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HomeMy WebLinkAboutIsland Group Admin 2004 ET,17,ABETIt A. NEVILI.I~,
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF IN-FORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou~holdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOW-N OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 807 OF 2003
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON DECEMBER 16, 2003:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Suoervisor Joshua Y. Horton to execute an a~reement with Island Grouo Administration,
Inc. for administration of the Town of Southold Emolovee Health Plan for the 2004
calendar year, said agreement subject to the approval of the Town Attorney.
Elizabeth A. Neville
Southold To~vn Clerk
Island Group a dministration, Inc.
Corporai'e Offices
3 Toilsome Lane, East Hampton, New York 11937
Phone: (631/324-2306 or N800-926-2306
Fax: (6311 32~7021 or (631/ 32c)-0152
ISLAND GROUP ADMINISTRATION, INC.(IGA), a New York Corporation,
with corporate offices located at 3 Toilsome Lane, East Hampton,
New York 11937, agrees to render Health Benefits Services to its
self-insured client:
TOWN OF SOUTHOLD
53095 Main Road
Southold NY 11971
for a period of ONE (1) year, commencing on the 1st day of
January 2004, and terminating on the 31st day of December 2004.
ISLAND GROUP ADMINISTP~ATION AGREES TO:
1. PROGRAM DEVELOPME1TT
A)
Consult with key personnel of your staff on the
necessary procedures, practices and coordination to
meet your summary plan requirements.
B)
Participate in the orientation of all your staff
involved directly or indirectly in the processing of
health related claims.
c)
Provide information on changes in legislation, rules
and regulations affecting the self-insured employer.
D)
Employ an automated claims-processing system. Reports
generated by this system can be customized to meet the
self-insured's needs, if required.
E)
Design and prepare the necessary claims media or assist
in the modification of existing media where required.
Typically, this material consists of: 1) enrollment
cards; 2) identification cards; 3) prescription drug
cards; 4) claim forms; 5)checks; 6)E.O.B.s, 7) PPO
Booklets, etc. The cost of printing the required media
is an expense of the self-insured.
2. ADMINISTRATION
A)
Maintain "hard" claim files, which shall be available
to the self-insured at reasonable times for inspection
or audit. The self-insured has the right to employ an
independent auditor to perform an audit. All costs
associated with the audit are the financial
responsibility of the self-insured.
Maintain current estimates of the cost of all
anticipated benefits on each case.
c)
Island Group will recommend on behalf of the
self-insured what benefits, if any, should be paid or
rendered in accordance with the summary plan booklet,
and make such payments on behalf of the self-insured
from funds supplied by the self-insured, under a system
agreeable to both the self-insured and Island Group
Administration.
D)
Conduct investigations of cases by our staff as in its
judgment are deemed necessary.
E)
Arrange where necessary for medical evaluation on
behalf of the self-insured by consultants, as the
summary plan will allow. The cost of these consultants
will be borne solely by the self-insured.
F)
Conduct a pre-admission review
surgery, if necessary. Findings will
self-insured and covered individuals.
of elective
be rendered to the
Hospital reviews will be conducted weekly and/or as
necessary. Cases that will be reviewed are as follows:
1) Ail New York hospital billings will be reviewed for
accuracy, coding and pricing.
2) Medicare EOBs will be examined for accuracy and
payment.
H)
i)
J)
3) Charges not justified by length of stay.
4) Charges unrelated or normally unassociated with
treatment.
5) Charges in excess of Reasonable and Customary, or in
excess of the Medicare allowance for the procedures.
6) Any unusual treatment or charges will be
investigated.
7)
Reports will be rendered monthly, to the
self-insured as to any and all "providers" who
consistently exceed reasonable and customary
charges.
Provide a Participating Provider Network (Physician
PPO) for the benefit of the self-insured and covered
individuals. The listing of Practitioners, Labs, etc.,
will be provided to the self-insured. The listing of
PPO members will be updated as necessary. The cost of
printed media in the form of a PPO Practitioner's
Booklet will be the responsibility of the self-insured.
