Treatment of Service Cooperatives Sample Clauses

Treatment of Service Cooperatives. During the Class Period, entities organized under Minn. Stat. § 123A.21 and/or predecessor statutes (“Service Cooperatives”) purchased fully insured group policies from Blue Cross and then later became self-insured. For purposes of this Settlement Agreement, a Service Cooperative will be deemed a fully insured group for any time during which it purchased or arranged for the purchase of a fully insured group policy from Blue Cross and the effective date of any such contract with Blue Cross was on or before June 30, 1992. Upon the effective date of any contract renewed on or after July 1, 1992, a Service Cooperative will be deemed self-insured (and therefore its share of the Settlement Amount will be based solely on the earlier time periods in which it may have held a fully insured contract). In addition to the Service Cooperatives listed in Exhibit 2, a number of cities, counties, and other governmental agencies belonged to a state-wide service cooperative until approximately July 2000. At that time, these governmental units no longer belonged to a state- wide service cooperative and instead were divided among the several regional Service Cooperatives that are listed in Exhibit 2. For purposes of this Settlement Agreement, a governmental unit identified by this paragraph will be deemed a member of the regional Service Cooperative in which the governmental unit is geographically located.

Treatment of Service Cooperatives. At different times within the Class Period, some Class Members may have entered into fully insured group contracts both in their own name as well as through a Service Cooperative. Blue Cross will determine the Eligibility Date, group size, and years of coverage for each such Class Member. The provisions of this subsection apply to Class Members who, at any time, have been members of any Service Cooperative that is listed in Exhibit 2, or any of the predecessors or successors to those Service Cooperatives. (1) If the Class Member was not a member of a Service Cooperative on the Class Member’s Eligibility Date, then the Class Member must complete and file a Claim Form to be a Participating Class Member. Blue Cross will issue the distribution directly to this Participating Class Member. (2) If the Class Member was a member of a Service Cooperative on the Class Member’s Eligibility Date, then Blue Cross will not issue a distribution to that Class Member. Instead, the Class Member’s share of the Settlement Amount will be eligible for distribution directly to the Service Cooperative. This Class Member is not required to submit a Claim Form. The Service Cooperative must submit a Claim Form in order to receive its portion of the Settlement Amount. A distribution to a Service Cooperative equals the sum of the amounts that the Service Cooperative’s members would have received had the distribution been made directly to those members; except that the total distribution to a Service Cooperative is subject to the maximum distribution provision in subparagraph G, below. See Example A, attached. By submitting a Claim Form, an eligible Service Cooperative becomes a Participating Class Member.