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