Common use of General Service Description Clause in Contracts

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided through Empire and Anthem (medical), Medco(Rx), MetLife(dental) and SHPS (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “Vendors”) for its U.S. Active, Salaried, Eligible Employees (“Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. All claims of Service Recipient’s Covered Employees made under the Plans and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims of Service Recipient’s Covered Employees made under the Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 3 contracts

Samples: Master Transition Services Agreement (ITT Corp), Master Transition Services Agreement (Xylem Inc.), Master Transition Services Agreement (Exelis Inc.)

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General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided through Empire and Anthem (medical), Medco(Rx), MetLife(dental) and SHPS (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “Vendors”) for its U.S. Active, Salaried, Eligible Employees (“Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000NUMBER) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. All claims of Service Recipient’s Covered Employees made under the Plans and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims of Service Recipient’s Covered Employees made under the Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 2 contracts

Samples: Master Transition Services Agreement (Exelis Inc.), Master Transition Services Agreement (Xylem Inc.)

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided the Financial Shared Services active medical through Empire Excellus Blue Cross\Blue Shield BluePoint2 E Plan, Group , dept. 0007 and Anthem active Dental through Excellus Dental plan, Group dept. 0007 and Retiree medical (medicalpre 65 MVP), Medco(Rx), MetLife(dental) and SHPS Group (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “VendorsBenefit Plans”) for its U.S. ActiveService Recipients’ employees covered under such Benefit Plans (such employees, Salaried, Eligible Employees (the “Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) Benefit Plans and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. Each Service Recipient may add or remove Covered Employees to or from coverage under the Benefit Plans as outlined under the terms of the Benefit Plans. All claims of Service Recipient’s Covered Employees made under the Benefit Plans (the “Claims”) and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Recipients’ Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims Claims of Service Recipient’s Recipients’ Covered Employees made under the Benefit Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Recipients will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient Recipients will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient Recipients will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 2 contracts

Samples: Master Transition Services Agreement (Xylem Inc.), Master Transition Services Agreement (Exelis Inc.)

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided the Financial Shared Services active medical through Empire Excellus Blue Cross\Blue Shield BluePoint2 E Plan, Group dept. 0007 and Anthem active Dental through Excellus Dental plan, Group (medical), Medco(Rx), MetLife(dental) and SHPS (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “VendorsBenefit Plans”) for its Service Recipients’ U.S. Activeactive, Salariedeligible employees covered under such Benefit Plans (such employees, Eligible Employees (the “Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) Benefit Plans and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. Each Service Recipient may add or remove Covered Employees to or from coverage under the Benefit Plans as outlined under the terms of the Benefit Plans. All claims of Service Recipient’s Covered Employees made under the Benefit Plans (the “Claims”) and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Recipients’ Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims Claims of Service Recipient’s Recipients’ Covered Employees made under the Benefit Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Recipients will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient Recipients will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient Recipients will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 2 contracts

Samples: Master Transition Services Agreement (Xylem Inc.), Master Transition Services Agreement (Exelis Inc.)

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided through Empire and Anthem (medical), Medco(Rx), MetLife(dental) and SHPS (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “Vendors”) for its U.S. Active, Salaried, Eligible Employees (“Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000( ) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. All claims of Service Recipient’s Covered Employees made under the Plans and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims of Service Recipient’s Covered Employees made under the Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 1 contract

Samples: Master Transition Services Agreement (ITT Corp)

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided the Financial Shared Services and ITT Water Technology, Inc. active medical through Empire Excellus Blue Cross\Blue Shield BluePoint2 E Plan, Group and Anthem active Dental through Excellus Dental plan, Group and Retiree medical (medicalpre 65 MVP), Medco(Rx), MetLife(dental) and SHPS Group (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “VendorsBenefit Plans”) for its U.S. ActiveService Recipients’ employees covered under such Benefit Plans (such employees, Salaried, Eligible Employees (the “Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) Benefit Plans and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. Each Service Recipient may add or remove Covered Employees to or from coverage under the Benefit Plans as outlined under the terms of the Benefit Plans. All claims of Service Recipient’s Covered Employees made under the Benefit Plans (the “Claims”) and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Recipients’ Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims Claims of Service Recipient’s Recipients’ Covered Employees made under the Benefit Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Recipients will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient Recipients will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient Recipients will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 1 contract

Samples: Master Transition Services Agreement (ITT Corp)