Access fees for Hospital Discount Networks, for
example, Galaxy Inc., Peconic Services, Inc., etc, and
non Island Group Practitioner PPOs are the
responsibility of the self-insured. The cost(s) of
accessing the Island Group practitioner PPO is included
in the capitated service fee expressed in this contract
in Section 5.
Perform the necessary functions to satisfy the dictates
of the Federal Statutes regarding C.O.B.R.A., ERISA and
all other applicable statutes that govern self insured
Employee Health Plans.
Island Group Administration, Inc., agrees to maintain
professional liability insurance coverage of an amount
not less than $1,000,000, and to additionally maintain
fidelity bond coverage on all Island Group employees,
in the amount of $10,000. The amount of the fidelity
bond shall be determined by the self-insured as of the
effective date of this agreement and shall be subject
to change as of each anniversary of this agreement, or
K)
L)
M)
more frequently if the self-insured deems there has
been a significant change in the total amount of funds
handled by Island Group. The fidelity bond shall state
that loss, if any, involving money or the property
belonging to the self-insured shall be payable to the
Town, as its interest may appear. The bond shall also
contain a statement that if the bond is cancelled,
written notice shall be given to the self-insured,
thirty (30) days prior to such cancellation.
Island Group will segregate the Town's claims
reimbursement funds in a separate bank account. Funds
on deposit will be collateralized in accordance with
the recommendations on investment issued by the
Comptroller of the State of New York. It is agreed
that Island Group will be deemed to be in full
compliance with this requirement as long as the total
funds on deposit do not exceed $100,000 and are held in
a bank account with FDIC insurance. When funds on
deposit exceed the FDIC limits, 102% collateral is to
be deposited into a third party custodial account to be
established by, and on behalf of the Town, written
notice given to the self-insured.
Island Group agrees to take such measures as may be
necessary to protect the confidentiality of claims and
records.
Island Group will maintain and process claims on behalf
of the Town at the level of benefits determined by the
self-insured. Island Group will institute benefit
revisions to the summary plan of benefits for the self
insured as those benefits are amended by the self-
insured. Revisions to the benefits will be made only
with the prior written authorization of the Town
unless such change is mandated by law. Revision of the
benefits as instituted by the self insured will subject
the service fees to be amended based upon any
additional service responsibilities that must be
assumed as a result of these amendments by Island Group
Administration, Inc.
Island Group Administration, Inc., in order to
facilitate thorough and efficient plan administration,
shall provide the following additional services:
1)
2)
3. REPORTING
c)
Toll-free "800" telephone access to plan
administrators;
D)
Ease of access to claims service representatives,
or their superiors;
Timely response to inquiries or need for
assistance regarding the plan or their individual
claims;
Expeditious claims processing and turnaround time
on appropriately submitted claims.
We will provide reports for the self-insured on a
weekly, monthly, and annual basis. Our reports
generally consist of check registers, E.O.B.s, drafts,
and an analysis of what each particular component
benefit costs the self-insured.
A census report listing all enrollees and their
dependents covered shall be provided to the
self-insured on a monthly basis.
Per diem hospital costs will be established and
tracked.
Special reports can be made available should the
self-insured desire. Our automated system can interface
with available health management reports and be made
available to the self-insured. A comprehensive listing
of all "special" reports will be provided upon request.
The cost of reports that require custom programming to
prepare will be at the expense of the self-insured.
The self-insured's approval for said costs, will be
required prior to the preparation of these special
reports.
INSURANCE SERVICES AND CONSULTING
A)
Insurance- We will review annually the specific and
aggregate insurance with the self-insured, including
coverage and premium charges.
We will discuss with your personnel the impact of
changes in the summary plan, as it may affect
reinsurance costs.
c)
We will secure the health reinsurance for the
self-insured after reviewing the marketplace, and
determining which carrier is offering the best coverage
and terms for the premium dollar.
