95-21709 Reso RESOLUTION NO. 95-21709
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAMI BEACH, FLORIDA, EXTENDING THE
MANAGED MEDICAL (PPO), HMO AND MEDICARE
SUPPLEMENT (GOLD) PLANS, AND THE ADDITION OF A NEW
MANAGED CARE MEDICAL PLAN (POINT OF SERVICE -"POS")
WITH HUMANA HEALTH CARE PLANS FOR FISCAL YEAR
1995/96 AND AUTHORIZING THE MAYOR AND THE CITY
CLERK TO EXECUTE A SERVICE AGREEMENT BETWEEN THE
CITY OF MIAMI BEACH AND HUMANA HEALTH CARE PLANS.
WHEREAS, Invitation to Bid No. 101-91/96 was awarded to Humana Health Care Plans for
a one year period on July 22, 1992, with the option to renew for up to four additional one year
periods; and
WHEREAS, Humana's proposed cost decreases, along with PPO Plan and service
enhancements, have been evaluated by the City Administration, the Group Insurance Board and
the Health Advisory Committee and found to be reasonable; and
WHEREAS, the City Administration and Group Insurance Board recommend the extension
for a fourth one year period commencing October 1, 1995, with a 6.0% decrease for the Managed
Care (PPO Plan 660); a 6.0% premium decrease for the HMO (Option 4); and a 6.0% decrease
for the Medicare Supplement (Gold) Plans; and
WHEREAS, the City Administration, the Group Insurance Board and the Health Advisory
Board also recommend the addition of a new Managed Care Medical Plan - a Point of Service
(POS) Plan to be offered to employees and retirees without affecting the 10/1/95 premium rates
for the other medical plans, regardless of enrollment outcome; and
WHEREAS, the proposed renewal rates for Fiscal Year 1996/97 will be due February 29th,
1996, allowing sufficient time to rebid the plans, if necessary; and
WHEREAS, the City may rebid the health insurance plan if rate negotiations for Fiscal Year
1996/97 prove to be unsuccessful; and
WHEREAS, the Group Insurance Board, at its June 12, 1995 meeting and the Health
Advisory Committee at its July 10, 1995 meeting, voted to recommend acceptance of Humana's
renewal offers for the Managed Care (PPO Plan 660), HMO (Option 4) and Medicare Supplement
(Gold) Plans and the PPO Plan and service enhancements offered.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, as follows:
1) The Mayor and the City Commission hereby extend the Managed Care Medical
(PPO Plan 660), HMO (Option 4), and Medicare Supplement (Gold) Plans with
Humana Health Care Plans for the Fiscal Year 1995/96.
2) The Mayor and the City Commission hereby approve the addition of a new
Managed Care Medical (Point of Service - POS Plan) with Humana Health Care
Plans.
3) The City also reserves the option to rebid the plan for Fiscal Year 1995/96 if rate
negotiations prove to be unsuccessful. Proposed renewal rates will be due
February 29, 1996.
3) The Mayor and City Clerk are hereby authorized to execute the attached Service
Agreement between the City of Miami Beach and Humana Health Care Plans.
ADOPTED this 13th day of Septemb , 1995.
MAYOR
ATTEST:
G
1/12-/LCLERK
FORM APPROVED
LEGAL D PT.
By
Date 6
CITY OF MIAMI BEACH
CITY HALL 1700 CONVENTION CENTER DRIVE MIAMI BEACH FLORIDA 33139
COMMISSION MEMORANDUM NO. ( 7(! !S
TO: Mayor Seymour Gelber and
Members of the City Commission DATE: September 13, 1995
FROM: Jose Garcia-Pedrosa hin
City Manager
SUBJECT: RESOLUTION APP VING THE EXTENSION OF MANAGED CARE MEDICAL
(PPO), HMO AN MEDICARE SUPPLEMENT (GOLD) PLANS, AND THE
ADDITION OF A NEW MANAGED CARE MEDICAL PLAN (POINT OF SERVICE -
"POS") WITH HUMANA HEALTH CARE PLANS FOR FISCAL YEAR 1995/96
AND AUTHORIZING THE MAYOR AND THE CITY CLERK TO EXECUTE A
SERVICE AGREEMENT BETWEEN THE CITY OF MIAMI BEACH AND HUMANA
HEALTH CARE PLANS.
