Common use of ATTACHMENTS TO THIS AGREEMENT Clause in Contracts

ATTACHMENTS TO THIS AGREEMENT. 9.01 The following Exhibit(s) are attached to and are made a part of this Agreement: 9.02 The following Addenda to the Administrative Services Agreement are attached to and are made of this Agreement: By: _ Signature: Xxxx Xxxxx Xxxxxxx Xxxxxx TAC Executive Director Comal County Judge Date: Date: Attest: Xxx Xxxxxxxx Comal County Clerk Draft Date: Draft These specifications shall apply for the period of time indicated herein and shall continue in force and effect until the end of the Coverage Period, the Agreement is terminated, or this Exhibit is superseded in whole or in part by a later executed Exhibit. These specifications are for the Coverage Period commencing on October 1, 2014 and ending on September 30, 2015. Draft The Stop-Loss Contribution is the sum of the Individual Stop-Loss Contribution and Aggregate Stop-Loss Contribution amounts calculated as follows: A. Individual Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $88.00 For each Composite Subscriber Unit B. Aggregate Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $5.60 For each Composite Subscriber Unit A. Claim Liability for each Coverage Period shall be the sum of the Monthly amounts obtained by multiplying the number of Subscriber Units covered for each Month by the following factors: $822.80 For each Composite Subscriber Unit B. Run-Off Claim Liability shall be calculated by multiplying the sum of the total of all covered Subscriber Units during each of the three calendar Months immediately preceding termination by the factors shown below. Settlement for the Final Accounting Period will be as described in Section II—SETTLEMENTS, Run-Off Period Settlement subsection of the Policy. $510.18 For each Composite Subscriber Unit A. Individual (Specific) Stop-Loss Coverage 1. The portion(s) of the Member’s health benefit Plan (the Plan) that describes the benefits applicable to Individual (Specific) Stop-Loss Coverage: • PPO Managed Health Care coverage • Traditional (Out-of-Area) Indemnity Benefit coverage 2. For N/A who is identified by the Subscriber identification number N/A, the amount of Paid Claims during the current Policy Period in excess of the Point of Attachment of $N/A but not to exceed a maximum Point of Attachment of $N/A. Such amounts shall apply for the Policy Period. 3. For each Participant, the amount of Paid Claims during the current Policy Period in excess of $100,000 per Participant but not to exceed $900,000 per Participant. Such amounts shall apply for the Policy Period.

ATTACHMENTS TO THIS AGREEMENT. 9.01 The following Exhibit(s) are attached to and are made a part of this Agreement: 9.02 The following Addenda to the Administrative Services Agreement are attached to and are made of this Agreement: By: _ Signature: Xxxx Xxxxx Xxxxxxx Xxxxxx TAC Executive Director Comal County Judge Date: Date: Attest: Xxx Xxxxxxxx Xxxxxx Xxxxx Comal County Clerk Draft Date: Draft These specifications shall apply for the period of time indicated herein and shall continue in force and effect until the end of the Coverage Period, the Agreement is terminated, or this Exhibit is superseded in whole or in part by a later executed Exhibit. These specifications are for the Coverage Period commencing on October 1, 2014 2017 and ending on September 30, 20152018. Draft The Stop-Loss Contribution is the sum of the Individual Stop-Loss Contribution and Aggregate Stop-Loss Contribution amounts calculated as follows: A. Individual Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $88.00 140.32 For each Composite Subscriber Unit B. Aggregate Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $5.60 4.87 For each Composite Subscriber Unit A. Claim Liability for each Coverage Period shall be the sum of the Monthly amounts obtained by multiplying the number of Subscriber Units covered for each Month by the following factors: $822.80 865.21 For each Composite Subscriber Unit B. Run-Off Claim Liability shall be calculated by multiplying the sum of the total of all covered Subscriber Units during each of the three calendar Months immediately preceding termination by the factors shown below. Settlement for the Final Accounting Period will be as described in Section II—SETTLEMENTS, Run-Off Period Settlement subsection of the Policy. $510.18 375.88 For each Composite Subscriber Unit A. Individual (Specific) Stop-Loss Coverage 1. The portion(s) of the Member’s health benefit Plan (the Plan) that describes the benefits applicable to Individual (Specific) Stop-Loss Coverage: • PPO Managed Health Care coverage • Traditional (Out-of-Area) Indemnity Benefit coveragecoverage • Prescription Drug Program 2. For N/A who is identified by the Subscriber identification number N/A, the amount of Paid Claims during the current Policy Period in excess of the Point of Attachment of $N/A but not to exceed a maximum Point of Attachment of $N/A. Such amounts shall apply for the Policy Period. 3. For each Participant, the amount of Paid Claims during the current Policy Period in excess of $100,000 per Participant but not to exceed $900,000 per Participant. Such amounts shall apply for the Policy Period.

