2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov

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CIGNA HealthCare Performance Guarantee Agreement
Customer Bridgeport City BOE
Effective Date July 1 2010
Account Number s involved in Performance Guarantee s 3213172
vIr
CIGNA
2 1 7 Performance Guarantees The level of
performance that Connecticut General
commits to achieve under the applicable
Service Agreements andor Policies as set
forth in the Exhibit A
2 1 8 Plan Participants Eligible persons enrolled
in the applicable Plan connected to the
specific Performance Guarantee
2 1 9 Proiected Population The number of
Section 3
Employees that Employer estimated would
be enrolledon the Effective Date The
Projected Population for Employer is 5 495
Medical enrolled Employees
Conditions Precedent
3 17 The applicable Planes remain in effect
throughout the Term ofthis Agreement
3 18 The applicable Service Agreements andor
Policies to whkh the Performance Guarantee
relates remains in effect throughout the Term
ofthis Agreement orthe Employer
materially perfc rms under the applicable
Service Agree lents andor Policies
throughout the Term ofthis Agreement
3 19 The conditions precedent for specific
Performance Guarantees set forth in
Section 4
applicable Exhibit B occur
Payment Amounts
Evaluatiion ofPerformance and
3 1
Employer acknowledges and agrees thatthe
following conditions precedent are required
for the Performance Guarantees set forth in
this Agreement to be in effect otherwise the
Performance Guarantees set forth in this
Agreement are null and void
3 1 1 This Agreement is signed by both parties
within three 3 months ofthe Effective
Date
3 12 Employer does notmake a material change
in Benefit Profiles during the Term that as
reasonably determined by Connecticut
General affects the performance being
measured in the Performance Guarantees
3 13 Connecticut General continuously
administers the services on which the
applicable Performance Guarantees are
based throughout the Term of this
Agreement
3 14 Employer must be an active client for the
type of coverage to which this Agreement
relates e g Medical Dental Pharmacy
Vision etc
at the time the payment amount
is otherwise due under this agreement
3 1 5 There are at least 200 enrolled Employees as
ofthe Effective Date
3 1 6 This Agreement remains in effect throughout
the Term ofthis Agreement
4 1 Performance Guarantees and the applicable
levels of measurement Payment Amounts
and Maximum Payment Amounts are listed in
Exhibit A Any additional terms conditions
precedent and dl finitions ifapplicable for
specific Performance Guarantee are listed in
applicable Exhibit B In the event of a
conflict between terms in the Agreement in
applicable Exhibit B sh ll control
4 2 Connecticut General will report to Employer
on each Performance Guarantee the
Performance RI ports within the specific
time frame listed in applicable Exhibit B for
each specific PeJformance Guarantee
43 Employer shall notify Connecticut General in
writing within sixty 60 days of receiving the
Performance Report of any dispute
concerning the Performance Report
4 Connecticut General shall pay to Employer
any Payment Amount due underthe
Performance Report after the Guarantee
Period Upon prior written notice to
Employer Connecticut General may offset
the Payment Amount against any payments
owed by Employer to Connecticut General
4 5 In the event that Employer fails to perform
underthe applicable Service Agreements
andor Policies in a way that adversely affects
Connecticut General s ability to perform one
ofthe functions being measured in a
OS 28 20 0
20 0 Perfonnance Guarantee
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