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

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

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CIGNA HealthCare<br />

Customer Performance GlJaranteeAgreement<br />

Bridgeport City BOE<br />

Effective Date July 1 <strong>2010</strong><br />

Account Number s involved in Performance Guarantee s 3213172<br />

IIr<br />

CIGNA<br />

42 I Claim Readiness Perfonnance Measurement<br />

Claim Readiness will be calculated by<br />

detennining whether all complete and<br />

accurate eligibility infonnation for each<br />

eligible participant under the Plan has been<br />

loaded on Connecticut General s claims<br />

processing system as ofthe Commitment<br />

Date set forth in the approved<br />

Implementation Calendar<br />

43 Can Readiness<br />

43 1 Call Readiness Perfonnance Measurement<br />

Call Readiness will be calculated by<br />

detennining whether the Plan spe ifications<br />

are loaded into the applicable inquiry system<br />

with the Service Center s ready to respond<br />

to customer inquiries as ofthe Commitment<br />

Date set forth in the approved<br />

Implementation Calendar<br />

4 Overall Satisfaction with Implementation<br />

Services<br />

4 I Overall Satisfaction with Implementation<br />

Services Measurement The Employer shall<br />

be satisfied with the Implementation process<br />

as reflected by a score of no less than 3 on<br />

Statement I of an Account Implementation<br />

Survey to be distributed to the Employer by<br />

Connecticut General Statement I recites<br />

that the overall implementation of the<br />

account or account changes met the<br />

Employer s needs<br />

that the Employer neither agrees nor<br />

A score of 3 will mean<br />

disagrees with this statement The Account<br />

Implementation Survey shall be provided to<br />

the Employer within thirty 30 calendar<br />

days ofthe Plan Effective Date the<br />

Employer shall ntum the<br />

completed<br />

Account Implemlmtation Survey results to<br />

Connecticut General within thirty of 30 days<br />

receipt The Account Implementation<br />

Survey shall be diistributed to<br />

appropriate<br />

members ofthe Employer s benefits staff<br />

and the above Score shall be the average of<br />

all ofthe staff members scores on Statement<br />

1<br />

5 Evaluation ofPerti rmance and Pavment<br />

Amounts<br />

5 1 Within four 4 months of completion of<br />

Implementation Connecticut General shall<br />

compile the necessary documentation and<br />

perfonn the necessary calculations to evaluate<br />

its fulfillment ofeal h perfonnance<br />

commitment set forth in this Agreement and<br />

make this infonnation available to the<br />

Employer<br />

OS 28 20 I 0<br />

20 I 0 Perfonnance Guarantee<br />

Page 12

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