ATTACHMENTS TO THIS AGREEMENT. 9.01 The following Exhibit(s) are attached to and are made a part of this Agreement: 9.02 The following Addenda to the Administrative Services Agreement are attached to and are made of this Agreement: By: _ Signature: Xxxx Xxxxx Xxxxxxx Xxxxxx TAC Executive Director Comal County Judge Date: Date: Attest: Xxx Xxxxxxxx Xxxxxx Xxxxx Comal County Clerk Draft Date: Draft These specifications shall apply for the period of time indicated herein and shall continue in force and effect until the end of the Coverage Period, the Agreement is terminated, or this Exhibit is superseded in whole or in part by a later executed Exhibit. These specifications are for the Coverage Period commencing on October 1, 2014 2018 and ending on September 30, 20152019. Draft The Stop-Loss Contribution is the sum of the Individual Stop-Loss Contribution and Aggregate Stop-Loss Contribution amounts calculated as follows: A. Individual Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $88.00 154.20 For each Composite Subscriber Unit B. Aggregate Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $5.60 4.87 For each Composite Subscriber Unit A. Claim Liability for each Coverage Period shall be the sum of the Monthly amounts obtained by multiplying the number of Subscriber Units covered for each Month by the following factors: $822.80 973.75 For each Composite Subscriber Unit B. Run-Off Claim Liability shall be calculated by multiplying the sum of the total of all covered Subscriber Units during each of the three calendar Months immediately preceding termination by the factors shown below. Settlement for the Final Accounting Period will be as described in Section II—SETTLEMENTS, Run-Off Period Settlement subsection of the Policy. $510.18 270.39 For each Composite Subscriber Unit A. Individual (Specific) Stop-Loss Coverage 1. The portion(s) of the Member’s health benefit Plan (the Plan) that describes the benefits applicable to Individual (Specific) Stop-Loss Coverage: • PPO Managed Health Care coverage • Traditional (Out-of-Area) Indemnity Benefit coveragecoverage • Prescription Drug Program 2. For N/A who is identified by the Subscriber identification number N/A, the amount of Paid Claims during the current Policy Period in excess of the Point of Attachment of $N/A but not to exceed a maximum Point of Attachment of $N/A. Such amounts shall apply for the Policy Period. 3. For each Participant, the amount of Paid Claims during the current Policy Period in excess of $100,000 per Participant but not to exceed $900,000 per Participant. Such amounts shall apply for the Policy Period.

