County Plan ("GHP") and Healthcare Management Administrators,
Inc. ("HMA"). This Amendment is effective January 1, 2018. (Effective Date).
The following language is added to the Agreement under Section 10 as of the Effective
Date.
(a) Benefit Carve Out. The Plan Sponsor has chosen to carve out facility
outpatient dialysis services and use a carve out vendor to administer those
services. HMA shall have no responsibility whatsoever for anything relating
to the carved out services, including, without limitation, access to provider
networks, provider rates, billings, ID card issuance, claim and appeal
administration, care management, fiduciary services, pre -authorization,
benefit design and eligibilty.
(b) In the event Plan Sponsor requests HMA to provide eligiblity, claims data or
other requested Plan information relating to the Plan and enrolled members to
Plan Sponsor's chosen carve out vendor, HMA will comply with Plan
Sponsor's request with the express understanding that HMA shall have no
liability whatsoever for performing this request. If Plan Sponsor requests the
carve out vendor to provide to HMA accumulator data for active dialysis
patients receiving carve out services for the purpose of coordinating stop loss
claim submissions and member out of pocket expense tracking, HMA's
receipt and use of such information on behalf of Plan Sponsor and the GHP
shall not give rise to any liability by HMA and HMA is entitled to rely on
such information without recourse.
(c) Plan Sponsor and GHP, jointly and severally, shall indemnify, defend and
hold HMA and all its affiliates, directors, officers, employees and agents
harmless from and against any and all liabilities,,, obligations, losses, damages,
taxes, claims actions and suits of any kind or nature, including without
limitation, costs, fees, expenses, exemplary, consequential, statutory, and
common law damages of any kind and nature relating in any way whatsoever
to the carve out of dialysis services from the Agreement.
(d) If Plan Sponsor and/or the GHP fail to accept tender of defense and indemnity'
within 10 days of receipt of notice from HMA, HMA may select counsel of its
own choosing and the Plan Sponsor shall be responsible for payment of
HMA's attorney's fees incurred, in addition to any indemnity obligation.
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(e) The provisions of this Amendment to the Agreement shall survive the
termination of the Agreement.
By the Signature below, Plan Sponsor and the GHP agree that each has read this
Amendment and accepts and agrees to each and every term and condition herein.
Grant County Plan
By;
Name:
Title:
Date:
Healthcare Management Administrators, Inc.
By:
Name: Steve Suter
Title: President, CEO
Date:
Grant County
By:
1 l a
Name:
WK a
Title:
Date:
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