ADMINISTRATION RECOMMENDATION
The Administration recommends that the City Commission approve the resolution authorizing the
extension fora fourth one year period of the existing Bid Award No. 101-91/96 with Humana Health
Care Plans with rate reductions of six percent (-6%) less than the rates for Fiscal Year 1994/95.
The Administration also recommends that the City Commission approve the resolution authorizing
the addition of a new Managed Care Medical Plan with Point of Service ("POS") blend, enabling
enrolled members to choose between benefits similar to HMO benefits and non-PPO benefits
within one plan.
Finally, the Administration recommends that the City Commission approve the resolution
authorizing the Mayor and the City Clerk to execute a Service Agreement between the City of
Miami Beach and Humana Health Care Plans.
BACKGROUND
Invitation to Bid No. 101-91/96 was awarded to Humana Health Care Plans for a one year period
on July 22, 1992, with the option to renew for up to four additional one year periods. The contract
has been extended for the Fiscal Years 1993/94 and 1994/95. The Commission was apprised at
its March 1, 1995 meeting of on-going negotiation with Humana in lieu of soliciting bids for the City
medical plans. On April 5, 1995, the Commission approved Commission Memorandum No. 286-95
(Revised) to accept Humana Health Care Plans' renewal proposal in lieu of soliciting bids, based
on additional benefit enhancements and premium savings for the employees, retirees and City.
AGENDA ITEM Q r'
Gic
DATE q _ I � , I �
At the request of the Health Advisory Board, the City Administration requested Humana Health
Care Plans propose a new Managed Care Medical Plan - a Point of Service (POS) Plan. This new
plan can be offered to employees and retirees without affecting the 10/1/95 premium rates for the
other medical plans, regardless of enrollment outcome.
ANALYSIS
Humana's proposed cost decreases along with PPO Plan and service enhancements have been
evaluated by the City Administration, the Group Insurance Board and the Health Advisory
Committee and found to be reasonable.
The City Administration, the Group Insurance Board and the Health Advisory Board recommend
the extension for a fourth one year period commencing October 1, 1995, based on the following:
Premiums Reductions - A 6.0% decrease in premiums for the Managed Care (PPO Plan
660), a 6.0% premium decrease for the HMO (Option 4) and a 6.0% decrease for the
Medicare Supplement (Gold) Plans.
New Plan - The addition of a new Managed Care Medical Plan with Point of Service option
between benefits similar to the HMO benefits and non-PPO benefits.
PPO Plan Enhancements - The addition of an Optical Benefit and a Prescription Drug Card
Benefit without additional premium charges.
Service Enhancement - Establishment of toll-free 800 number to the Humana In-House
Service Representative in City Hall to better assist those residing or visiting outside the
South Florida area with benefit and claims inquiries.
If rate negotiations for FY 1996/97 (the last year of the bid award) prove to be unsuccessful, the
City may rebid the medical plans. The proposed renewal rates for Fiscal Year 1996/97 are due
February 29th, 1996, to allow sufficient time to rebid the plans, if determined to be in the best
interest of the City and the employees, retirees and dependents. This option allows the City to
determine the best financial strategy as well as provide the best program for employees, retirees
and dependents who rely upon the City for medical coverage.
The Group Insurance Board at its June 12, 1995 meeting and the Health Advisory Committee at
its July 10, 1995 meeting voted to recommend acceptance of Humana's renewal offers and
enhancements. The Group Insurance Board is comprised of the presidents of the American
Federation of State, County and Municipal Employees (AFSCME), and the Communication
Workers of America (CWA) , a retiree representative and three Administration representatives as
well as the Human Resources Director. The Health Advisory Committee is a 15 member City board
comprised of individuals from the community who are involved with the health industry.
A Service Agreement between the City of Miami Beach and Humana Health Care Plans has been
developed to set forth performance standards for the Humana contracts.
Representatives from Humana Health Care Plans and the City's Agent of Record are available for
responding to questions and other information.
BID AMOUNT
$5,157,500. Cost in Fiscal Year 1994/95 for Managed
Care (PPO), HMO and Medicare Supplement
Plans with Humana Health Care Plans.
($462,400.) Estimated cost decrease in Fiscal Year
1995/96.
$4,695,100. Estimated annual cost to be shared equally
between City and Employee/Retiree
contributions during Fiscal Year 1995/96.
CONCLUSION
The Administration recommends that the City Commission approve the attached resolution
extending the contract, adding the Managed Medical Care Plan - Point of Service and executing
a Service Agreement between the City of Miami Beach and Humana Health Care Plans.