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General Service Description. Service Provider will provide Benefits for Service Receiver Management Benefited employees as well as provide Support from Human Resources, Global Benefits, and General Accounting for Service Receiver. Service Receiver will remain on Service Provider Benefits programs for the remainder of the calendar following separation up to December 31, 2014. Service Provider currently provides active participants in the employer funded medical, pharmacy(Rx) ), dental, and dental additional benefits program administration for coverages provided through Empire and Anthem (medical)Cigna Medical, Medco(RxExpress Scripts(Rx), MetLife(dental), MetLife (STD), MetLife (Basic Life & ADD) and SHPS (FSA) (EmpireAetna Global Medical and Dental ( Cigna, AnthemMetLife, Medco, MetLife and SHPS Aetna collectively, the “Vendors”) for its U.S. Active, Salaried, Eligible Employees (“Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION EXELIS SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Exelis Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) and all coverage thereunder in full force through December 31, 2011 2014 for Service RecipientReceiver’s Covered Employees. All claims of Service RecipientReceiver’s Covered Employees made under the Plans and incurred on or prior to December 31, 2011 2014 the (“2011 2014 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service RecipientReceiver’s Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims of Service RecipientReceiver’s Covered Employees made under the Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Receiver will pay Service Provider for coverage based on 2011 2014 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below2014. Service Recipient Receiver will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient Receiver will prepare and deliver to Service Provider a monthly self bi-weekly self-xxxx immediately following the bi-weekly processing of the Service Receiver’s payroll, a data file containing the payroll summary information for the employee funded benefits plans identifying the payroll deductions and active participant information and cost breakdown outlining the total cost per employee funded benefit plan. Service Receiver will perform a wire transfer to Service Provider within 24 to 48 hours of completion of their payroll register the total funds required to support the benefit deductions from the Service Receiver employee bi-weekly paychecks. Service Provider will process the distribution of funds to the identified benefit providers as required to support the Service Provider contractual and regulatory obligations. In the event the funds are not wired in a timely fashion, Service Provider will contact Service Receiver to request information related to the transfer of funds. Benefit payments may be held by Service Provider until funds are wired to support payment obligations from Service Receiver. Schedule A5 Service Provider will prepare an invoice for the employer provider benefits on the first (1st) business unit and day of the calendar month based on the number of active plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of participants for each calendar monthemployer funded benefit plan. The Service Recipient Receiver will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service RecipientReceiver’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments for Cigna Medical, Express Scripts (RX), MetLife (dental), and Aetna Global Medical and Dental and eligibility management with Vendors through December 31, 20132016. Service Provider Receiver and its Subsidiaries will conduct a Headcount True-Up (as defined below) of utilize Service Provider’s resources based on the monthly premiums functionality, processes, input and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred output screens and documents that support Service Provider’s business and business processes in the twelve months prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for detailsthe Distribution Date.

Appears in 1 contract

Samples: Master Transition Services Agreement (Vectrus, Inc.)

General Service Description. Service Provider currently provides active medical, pharmacy(Rx) and dental administration for coverages provided the Financial Shared Services active medical through Empire Excellus Blue Cross\Blue Shield BluePoint2 E Plan, , dept. 0007 and Anthem active Dental through Excellus Dental plan, (medical), Medco(Rx), MetLife(dental) and SHPS (FSA) (Empire, Anthem, Medco, MetLife and SHPS collectively, the “VendorsBenefit Plans”) for its Service Recipients’ U.S. Activeactive, Salariedeligible employees covered under such Benefit Plans (such employees, Eligible Employees (the “Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) Benefit Plans and all coverage thereunder in full force through December 31, 2011 for Service Recipient’s Covered Employees. Each Service Recipient may add or remove Covered Employees to or from coverage under the Benefit Plans as outlined under the terms of the Benefit Plans. All claims of Service Recipient’s Covered Employees made under the Benefit Plans (the “Claims”) and incurred on or prior to December 31, 2011 the (“2011 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service Recipient’s Recipients’ Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims Claims of Service Recipient’s Recipients’ Covered Employees made under the Benefit Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Recipients will pay Service Provider for coverage based on 2011 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below. Service Recipient Recipients will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient will prepare and deliver to Service Provider a monthly self xxxx containing cost breakdown by business unit and plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of each calendar month. The Service Recipient Recipients will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service Recipient’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments and eligibility management with Vendors through December 31, 2013. Service Provider will conduct a Headcount True-Up (as defined below) of the monthly premiums and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for details.

