Exhibit 10.4
SERVICES AGREEMENT
THIS SERVICES AGREEMENT (the "Agreement") is entered into as of June 1, 1997 by
and between PepsiCo, Inc. with an address of 000 Xxxxxxxx Xxxx Xx. Xxxxxxxx, XX
00000, ("PepsiCo" or "Company"), and Network Management Services, Inc., with an
address of 0000 Xxxxxxx Xxxxxxxxx, Xxxxx 0000, Xxxxxxxxxxx, XX 00000-0000
("NMS").
RECITALS
WHEREAS, PepsiCo desires to retain NMS to provide certain administrative
services for certain Participant benefit Plans maintained by PepsiCo; and
WHEREAS, NMS desires to provide such services on the terms and conditions set
forth in this agreement;
NOW THEREFORE, in consideration of the foregoing and the mutual promises
contained herein, and subject to the terms and conditions set forth below, NMS
and PepsiCo hereby agree as follow:
ARTICLE 1. CERTAIN DEFINITIONS
-------------------------------
As used in the Agreement, the following terms shall have the following meanings:
"BEN-NET(TM)" shall mean NMS' proprietary technology services software program
providing services including but not limited to group set-up, Vendor set-up,
enrollment management, enrollment data edits, eligibility distribution to
Vendors, retroactive enrollment adjustments, payments to Vendors, COBRA and
other direct individual billing administration.
"Company and PepsiCo" shall refer to the corporate offices of PepsiCo and not
the individual PepsiCo divisions.
"Enrollment Form" shall mean the application a Participant completes to obtain
covered benefits from a Vendor.
"Participant" shall mean an individual identified by PepsiCo eligible to
participate in one or more or PepsiCo's Plans as specified by PepsiCo. A
participant includes both primary subscribers and their eligible dependents.
"Plan" or "Plans" shall mean any of the Participant benefit plans of PepsiCo
with respect to which NMS provides services, as defined in Appendix A to this
Agreement.
"Vendor" shall mean an organization authorized to provide or arrange for health
care or other Participant financial /welfare benefits and shall include but not
be limited to health maintenance organizations, preferred provider
organizations, pharmacy benefits managers, indemnity insurance organizations,
third party administrators, mental health/substance abuse service organizations,
short and long term disability managers, life insurance organizations, retiree
plan administrators, flexible benefit administrators, and employee assistance
program administrators, that has contracted with PepsiCo.
"Vim-in" shall mean those data feeds from PepsiCo or its Vendors to NMS which
are needed by NMS to perform the obligations of this service Agreement. Vim-ins
are categorized into three levels of complexity. The categories serve as a
pricing guide for set up and ongoing cost for any Vim-ins beyond those
identified in this initial contract.
"Vim-out" those data feeds from NMS to PepsiCo vendors which are needed by NMS
to perform the obligations of this service Agreement. Vim-outs are categorized
into three levels of complexity. The categories serve as a pricing guide for set
up and ongoing cost for any Vim-outs beyond those identified in this initial
contract.
ARTICLE 2. NMS RESPONSIBILITIES
---------------------------------
NMS shall be responsible for PepsiCo benefit Vendor eligibility and financial
data management including, data receipt from PepsiCo divisions, warehousing and
data distribution and financial reconciling between Corporate and all benefit
Vendors. NMS is further responsible for generating standard accounting reports
associated with these functions. NMS shall produce a thirteen (13) month billing
report to be used by Corporate for purposes of divisional allocation. It is
further understood that the Vendors will be paid based on a separate twelve (12)
month data base and that the two data bases will not fully reconcile at any
point in time.
Specific contracted responsibilities are expressed in the Service and Pricing
document attached as Appendix A. Specific performance requirements are expressed
in the Performance Guarantee document attached as Appendix B.
ARTICLE 3. COMPANY RESPONSIBILITIES
--------------------------------------
1. Company shall supply to NMS, according to a mutually agreed to schedule,
regular electronic files relating to Participant's selection of Vendors.
If Company does not transmit data in a timely fashion or sends incomplete
or inaccurate data, Company shall recognize that NMS may not be able to
administer its services in complete conformity to the standards and content
contained in this Agreement.
