96-22039 RESORESOLUTION NO. 96-22039
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF
THE CITY OF MIAMI BEACH, FLORIDA, AUTHORIZING THE
MAYOR AND THE CITY CLERK TO EXECUTE A SERVICE
AGREEMENT WITH HUMANA HEALTH CARE PLANS TO
PROVIDE MANAGED CARE MEDICAL, POINT OF SERVICE,
HMO AND MEDICARE SUPPLEMENT PLANS FOR THOSE
EMPLOYEES AND RETIREES ELIGIBLE PURSUANT TO CITY
OF MIAMI BEACH ORDINANCE NO. 1901
WHEREAS, the City prepared the bid specifications for the Group Managed Care Medical,
Point of Service, HMO and Medicare Supplement plans; and
WHEREAS, through the competitive bidding process, proposals responding to Invitation
to Bid No. 37-95/00 were evaluated by the Human Resources Department; and
WHEREAS, upon evaluation thereof, the Human Resources Department recommended that
the Group Insurance Board and Health Advisory Committee consider the top two (2) finalists,
Humana Health Care Plans and Prudential Health Care System, for the Group Managed Care
Medical, Point of Service, HMO and Medicare Supplement plans; and
WHEREAS, the Group Insurance Board and Health Advisory Committee, approved entering
into negotions with the first ranked proposer, Humana Health Care Plans, with the understanding
that if negotiations failed, the Administration had the authority to proceed with negotiations with the
second ranked proposer, Prudential Health Care System; and
WHEREAS, on June 17, 1996, the Group Insurance Board and Health Advisory Committee
recommend the award of Invitation to Bid No. 37-95/00 to Humana Health Care Plan, commencing
on October 1, 1996, with a 24 month premium guarantee for the Group Managed Care Medical
(PPO), Point of Service and HMO plans, and a 12 month premium guarantee for the Medicare
Supplement Plan; and
WHEREAS, the Administration has negotiated the attached Service Agreement and
recommends approval by the Mayor and City Commission.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY
COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and the City Clerk are
hereby authorized and directed to execute the attached Service Agreement with Humana Health
Care Plans for Group Managed Care Medical, Point of Service, HMO and Medicare Supplement
plans for those City employees and retirees eligible pursuant to City of Miami Beach Ordinance No.
1901.
ADOPTED this 3rd day of
ATTEST:
CITY CLERK
July ,, 1996.
F:\H\$\INS\R&C\H UMARESO.696
CITY OF MIAMI BEACH
CITY HALL 1700 CONVENTION CENTER DRIVE MIAMI BEACH FLORIDA 33139
TO:
FROM:
SUBJECT:
Mayor Seymour Gelber and
Members of the City Commission DATE:
July 3, 1996
Jose Garcia-Pedrosa ~
City Manager t~ ~'!~
A Resolution Approving the Award of Bid No. 37-95/00, City of Miami Beach
Group Managed CaYe Medical, Point of Service, HMO and Medicare Supplement
Plans to the 1st Ranked Finalist, Humana Health Care Plans, for Fiscal Year
1996/97 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:
To authorize the award by approving the Resolution and authorizing the execution of the Agreement.
CONTRACT AMOUNT AND FUNDING:
$5,527,000. (Annual Estimate) Split 50/50 between employee/retiree deductions and City
contributions. City contribution funding is available from Budget Accounts of various
departments, subject to OMB approval. This estimate is based on the existing number
of employees and retirees enrolled in each of the plans.
BACKGROUND:
The Human Resources Department prepared the b}d specifications for this contract with the bid objectives
and benefit changes requested by the Group Insurance Board. The Board is comprised of administrative,
employee and retiree representatives.
The Group Insurance Board is comprised of the presidents of the American Federation of State, County
and Municipal Employees (AFSCME), and the Communications Workers of America (CWA), a retiree
representative and three Administration representatives, as well as the Human Resources Director. The
Health Advisory Committee is a 13 member City board comprised of individuals from the community who
are involved with the health industry.
Invitation to Bid No. 37-95/00 was released on January 22, 1996, and bids were received on March 5,
1996. The Human Resources Department evaluated all the bids received and presented a Preliminary
Report and Initial Recommendations to the City Administration and the Group Insurance Board on April
4, 1996. On April 15th, the Group Insurance Board and the Health Advisory Committee unanimously
voted to negotiate with the top two fmalists: Humana Health Care Plans and Prudential Health Care
System.