JGP:TCA:DMR/LS
•
SERVICE AGREEMENT BETWEEN CITY OF MIAMI BEACH AND
HUMANA MEDICAL PLAN, INC. &
HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.
FOR MEDICAL BENEFITS COVERING
CITY OF MIAMI BEACH EMPLOYEES, RETIREES AND DEPENDENTS
This is an agreement, made and entered into this 1st day of
October , 1995, by and between the City of Miami Beach,
(hereinafter referred to as City)
AND
Humana Medical Plan, Inc . , and Humana Health Insurance Company of
Florida, Inc . , their successors and assigns, (hereinafter referred
to as Humana) .
WITNESSETH, in consideration of the City renewing Humana for a one
(1) year term and the mutual terms, conditions, promises, covenants
and payments hereinafter set forth, the City and Humana agree as
follows :
I. PROVISIONS OF AGREEMENT
1 . Open Enrollment/Educational Sessions
The City will schedule the annual Open Enrollment
sessions at various locations and times, and will notify
Humana Account Services at least two weeks prior to the
first sessions. From one to three other times during the
plan year, educational sessions will be conducted again
at various locations and times, as agreed by the City and
Humana. Humana will provide a representative to conduct
benefit presentations at these sessions.
2 . Medical Benefits Plans Packets
Humana will prepare and distribute by U.S. mail medical
benefits packets at least two weeks in advance of the
commencement of the City' s annual Open Enrollment . The
City administration will assist in the development of an
Open Enrollment announcement to be included in each
packet, and review information to be included in the
packets in advance of printing and distribution. Mailing
labels will be provided by the City. Any packets
returned for incorrect address will be given to the City
administration to send to the employee or retiree .
3 . Provider Directories
In addition to the various plans ' provider directories
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distributed at Open Enrollment, Humana shall mail to each
member a new directory or a list of changes to the
previous directory not less than once each calendar
quarter. Humana will also notify the City administration
in writing of additions, changes or deletions which occur
in the interim. Humana must honor all claims for deleted
providers until the next directory or list of changes is
mailed to the members .
HMO Plan and POS Plan members are to be advised by Humana
by mail of reassignments to new centers due to
cancellation of center contracts . Notification is to be
thirty (30) days prior to the reassignment date, or as
expeditiously as possible if contract cancellation is
effective in less than 30 days .
Each calendar quarter, Humana shall provide a list of
providers such as home health care, extended care
facilities, durable medical equipment, hospice and other
such providers contracted with Humana.
Each calendar quarter, Humana shall identify the
contracted providers for anesthesiology, pathology,
radiology, and emergency physician group at each
contracted PPO hospital in South Florida Service Area.
Also, Humana shall provide assistance to plan members in
identifying PPO contracted outpatient facilities billing
as hospital facilities.
4 . Identification Cards
For new enrollees and members with plan or coverage
changes, including Open Enrollment, Humana will process
the enrollment or change no later than three weeks upon
receipt by the Humana Billing office in Louisville,
Kentucky. The member is responsible for informing the
City' s Employee Benefits Section of the Human Resources .
If Humana fails to do so, Humana Account Services must
contact providers to arrange for coverage of medical care
required. The Account Services representative will be
responsible for having the identification card(s)
produced and sent to the member.
5 . PPO Plan Late Entrants
Employees and/or dependent (s) requesting enrollment in
the Humana PPO Plan after Open Enrollment has ended or
after the 30 day eligibility period will complete the
appropriate Enrollment or Change Form, including the
Medical Statement . The completed form will be sent by
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the City to the Humana Billing office for handling. If
additional information is required from Humana, Humana
will send a written request for any additional
information postmarked within two weeks of the
application' s receipt by the Humana underwriting
department as logged in their computer data base . The
applicant will have a minimum of six weeks from the date
of Humana' s request to the date postmarked on the
envelope returning the information to Humana. Humana
Account Services is to keep the City administration
advised of the status of late entrant applicants .
6 . Claims and Correspondence Responses
Humana agrees to correspond directly with PPO, POS and
HMO members regarding the status of any claims submitted
which have not been resolved within 30 days of the date
of receipt by Humana. The City administration shall
notify Humana of post-30 day claims via claims
transmittal forms and copies of claims, or the member may
provide notice to Humana in writing with a copy of the
claim in question attached. Humana shall respond in
writing, or verbally with a follow-up in writing, to the
member (or the City administration, if the member can not
be contacted) . Information will include the status of
the claims, reasons for any delays, and the name and
telephone number for a Humana contact person to receive
additional information. Responses shall be received by
the member (or the City administration, if the member can
not be contacted) within 14 calendar days (which includes
return mail time) of Humana ' s receipt of the request .