D)
Island Group Administration, Inc. shall bill the Town
for reinsurance premiums and shall remit said payments
to the reinsurance carrier.
5. SERVICE FEE
A)
This agreement is in the nature of a service agreement,
and does not constitute, nor is it meant to be, an
insurance policy, an agreement of insurance, or an
agreement to provide insurance.
B)
The fees billable by I.G.A.I. shall be based upon a
capitated rate of $16.93 per eligible employee and or
retiree. Additional eligible individuals and spouses
shall be included at the per month capitated rate of
$16.93 each. Additions and deletions to the eligible
census shall be included for billing purposes on the
1st calendar day of the month following such
addition(s) and deletion(s) to the eligible census.
c)
Island Group Administration, Inc., shall bill the
Town on or before the 1st day of each month
for services to be rendered on behalf of the Town
for that month. Payments shall be received by the 15th
day of the month.
D)
The costs and expense of any litigation or dispute
between the Town and/or Island Group Administration, as
agent for the Town, and a covered individual under the
health plan shall be the responsibility of the self-
insured, except if the litigation is the result of, or
in connection with the negligence, willful misconduct,
or fraud of Island Group Administration, Inc, its
agents, servants and/or its employees.
6. TERMINATION
A)
This agreement may be terminated by the self insured
upon 90 days prior written notice, and by Island
Group Administration, Inc., with 90 days prior written
notice, to the addresses indicated herein by regular
mail or certified mail, return receipt requested.
B)
Upon the termination of this agreement by either party,
Island Group shall within 30 days after the date of
termination, deliver to the Town a complete and final
accounting report as of the date of termination of this
agreement. All books and records in its possession and
control relating to the administration of the plan,
except any records that Island Group is required by law
to retain, if any, shall be returned within 30 days of
the effective date of this termination.
c)
In the event of a breach of any material term of this
agreement, the self-insured may terminate this
agreement immediately, without any further
responsibility. The unprocessed and unpaid claims held
by I.G.A.I., and those claims that are received after
such termination by I.G.A.I., will be returned to the
self-insured. The processing and payment of these
claims will become the responsibility of the self-
insured.
7. MISCELLANEOUS PROVISIONS
A)
If any provision of this agreement is not immediately
enforced or is held invalid or unenforceable, such lack
of enforcement or unenforceability shall not weigh
future enforcement nor affect any of the other
provisions. If any provision is unenforceable, this
E)
agreement shall be construed and enforced as if such
provision had not been included.
This agreement may be amended by the parties at any
time by mutual written consent provided, however, that
this agreement may not be amended to reduce any
benefits which might be paid for any claim prior to the
amendment or in any way prejudice such a claim.
IN WITNESS WHEREOF, the following affix their signatures:
ISLAND GROUP A~)~ ~NISTRA TION, INC. TOWN OF SOUTHOLD
BY: BY:
Alan D~/Kaplan, ~reide~/t-~ Jos~uaY. Horton.' Supervisor
(TITLE) V " ~ (TITLE)Town of Southold
DATE: [~/~J~ (~3 DATE: /~/]/7/~f~
ISLAND GROUP ADMINISTRA~ON, .NC.
~LIZABI]ITI~ A. NIilVILLE
TOWH CLEI~I~
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MAINAGEMEi~IT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICIil OF TIlE TOWN CL~ll{It~
TOWN OF SOUTHOLD
December 19, 2003
Alan D. Kaplan, President
Island Group Admin/stration, Inc
3 Toilsome Lane
East Hampton, New York 11937
Dear Mr. Kaplan:
The Southold Town Board at their regular meeting held on December 16, 2003 adopted
resolution number 807 authorizing the 2004 contract for the administration of the Town of
Southold Employee Health Plan. A fully executed copy of this contract is enclosed together with
a certified copy of this resolution. ~
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Enclosures (2)
cc: Town Attorney
Town Comptroller