AGENDA ITEM
DATE
AWARD OF BID NO. 37-95/00
Page Two
July 3, 1996
BACKGROUND: (Continued)
On May 13th, representatives from Humana Health Care Plans and Prudential Health Care Systems made
presentations to both Boards on their respective companies and bid proposals. As a result, the Health
Advisory Committee and Group Insurance Board unanimously voted to negotiate with Humana Health
Care Plans with the understanding that if for any reason the Administration failed to reach an agreement
with Humana, the Administration was authorized to enter into negotiations with Prudential Health Care
Systems.
On June 17th, the Health Advisory Committee and the Group Insurance Board voted to recommend
awarding the Group Managed Care Medical, Point of Service, HMO and Medicare Supplement Plans to
Humana Health Care Plans, commencing October 1, 1996 for a one-year period, with options to renew
for four (4) additional one-year periods.
A Final Report prepared by the Human Resources Department is attached for City Commission review.
ANALYSIS:
Invitation to Bid No. 37-95/00 was advertised on January 22, 1996. A pre-bid meeting was held on
February 6, 1996, and the bid opening date was March 5, 1996. One hundred-three notices and twenty-
eight specification packages were mailed, resulting in nine bid responses.
Bids were received from: Av-Med Health Plan
CAC/United Health Care Plans of Florida (I)
CAC/United Health Care Plans of Florida (II-)
Foundation Health Company
HIP Health Plan of Florida
Humana Health Care Plans
ITT Hartford
Pharmacy Provider Services Corporation
Prudential Health Care System
The Human Resources Department evaluated all the bid proposals and it was determined that the following
finns did not meet the City's bid specifications, and would not be considered:
ITT Hartford - did not offer coverage for all Medicare retirees.
Pharmacy Provider Services Corp. - the City was not requesting bids for a stand alone prescription
program at this time.
Av-Med - provided HMO coverage only (no indemnity/PPO plans quoted).
CAC-United Health Care Plans of Florida (II) - provided HMO coverage only (no indemnity/PPO
plans quoted).
HIP - indicated that PPO coverage would not bc offered to retirees outside the HIP service area.
AWARD OF BID NO. 37-95/00
Page Three
July 3, 1996
ANALYSIS: (Continued)
After careful consideration and review of the remaining proposals, the City Administration recommended
that the boards consider the top two (2) finalists, Humana Health Care Plans and Prudential Insurance
Company of America. It was determined that Humana Health Care Plans had the best proposal for the
employees and retirees of the City of Miami Beach. Humana has the greatest number of hospitals and
board certified physicians; better coverage for retirees outside of the South Florida area; higher benefit
levels for certain services and 24 months rate guarantee periods for the Group Managed Care Medical,
Point of Service and HMO plans.
Once Humana was selected as the top finalist, the Group Insurance Board and Health Advisory Committee
commenced negotiations with the following agreements reached or clarified, at no additional premium
charge:
1) Annual physical exam, including the lab expenses, and an annual prostate exam, will be
considered as a covered expense subject to $200 maximum benefit. (PPO plan)
2) Increase the current $34 eyewear credit to a $75 credit. (For all plans)
3)
Elective sterilization is to be included as a covered benefit, subject to the annual deductible
and co-insurance. (For all plans)
4) PAP Smear test is a covered expense.
5)
Established Mail-In program for p~escription drags. Members can purchase up to a three
(3) month supply of generic prescription drags via ma/l, subject to a $10 co-payment for
each 30 day supply requested.
The proposed premium rate increases are as follows (based on our current rates):
Managed Care Medical (PPO)
Point of Service (POS)
Health Maint. Organization (HMO)
Medicare Supplement (Gold)
= 4% 24 month guarantee
= 11% 24 month guarantee
= 10% for 1 st 12 month guarantee, and
11% for 2nd 12 month guarantee
= 5.7% 12 month guarantee
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 to answer
any questions and provide additional information.
AWARD OF BID NO. 37-95/00
Page Four
July 3, 1996
CONCLUSION:
The Administration recommends that the Mayor and City Commission approve the attached Resolution
awarding and executing a Service Agreement between the City of Miami Beach and Humana Health Care
Plans for a one-year period commencing on October 1, 1996, with options to renew for four (4) additional
one-year periods.