FAILURE TO COMPLY WILL RESULT IN A $100 PER CALENDAR DAY
PENALTY TO BE PAID BY HUMANA UPON WRITTEN NOTIFICATION BY
THE CITY TO HUMANA. THE AFFECTED MEMBER WILL RECEIVE
ONE-HALF OF THE PENALTY, to be applied by the City to the
member' s medical plan premium deduction. This penalty
may be waived only by mutual agreement between the City
and Humana.
7 . "Threatening Letter" Responses
Any time a PPO, POS or HMO member receives a letter from
a participating or non-participating provider threatening
legal action, referral to a collection agency or other
negative action which could jeopardize the member' s
credit standing because of Humana ' s delay or failure to
pay claims, Humana shall respond, in writing or verbally
with a follow-up in writing, to the member and the City
administration with an explanation of the status of any
claims submitted within the past 30 days. The City
administration shall notify Humana of threatening letter
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via claims transmittal form and copy of all relevant
information available. Humana' s response shall include
the status of the claims, reason for any delays, and the
name and telephone number for a Humana contact person to
received additional information. Responses shall be
received by the member (or the City administration, if
the member can not be contacted) within 14 calendar days
(which includes return mail time) of Humana' s receipt of
the request . FAILURE TO COMPLY WILL RESULT IN A $100 PER
CALENDAR DAY PENALTY TO BE PAID BY HUMANA UPON WRITTEN
NOTIFICATION BY THE CITY TO HUMANA. THE AFFECTED MEMBER
WILL RECEIVE ONE-HALF OF THE PENALTY, to be applied by
the City to the member' s medical plan premium deduction.
This penalty may be waived only on a case-by-case basis,
by mutual agreement in writing between the City and
Humana.
8 . Dedicated Services in Humana
Effective October 1, 1994 .
a. Humana agrees to process PPO Plan
claims for City of Miami Beach
members, both employees and
retirees, in a claims processing
unit dedicated exclusively to
' special ' (including Service
Agreement) accounts. Humana will
maintain experienced staffing in
this claims processing unit to
insure timely and accurate
processing according to plan
benefits .
Humana shall conduct an audit with a
random sample of 10% of Medicare
primary claims submitted each
calendar quarter. A report shall be
provided to the City.
b. Humana agrees to place an Account
Service Representative within the
City of Miami Beach Human Resources
Department office on a full-time
basis . The representative will be
authorized to resolve PPO, POS and
HMO Plans problems brought to
the Representative to handle. Also,
the Representative will be
authorized to resolve Gold Plan
(Medicare Supplement) claims
problems, coordinating activities
with the South Florida Group
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Medicare Representative.
The Representative will have a
computer terminal on-line with
Humana to provide information upon
request regarding claims, enrollment
and billing.
In the event of a change in
Representative, the City will be
provided with a resume of the
proposed representative ' s
qualifications and experience.
Should the Representative be
scheduled to be absent from the
office more than three (3)
consecutive business days, telephone
calls to the Representative will be
rerouted to the Account Services
Analyst under the supervision of the
Account Services Supervisor. Humana
of Miami Beach offices determined
necessary by both parties .
Humana agrees to provide ready
access to a Utilization Specialist
to assist HMO, PPO and POS members
with medical issues including PPO
prior authorizations, PPO pre-
admission certifications, PPO length
of stay issues and discharge
planning; HMO and POS referrals,
access to HMO and POS primary care
physicians , and obtaining
authorizations for emergency and
outpatient care . Access for
employees and retirees will be via
the in-house Service Representative.
9 . HMO, PPO and POS Plans - Changes in Benefits
When Humana changes a plan benefit, the City
administration shall be notified at least 60 days prior
to the proposed effective date of the change . All
changes must be agreed to by the City at least 30 days
prior to the actual implementation date .