2. Company shall respond to inquiries from NMS, relating to administering the
services contained in this Agreement, in a timely and complete fashion
which allows NMS to fulfill its obligations contained herein.
3. Company shall reasonably communicate to Participants instructions for
completing enrollment information and otherwise communicating with NMS.
Company shall comply with reasonable NMS requests to improve Company's
communication and general human resource policies relating to
administrative services provided by NMS.
4. Company shall execute all requests for fund transfers from NMS to Vendors
and NMS according to Appendix C unless, in Company's opinion, the request
is inaccurate, incomplete or otherwise does not meet reasonable standards
for completeness and documentation.
5. Company, not NMS, shall be responsible for any late payment or
reinstatement fees levied by Vendors relating to improper or late payment
of premiums, service fees or claims funding request. If late fee is
assessed due to NMS negligence (as mutually agreed upon by NMS and
PepsiCo), NMS will be responsible for payment of said late fee to the
appropriate vendor.
6. Company shall reimburse NMS according to Appendix A of this Agreement and
also subject to the following:
a. Fees for routine administrative services, including but not limited to
the Global Fee, 13 period billing, ad hoc reporting and retiree base fee
shall be immediately and fully payable to NMS on a monthly basis at the
time PepsiCo reimburses Vendors.
b. Fees, services, and expenses not reimbursed to NMS on a regular monthly
basis, including but not limited to Consulting Services and special
projects, are due to NMS thirty (30) days after the invoice receipt
date.
c. PepsiCo shall reimburse NMS for all approved travel related expenses
including but not limited to airfare, ground transportation, hotel and
meal expenses. Expense reimbursements are due to NMS thirty (30) days
after the invoice receipt date.
d. Any costs for printing, mailing and overnight delivery charges relating
to the distribution of information to Company, Participants or Vendors
are the sole responsibility of Company unless otherwise described in
Appendix A.
ARTICLE 4. INDEMNIFICATION, INSURANCE AND FIDUCIARY STATUS
-----------------------------------------------------------
Indemnity. Each party (the "Indemnifying Party") shall indemnify and hold
harmless the other party (the "Indemnified Party") from and against any costs,
claims, damages, liabilities, or losses (including costs and expenses and
attorney fees incurred in connection therewith) ("Claims") arising from the
negligence or willful misconduct of the indemnifying Party. The Indemnified
Party shall notify the Indemnifying Party promptly of any Claim. The
Indemnifying Party may, but shall not be required to, assume the defenses of any
such Claims. The Indemnified Party shall cooperate with the Indemnifying Party
in the defense of any such claim, and shall not settle or compromise such Claim
without the prior written consent of the Indemnifying Party.
Insurance. During the term of this Agreement, NMS shall maintain in force the
following insurance coverage:
1. Workers' Compensation and related insurance as prescribed by the law of the
state(s) in which the work is to be performed
2. General comprehensive liability coverage, with limits of *** per occurrence
and *** in the aggregate
3. Property damage coverage in the amount of *** per occurrence
4. E&O data processing insurance with limits of ***
Upon PepsiCo's request, NMS shall provide certificates of insurance evidencing
the aforementioned coverages.
Fiduciary Status. PepsiCo and NMS understand and intend that NMS shall not be a
fiduciary within the meaning of the Employee Retirement Income Security Act of
1974 as amended, or any state law with respect to any Plan. NMS shall not have
any discretion with respect to the management or administration of any Plan or
with respect to determining or changing the rules or policies pertaining to
eligibility or entitlement of any participant in any Plan to benefits under such
Plan. NMS also shall not have any control or authority with respect to any
assets of any Plan, including the investment or disposition thereof. All
discretion and control with respect to the terms, administration or assets of
any Plan shall remain with PepsiCo or with the named fiduciaries under such
Plan.
ARTICLE 5. TERM AND TERMINATION
--------------------------------
1. The term of this Agreement will be four years (4) commencing on January
1/st/ 1997 and will thereafter by automatically renewed for successive
terms of one (1) year each.
2. In the event that a party materially breaches in the performance of any of
its requirements under this Agreement, the other party may, at its sole
discretion, provide notice to the breaching party of its intent to
terminate this Agreement.
*** Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
3. The breaching party shall have thirty (30) days to cure the default and
avoid termination. If the default is not cured within thirty (30) days of
the notice, the other party may execute its termination notice to be
effective thirty (30) days after the end of the expiration of the default
cure period.
4. For the purposes of this Agreement and without limiting the foregoing
generally, a material breach shall include but not be limited to the
following:
a. Failure by NMS to substantially provide the services outlined in
Appendix A;
b. Failure by Company to reimburse NMS according to the terms of this
Agreement;
c. A Party's filing a petition in bankruptcy or for reorganization or for
the adoption of an arrangement under the Bankruptcy Act (or similar law
of the United States or any other jurisdiction, which law relates to the
liquidation or reorganization of companies or the modification or
alteration of the rights of creditors) or an answer or other pleading
admitting or failing to deny the material allegations of such a petition
or seeking, consenting to or acquiescing in the relief therein provided;
d. A party's making an assignment, or so called trust mortgage or the like,
for the benefit of its creditors or by its making a proposal to its
creditors under any bankruptcy act;
e. A party's consenting to the appointment of a receiver or a trustee (or
other person performing a similar function) for all or a substantial
part of its property;
f. A party's being adjudicated bankrupt;
g. The entry of a court order which has not been vacated, set aside or
stayed within thirty (30) days from the date of entry, either (i)
appointing a receiver or a trustee for all or a substantial part of its
property or (ii) approving a petition filed or application made against
it for, or effecting an arrangement in, bankruptcy or made against it
for, or effecting an arrangement in, bankruptcy or for a reorganization
or other relief pursuant to any bankruptcy act or for any other judicial
modification or alteration of the rights of creditors;
h. The assumption of custody or sequestration by a court of competent
jurisdiction of all or substantially all of a party's property, which
custody or sequestration has not been suspended or terminated within
thirty (30) days from its inception; and/or
i. A party's insolvency, as defined by law.
5. Obligations Upon Termination. Upon any termination or non-renewal of this
Agreement, either party shall deliver to the other party any and all data
or information (in whatever form or media) that is owned or developed by or
licensed to the other party and that is supplied hereunder. Furthermore,
NMS shall cooperate with PepsiCo in the transfer of NMS' obligations
hereunder to a replacement service provider.
ARTICLE 6. CONFIDENTIALITY AND PROPERTY RIGHTS
-----------------------------------------------
Confidential Information. Confidential Information shall include all information
relating to the design and data storage components of the NMS BEN-NET(TM) system
and any additional information disclosed by one party (the "Discloser") to the
other (the "Recipient") in writing and marked "Confidential" or disclosed
visually or orally and subsequently confirmed in writing to be confidential
within 20 days after the first disclosure. Confidential Information shall not,
however, include the following:
1. Information which is now or hereafter comes into the public domain
through no fault of the Recipient;
2. Information learned by the Recipient from third parties;
3. Information known to the Recipient or developed by the Recipient
independently of information disclosed by the Discloser; or
4. Information required to be disclosed by Recipient pursuant to requirements
of law.
Confidential Treatment. The Recipient shall treat the Confidential Information
as confidential, using the same standard of care that it uses to protect its own
proprietary or confidential information (but not less than a reasonable standard
of care), and shall use reasonable measure to prevent disclosure of the
Confidential Information to any third party without the Recipient's consent. The
Recipient shall disclose the Confidential Information only to those of its
Participants, agents or subcontractors who have a reasonable need for access
thereto for.
Return of Information. All Confidential Information shall remain the property of
the Discloser. Upon the Discloser's request, the Recipient shall promptly return
the Confidential Information, provided, however, that the Recipient may retain
copies solely for archival purposes only.
NMS Intellectual Property. Nothing contained in this Agreement shall confer to
PepsiCo any property rights, proprietary interest or licenses in the software,
written materials, techniques, or know how used by NMS and its BEN-NET(TM)
System.
Non-Solicitation. For the term of this Agreement and a period of two (2) years
thereafter, neither party shall, in any way, solicit or employee directly or
indirectly an employee of the other party without the written consent of the
other party.