JGP:RB:TCA:DMR:ses
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 Agreement, made and entered into this 1st day of October,
1996, 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 awarding Invitation to Bid
No. 37-95/00, Group Managed Care Medical, Point of Service, HMO and
Medicare Supplement Plans, to Humana, as the top-ranked proposer,
for a one (1) year term, and other mutual terms, conditions,
promises, covenants and payments hereinafter set forth, the City
and Humana agree as follows:
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I. PROVISIONS OF AGREEMENT
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.
HMO. POS and PPO Plans Packets
Humana will prepare and distribute by U.S. mail HMO, POS
and PPO Plans packets at least two weeks in advance of
the commencement of the City's annual Open Enrollment.
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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.
Provider Directories
In addition to the HMO, POS and PPO provider directories
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 and POS Plans 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 is 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
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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 Employee Benefits Section of the Human Resources
Department. 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 and POS Plans Late Entrants
Employees and/or dependent(s) requesting enrollment in
the Humana PPO and POS Plans 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 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
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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 healthcare plan premium deduction. This penalty
may be waived only by mutual agreement between the City
and Humana.
"Threatening Letter" Responses
Any time a PPO, POS or HMO member receives a letter from
a PPO or non-PPO 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
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 healthcare plan premium
deduction. This penalty may be waived only on a case-by-
case basis, by mutual agreement in writing between the
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City and Humana.
Dedicated Services in Humana
Effective October 1, 1996.
a o
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 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.
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 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
Representative.
Group Medicare
The Representative will have a
computer terminal on-line with
Humana to provide information upon
request regarding claims, enrollment
and billing. The Representative
will also have a toll free 1-800
telephone number in order for
retirees who reside outside of the
South Florida area may call with
service problems.
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, POS and PPO members
with medical issues including PPO
and POS prior authorizations, PPO
and POS pre -admission
certifications, PPO and POS 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.
HMO, POS and PPO 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 administration 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 administration. FAILURE TO COMPLY WILL RESULT
IN A $100 PENALTY PER MEMBER ADVERSELY AFFECTED, TO BE
PAID BY HUMANA UPON 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 ADMINISTRATION AND NOTIFICATION PROVIDED TO THE PLAN
MEMBERS.
10. HMO and POS Plan 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:
Pre-admission 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
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Primary Care Physician or, if deemed medically necessary
(and authorized by the patient's HMO and POS 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 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
"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 and POS 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 HLrMA_NA. 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
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, 1996 and terminate
September 30, 1997. The City administration 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:
Sandrea Silvera, Account Services Director
Humana Health Care Plans
3400 Lakeside Drive
Miramar, Florida 33027
Telephone: (305) 626-5216
The City administration 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) 673-7000 Ext. 6540
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IV. PAYMENT OF PENALTIES
Any time penalties are incurred by Humana pursuant to the terms of
the Agreement, the City administration will submit a written
invoice to Humana detailing the dates, City member names,
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 administration in
writing within 10 days of the decision. Humana will pay these
agreed-to penalty amounts to the City administration 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
Ail provisions contained within this Agreement, the City of Miami
Beach Invitation to Bid No. 37-95/00, 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:
1) This Agreement;
2) Humana's Bid Response;
3) City of Miami Beach Invitation to Bid No. 37-95/00.
The City administration and Humana recognize that in order to
comply with applicable State laws, 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
11
this Agreement, Humana's Bid Response and City of Miami Beach
Invitation to Bid No. 37-95/00. The City administration 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.
37-95/00 and Humana's Bid Response.
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IN WITNESS WHEREOF, the parties have made and executed this
Agreement on the respective dates under each signature:
CITY OF MIAMI BEACH
Attest:
City Clerk
CITY OF MIAMI BEACH
B . %3 ~'(-~ Mayor
LEGAL
HUMANA HEALTH CARE PLANS
(CORPORATE SEAL)
HUMANA HEALTH INSURANCE COMPANY OF FL, INC.
Vice President
Fi. Market Operations
(CORPORATE SEAL)
HUMANA MEDICAL PLAN, INC.
Nar~e and~T/~t le
DATE: -7/!
/ /
Vice President
Market Operations
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