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HomeMy WebLinkAboutMemorandum of Understanding ; ()()s. rl s, - 9 7J 3 ~?Vor- ~ 1F ".""'.'> ,,0' MEMORANDUM OF UNDERST AN1lING (MQJJ) c:.. '.".':' "f'f:C Lwuu "l , ~. I i BETWE;E~' ,',. \. \>..}\ I JEFFERSON PILOT FINANCIAL INSURANCE COMPANY AND CITY OF MIAMI BEACH, FLORIDA FOR GROUP LONG TERM DISABILITY INSURANCE FROM JUNE 1,2005 TO MAY 31, 2006 It is hereby understood and agreed by the undersigned parties this ~ day of ~ ' 2005, that Jefferson Pilot Financial Insurance Company, a Nebraska Corporation having i pnnclpal offices at 8801 Indian Hills Drive, Omaha, Nebraska (Jefferson Pilot Financial), and the City of Miami Beach, Florida, a municipal corporation having its principal offices at 1700 Convention Center Drive, Miami Beach, Florida (City), enter into the following Memorandum of Understanding (the MOD or Agreement) to provide Group Long Term Disability Insurance to eligible employees of the City of Miami Beach. It is agreed that Jefferson Pilot Financial will renew the Long Term Disability Insurance contract for the plan year June 1, 2005, through May 31, 2006, with no change in premiums; said contract plan and premiums, which are incorporated by reference hereto, will provide the City with the following: 1. A non participating Group Long Term Disability Insurance policy with coverage as outlined in the policy schedule of benefits. Monthly rate for the 2005/2006 plan year is as follows: Rate: $.36 per $100.00 of covered payroll. 2. Brochures and all marketing materials necessary for enrollment. 3. Employee Certificates of Coverage will be mailed to the group. 4. On-line services are available for the following: . Submit claims and check status on-line; . Check medical underwriting (evidence of insurability); and . View and print group forms, claims reports and administrative guide. 5. Ample supply of applications and marketing materials will be provided for all new full- time City employees. Performance Standards Jefferson Pilot Financial agrees to the performance guarantees below: 1. Account Management - a dedicated Service Representative / Account Manager will be assigned to the City. The Account Manager will be responsible for communicating with the City's Human Resources administrative office and its personnel. If a member concern escalates to the Human Resources administrative office, the Account Manager will be involved in solving the problem. 2. Customer Service - Employee certificates shall be available on-line and mailed to the group. 3. Member Services Telephone Response Time A. Satisfactory response Time - 90% within sixty (60) seconds B. Satisfactory Abandon Rate - 5% or less 4. Claims Accuracy and Turn Around Time A. Accuracy rate to include both procedural and financial accuracy of 93 %, subject to the receipt of complete and necessary documents B. Turnaround time - 100% of all clean claims will be processed within thirty (30) days. 5. Quality Assurance - Quality Assurance consultants follow up and work closely with providers and their staffs to achieve and maintain compliance with Jefferson Pilot Financial's Quality Assurance recommendations. Termination of A2reement bv the City: The City has the right to terminate this Agreement without cause and/for its convenience by providing thirty (30) days prior written notice to Jefferson Pilot Financial. Said termination will be effective as of the date specified by the City in such written termination notice. Termination bv Jefferson Pilot Financial: Jefferson Pilot Financial has the right to terminate this Agreement by providing one hundred and twenty (120) days prior written notice to the City. However, for non-payment of premiums, Jefferson Pilot Financial has the right to terminate by providing thirty-one (31) days prior written notice. Notices All communications under this Memorandum of Understanding relating to the day-to-day activities under this Agreement shall be exchanged between the Service Representative/Account Manager appointed by Jefferson Pilot Financial and the Project Manager, who shall be designated by the City. Jefferson Pilot Financial's Service Representative/Account Manager and the City's Project Manager shall be designated by no later than the commencement date of the Agreement. All other notices and communications in writing required or permitted hereunder shall be delivered personally to the representatives of Jefferson Pilot Financial and the City, listed below, or may be mailed by registered mail, postage prepaid (or airmailed if addressed to an address outside of the city of dispatch). Until changed by notice in writing, all such notices and communications shall be addressed as follow: TO PROVIDER: Jefferson Pilot Financial 8801 Indian Hills Drive Omaha, Nebraska 68114 TO CITY: City of Miami Beach Attn: Mayra D. Buttacavoli, Director of Human Resources & Risk Management 1700 Convention Center Drive, 3rd Floor Miami Beach, Fl. 33139 305-673-7000 ext 6469 305-673-7529 E-mail: mayrabuttacavoli@miamibeachfl.gov Notices hereunder shall be effective if delivered personally, on delivery; if mailed to an address in the city of dispatch, on the day following the date mailed; and if mailed to an address outside the city of dispatch on the seventh day following the date mailed. LmGATION JURlSDICTIONNENUE This Agreement shall be governed by and construed according to the laws of the State of Florida. This Agreement shall be enforceable in Miami-Dade County, Florida, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein, exclusive venue for the enforcement of same shall lie in Miami-Dade County, Florida. BY ENTERING INTO THE AGREEMENT, CITY AND JEFFERSON PILOT FINANCIAL EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR RISING OUT OF, THIS AGREEMENT. Signed and agreed this ~ day Of~, 2005. By Signature 1t\OOo Jefferson Pilot Financial Insurance Company ~ 1)1r;S P nt Nameffltle David Dermer ~ ~., f' " ~ ' ~-. 1 ' . ,~ " (.I \1 Mayor ":1 . .' ~ . Secretary A~d p~ APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION ~~~l~ ey Date City Clerk Robert Parcher Attest: F:\HUMA \$al1\Benefits\CompBenefits-Dental\letterofunderstandi