All plan members must be notified by announcement mailed
to their home addresses at least 15 days prior to
implementation, once such change has been agreed to by
the City. FAILURE TO COMPLY WILL RESULT IN A $100 PENALTY
PER MEMBER ADVERSELY AFFECTED, TO BE PAID BY HUMANA UPON
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WRITTEN NOTIFICATION BY THE CITY TO HUMANA. EACH
AFFECTED MEMBER WILL RECEIVE ONE-HALF OF THE PENALTY, to
be applied by the City to the member' s healthcare plan
premium deduction. ALSO, AN EXCEPTION WILL BE REQUESTED
AND APPROVED TO PROVIDE THE BENEFIT AT THE PREVIOUS LEVEL
UNTIL THE CHANGE IS APPROVED BY THE CITY AND
NOTIFICATION PROVIDED TO THE PLAN MEMBERS.
10 . HMO and POS Plans Physician Appointments
Humana guarantees that all "emergency" medical care
required by covered City members will be available within
24 hours of notification by the covered member or his
representative (i . e. family member, friend, hospital or
other provider) to one of the following Humana offices :
Preadmission Review/Prior Authorization in Louisville,
Kentucky at (800) 523-0023 ; Customer Services at Miami,
Florida at (800) 521-4882 or (305) 623-2400; or the
member' s primary care physician office or, if after
office hours, the physician' s answering service .
Further, Humana guarantees that each covered City member
requiring "urgent" medical care due to illness or injury
(but not considered an "emergency" ) will be able to
secure an appointment and have treatment provided by a
Primary Care Physician or, if deemed medically necessary
(and authorized by the patient ' s HMO Center) , a
specialist within 72 hours (including weekends and/or
observed Federal holidays) of notification by the covered
member or his representative (i .e. family member, friend,
or a City' s Employee Benefits representative) .
Notification shall be to the member' s Humana primary care
Physician' s office or, if after hours, the physician' s
answering service; or Customer Services in Miami, Florida
at (800) 521-4882 or (305) 623-2400 .
FAILURE TO COMPLY WILL RESULT IN A $100 PER CALENDAR DAY
PENALTY TO BE PAID BY HUMANA UPON WRITTEN NOTIFICATION BY
THE CITY TO HUMANA. THE AFFECTED MEMBER WILL RECEIVE
ONE-HALF OF THE PENALTY, to be applied by the City to the
member' s healthcare plan premium deduction. ALSO, AN
EXCEPTION WILL BE REQUESTED BY THE CITY AND APPROVED BY
HUMANA TO PROVIDE PLAN BENEFITS FOR THE FOLLOWING:
(a) ONE EMERGENCY ROOM OR OFFICE VISIT
(INCLUDING MEDICALLY NECESSARY
SERVICES SUCH AS TESTS AND/OR
PROCEDURES) FOR "EMERGENCY" SERVICES
INCURRED BY THE MEMBER IF
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"EMERGENCY" SERVICES WERE NOT
AVAILABLE BY THE END OF THE 24 HOUR
PERIOD. HUMANA' S PENALTY WOULD BE
LIMITED TO $100 (ONE CALENDAR DAY) .
(b) ONE OFFICE VISIT FOR "URGENT"
SERVICES (INCLUDING MEDICALLY
NECESSARY SERVICES SUCH AS TESTS
AND/OR PROCEDURES) INCURRED BY THE
MEMBER IF "URGENT" SERVICES WERE NOT
PROVIDED BY THE END OF THE 72 HOUR
PERIOD. HUMANA' S PENALTY WOULD BE
LIMITED TO $100 (ONE CALENDAR DAY) .
Humana agrees that any covered City member requiring
specialty care shall be referred to an appropriate
specialist and have treatment provided within two (2)
weeks of the Primary Care Physician visit if the
patient ' s health and well-being would be compromised by
a delay in specialty care beyond the two (2) week period.
Otherwise, specialty care shall be provided within four
(4) weeks of the Primary Care Physician visit . If an
appropriate specialist is not contracted by the patient ' s
HMO Center, Humana shall arrange for treatment to be
provided within the time frames and guidelines set forth
above in this paragraph. FAILURE TO COMPLY WILL RESULT
IN A $100 PER CALENDAR DAY PENALTY (UNTIL IN COMPLIANCE
OR AS NOTED BELOW) , TO BE PAID BY HUMANA UPON WRITTEN
NOTIFICATION BY THE CITY TO HUMANA. THE AFFECTED MEMBER
WILL RECEIVE ONE-HALF OF THE PENALTY, to be applied by
the City to the member' s healthcare plan premium
deduction. ALSO, AN EXCEPTION WILL BE REQUESTED BY THE
CITY AND APPROVED BY HUMANA TO PROVIDE PLAN BENEFITS FOR
THE FOLLOWING:
(a) ONE OFFICE VISIT FOR SPECIALTY
SERVICES (INCLUDING MEDICALLY
NECESSARY SERVICES SUCH AS TESTS
AND/OR PROCEDURES) INCURRED BY THE
MEMBER IF SPECIALTY SERVICES WERE
NOT PROVIDED BY THE END OF THE TWO
(2) WEEK PERIOD, IF THE PATIENT' S
HEALTH AND WELL-BEING WOULD BE
COMPROMISED BY A FURTHER DELAY.