Appears in 1 contract

Samples: Master Transition Services Agreement (ITT Corp)

General Service Description. Service Provider will provide Benefits for Service Receiver Management Benefited employees as well as provide Support from Human Resources, Global Benefits, and General Accounting for Service Receiver. Service Receiver will remain on Service Provider Benefits programs for the remainder of the calendar following separation up to December 31, 2014. Service Provider currently provides active participants in the employer funded medical, pharmacy(Rx) ), dental, and dental additional benefits program administration for coverages provided through Empire and Anthem (medical)Cigna Medical, Medco(RxExpress Scripts(Rx), MetLife(dental), MetLife (STD), MetLife (Basic Life & ADD) and SHPS (FSA) (EmpireAetna Global Medical and Dental ( Cigna, AnthemMetLife, Medco, MetLife and SHPS Aetna collectively, the “Vendors”) for its U.S. Active, Salaried, Eligible Employees (“Covered Employees”). Service Provider shall keep the current contracts with the Vendors and the ITT CORPORATION EXELIS SALARIED MEDICAL AND DENTAL PLAN (PLAN NUMBER 502 EIN 00-0000000) and the ITT Exelis Salaried Medical Plan and Salaried Dental Plan General Plan Terms (collectively, the “Plans”) and all coverage thereunder in full force through December 31, 2011 2014 for Service RecipientReceiver’s Covered Employees. All claims of Service RecipientReceiver’s Covered Employees made under the Plans and incurred on or prior to December 31, 2011 2014 the (“2011 2014 Plan Year”) will be adjudicated in accordance with the current contract and Service Provider will continue to take such actions on behalf of Service RecipientReceiver’s Covered Employees as if such employees are employees of Service Provider. All medical, dental, pharmacy and FSA claims of Service RecipientReceiver’s Covered Employees made under the Plans (the “Claims”) will be paid by the Vendors on behalf of the Service Provider. Service Recipient Receiver will pay Service Provider for coverage based on 2011 2014 budget premium rates previously set for the calendar year 2011 and described in the “Pricing” section below2014. Service Recipient Receiver will pay Service Provider monthly premium payments for this service, for any full or partial months, based on actual enrollment for the months covered post-spin using enrollments as of the first (1st) calendar day of the month, commencing on the day after the Distribution Date. Service Recipient Receiver will prepare and deliver to Service Provider a monthly self bi-weekly self-xxxx immediately following the bi-weekly processing of the Service Receiver’s payroll, a data file containing the payroll summary information for the employee funded benefits plans identifying the payroll deductions and active participant information and cost breakdown outlining the total cost per employee funded benefit plan. Service Receiver will perform a wire transfer to Service Provider within 24 to 48 hours of completion of their payroll register the total funds required to support the benefit deductions from the Service Receiver employee bi-weekly paychecks. Service Provider will process the distribution of funds to the identified benefit providers as required to support the Service Provider contractual and regulatory obligations. In the event the funds are not wired in a timely fashion, Service Provider will contact Service Receiver to request information related to the transfer of funds. Benefit payments may be held by Service Provider until funds are wired to support payment obligations from Service Receiver. Service Provider will prepare an invoice for the employer provider benefits on the first (1st) business unit and day of the calendar month based on the number of active plan tier as set forth on Attachment A, within five (5) Business Days after the beginning of participants for each calendar monthemployer funded benefit plan. The Schedule A5 Service Recipient Receiver will be required to pay the Service Provider the monthly premium payments within ten (10) Business Days after the beginning of each calendar month. A detailed listing of Service RecipientReceiver’s employees covered, including the Plans and enrollment tier in which they are enrolled, will be made available to Service Provider upon its reasonable request. Service Provider will retain responsibility for executing funding of Claim payments for Cigna Medical, Express Scripts (RX), MetLife (dental), and Aetna Global Medical and Dental and eligibility management with Vendors through December 31, 20132016. Service Provider Receiver and its Subsidiaries will conduct a Headcount True-Up (as defined below) of utilize Service Provider’s resources based on the monthly premiums functionality, processes, input and establish an Incurred But Not Reported (“IBNR”) claims reserve for Claims incurred output screens and documents that support Service Provider’s business and business processes in the twelve months prior to December 31, 2011 date, but paid after that date, and conduct a reconciliation of such reserve. See “Headcount True-Up” and “IBNR Reconciliation” sections under Additional Pricing for detailsthe Distribution Date.

Appears in 1 contract

Samples: Master Transition Services Agreement (Exelis Inc.)

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