ATTACHMENTS TO THIS AGREEMENT. 9.01 The following Exhibit(s) are attached to and are made a part of this Agreement: 9.02 The following Addenda to the Administrative Services Agreement are attached to and are made of this Agreement: By: _ Signature: Xxxx Xxxxx Xxxxxxx Xxxxxx TAC Executive Director Comal County Judge Date: Date: Attest: Xxx Xxxxxxxx Comal County Clerk Draft Date: Draft These specifications shall apply for the period of time indicated herein and shall continue in force and effect until the end of the Coverage Period, the Agreement is terminated, or this Exhibit is superseded in whole or in part by a later executed Exhibit. These specifications are for the Coverage Period commencing on October 1, 2014 2016 and ending on September 30, 20152017. Draft The Stop-Loss Contribution is the sum of the Individual Stop-Loss Contribution and Aggregate Stop-Loss Contribution amounts calculated as follows: A. Individual Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $88.00 113.95 For each Composite Subscriber Unit B. Aggregate Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $5.60 6.09 For each Composite Subscriber Unit A. Claim Liability for each Coverage Period shall be the sum of the Monthly amounts obtained by multiplying the number of Subscriber Units covered for each Month by the following factors: $822.80 940.51 For each Composite Subscriber Unit B. Run-Off Claim Liability shall be calculated by multiplying the sum of the total of all covered Subscriber Units during each of the three calendar Months immediately preceding termination by the factors shown below. Settlement for the Final Accounting Period will be as described in Section II—SETTLEMENTS, Run-Off Period Settlement subsection of the Policy. $510.18 677.57 For each Composite Subscriber Unit A. Individual (Specific) Stop-Loss Coverage 1. The portion(s) of the Member’s health benefit Plan (the Plan) that describes the benefits applicable to Individual (Specific) Stop-Loss Coverage: • PPO Managed Health Care coverage • Traditional (Out-of-Area) Indemnity Benefit coverage 2. For N/A who is identified by the Subscriber identification number N/A, the amount of Paid Claims during the current Policy Period in excess of the Point of Attachment of $N/A but not to exceed a maximum Point of Attachment of $N/A. Such amounts shall apply for the Policy Period. 3. For each Participant, the amount of Paid Claims during the current Policy Period in excess of $100,000 per Participant but not to exceed $900,000 per Participant. Such amounts shall apply for the Policy Period.

ATTACHMENTS TO THIS AGREEMENT. 9.01 9.1 The following Exhibit(s) are attached to and are made a part of this Agreement: 9.02 9.2 The following Addenda to the Administrative Services Agreement are attached to and are made a part of this Agreement: By: _ Signature: Xxxx Xxxxx Xxxxxxx Xxxxxx TAC Executive Director Comal County Judge Printed Name: Title: Date: Date: Attest: Xxx Xxxxxxxx Comal County Clerk Draft Date: Draft These specifications shall apply for the period of time indicated herein and shall continue in force and effect until the end of the Coverage Period, the Agreement is terminated, or this Exhibit is superseded in whole or in part by a later executed Exhibit. These specifications are for the Coverage Period commencing on October January 1, 2014 2021 and ending on September 30December 31, 20152021. Draft The Stop-Loss Contribution is the sum of the Individual Stop-Loss Contribution and Aggregate Stop-Loss Contribution amounts calculated as follows: A. Individual Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $88.00 $ 163.45 For each Composite Subscriber Unit B. Aggregate Stop-Loss Contribution shall be calculated Monthly and shall be equal to the sum of the amounts obtained by multiplying the number of Subscriber Units covered for a particular Month by: $5.60 $ 5.22 For each Composite Subscriber Unit A. Claim Liability for each Coverage Period shall be the sum of the Monthly amounts obtained by multiplying the number of Subscriber Units covered for each Month by the following factors: $822.80 $ 1,020.80 For each Composite Subscriber Unit B. Run-Off Claim Liability shall be calculated by multiplying the sum of the total of all covered Subscriber Units during each of the three calendar Months immediately preceding termination by the factors shown below. Settlement for the Final Accounting Period will be as described in Section II—SETTLEMENTS, Run-Off Period Settlement subsection of the Policy. $510.18 $ 295.40 For each Composite Subscriber Unit A. Individual (Specific) Stop-Loss Coverage 1. The portion(s) of the Member’s health benefit Plan (the Plan) that describes the benefits applicable to Individual (Specific) Stop-Loss Coverage: • PPO Managed Health Care coverage • Traditional (Out-of-Area) Indemnity Benefit coveragecoverage • Prescription Drug Program 2. For N/A A, who is identified by the Subscriber identification number N/A, the amount of Paid Claims during the current Policy Period in excess of the Point of Attachment of $$ N/A A, but not to exceed a maximum Point of Attachment of $$ N/A. Such amounts shall apply for the Policy Period. 3. For each Participant, the amount of Paid Claims during the current Policy Period in excess of $100,000 per Participant but not to exceed $900,000 125,000 per Participant. Such amounts shall apply for the Policy Period.