HUMANA' S PENALTY WOULD BE LIMITED
TO $100 TIMES THE NUMBER OF CALENDAR
DAYS FROM THE END OF THE TWO (2)
WEEK PERIOD UNTIL THE DATE OF THE
SPECIALTY VISIT.
(b) ONE OFFICE VISIT FOR SPECIALTY
SERVICES (INCLUDING MEDICALLY
NECESSARY SERVICES SUCH AS TESTS
7
AND/OR PROCEDURES) INCURRED BY THE
MEMBER IF SPECIALTY SERVICES WERE
NOT PROVIDED BY THE END OF THE FOUR
(4) WEEK PERIOD. HUMANA' S PENALTY
WOULD BE LIMITED TO $100 TIMES THE
NUMBER OF CALENDAR DAYS FROM THE END
OF THE FOUR (4) WEEK PERIOD UNTIL
THE DATE OF THE SPECIALTY VISIT.
II. TERM OF AGREEMENT
This Agreement shall commence on October 1, 1995 and terminate
September 30, 1996 . The City and Humana have the option to renew
this Agreement annually upon mutual consent .
III. PERFORMANCE OF SERVICE NOTIFICATION
Humana shall receive notices regarding performance of service
addressed to the following:
Denise Saxton, Account Services Manager
Humana Health Care Plans
3400 Lakeside Drive
Miramar, Florida 33027
Telephone : (305) 626-5216
The City shall receive notices regarding performance of service
addressed to the following:
Dee Martinez Ravelo, Employee Benefits Coordinator
Human Resources Department
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Telephone : (305) 673-7526
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IV. PAYMENT OF PENALTIES
Any time penalties are incurred by Humana pursuant to the terms of
the Agreement, the City will submit a written invoice to Humana
detailing the dates, names of City members, identification numbers
and alleged performance failures .
Humana must agree to or dispute these penalties within 20 days of
receipt . If Humana agrees that the penalty is justified, Humana
will acknowledge the penalty and inform the City in writing within
10 days of the decision. Humana will pay these agreed-to penalty
amounts to the City within the following 30 days .
If Humana does not agree that the penalty is justified, Humana will
inform the City administration in writing within 10 days of the
decision. A meeting between the City administration and Humana
will be held within 30 days to resolve the alleged penalty through
negotiations .
V. ENTIRE AGREEMENT
All provisions contained within this Agreement, the City of Miami
Beach Invitation to Bid No. 101-91/96, and Humana ' s Bid Response
represent all the terms and conditions agreed to by the City
administration and Humana. In the event of a discrepancy between
these documents, the order of priority of the documents shall be as
follows :
This Agreement
Humana' s Bid Response
City of Miami Beach Invitation to Bid No. 101-91/96
The City and Humana recognize that in order to comply with
applicable state laws that Humana must file a document with the
State of Florida Department of Insurance setting forth the benefits
and coverage to be provided by Humana under the terms of this
Agreement, Humana' s Bid Response and City of Miami Beach Invitation
to Bid No. 101-91/96 . The City and Humana acknowledge that the
document to be provided to the State is not a full and accurate
representation of the terms and conditions as set forth in this
Agreement, City of Miami Beach Invitation to Bid No. 101-91/96 and
Humana ' s Bid Response.
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IN WITNESS WHEREOF, the parties have made and executed this
Agreement on the respective • es under ea signature :
CITY OF IAMI BEACH
I
BY: AM OP
- Ma r.r
CITY OF MIAMI BEACH FORM APPROVED
Attes :
LEGAL D T.
ity Clerk By /
Date —��—(,g=5
HUMANA HEALTH CARE PLANS
HUMANA HEALTH INSURANCE COMPANY OF FL, INC.
(CORPORATE SEAL)
BY: Vice President
ame a Ti le So. Florida Market Operations
DATE:
HUMANA MEDICAL PLAN, INC.
(CORPORATE SEAL)
BY: Vice President
Name an itle So. Florida Market Operations
DATE: Z' 7( J-
10