ARTICLE 7. ARBITRATION OF DISPUTES
-----------------------------------
Any dispute, controversy or claim that cannot be resolved by the parties arising
out of or relating to this engagement letter or the services covered by this
letter shall be settled by arbitration in accordance with the Commercial
Arbitration Rules of the American Arbitration Association ("AAA"), and judgment
upon the award rendered by the arbitrator(s) may be entered in any court having
jurisdiction thereof. The arbitration shall be held in Minneapolis, MN, or in
such other location as the parties may mutually agree upon. The arbitration will
be conducted before a panel of three arbitrators, with one arbitrator named by
each party and the third named by the two party-appointed arbitrators, or (if
they should fail to agree on the third) by the AAA. The arbitrators may not
award non-monetary or equitable relief of any sort. They shall have no power to
award punitive damages or any other damages not measured by the prevailing
party's actual damages. All aspects of the arbitration shall be treated as
confidential. Neither the parties nor the arbitrators may disclose the
existence, content or results of the arbitration, except as necessary to comply
with legal or regulatory requirements. Before making any such disclosure, a
party shall give written notice to all other parties and shall afford such
parties a reasonable opportunity to protect their interests.
ARTICLE 8. BOOKS AND RECORDS
-----------------------------
1. PepsiCo shall have the right, but not the obligation, to audit the books
and records of NMS pertaining to NMS' services rendered hereunder no more
than once every twelve (12) months, upon reasonable notice to NMS. Such
right to audit shall survive the termination of this Agreement by six (6)
months. All audits shall be at PepsiCo's expense.
2. NMS will make available for audit by either PepsiCo or its designee
("Auditor") its files, books, procedures and records (including computer
terminal access to same) pertaining to the services provided by
NMS under this Agreement during the hours of 8 a.m. to 6 p.m. Monday
through Friday, but excluding holidays. NMS shall fully cooperate with such
audit and shall make available for interview with the Auditor those
personnel with material involvement or responsibility with respect to the
services provided by NMS under this Agreement. PepsiCo will give NMS
reasonable notice of each audit prior to commencement of the audit. The
audit shall be conducted at NMS' offices.
3. Notwithstanding anything herein to the contrary, in the event that the
Auditor is to be a designee of PepsiCo, PepsiCo must first obtain the
consent of NMS with respect to such designee, which consent shall not be
unreasonably withheld.
4. NMS shall have the opportunity, prior to the release of the audit report,
to review the draft and to include in the report its responses to issues
raised by the report.
ARTICLE 9. NOTICES
-------------------
General. All notices, requests, demands and other communications required to be
given hereunder shall be in writing and shall be deemed to have been duly given
one day after delivery by hand or via a nationally recognized overnight courier
or five days after mailing, certified or registered mail, return receipt
requested to the party for whom intended at the address specified in this
Article. Either party may designate an alternated address for notices by given
written notice thereof in accordance with the provisions of this Article.
Notices to Supplier. All notices to NMS shall be directed as follows:
Network Management Services
0000 Xxxxxxx Xxxx., Xxxxx 0000
Xxxxxxxxxxx, XX 00000-0000
Attn.: Chief Financial Officer
Notices to PepsiCo. All notices to client shall be directed as follows:
PepsiCo
000 Xxxxxxxx Xxxx Xxxx
Xxxxxxxx, XX 00000
Attn.: Xxxxxxx X. Xxxx
ARTICLE 10. GENERAL PROVISIONS
------------------------------
Control of Work. NMS shall be solely responsible for the conduct and control of
the work to be performed under this Agreement by NMS and its agents or
employees.
Applicable Law. This Agreement shall be governed and construed in accordance
with the laws of the State of Minnesota.
Publicity. Each party shall obtain the prior written consent of the other party
concerning the content and plan of distribution of any public announcement,
press release or advertisement concerning this Agreement, provided that NMS may
include references to PepsiCo in client lists, general press releases not
specifically pertaining to Company, proposals, and other non-public
communications concerning NMS or its services. No prior consent shall be
required regarding the inclusion of the other party's name in notices,
disclosure documents, or other filing or publications required by law or
regulations.
Paragraph Headings. Section headings are for convenience only and shall not be
considered part of the terms and conditions of this Agreement.
Modification. No modification, waiver or amendment of any term or condition of
this Agreement shall be effective unless and until it shall be reduced to
writing and signed on behalf of NMS and PepsiCo.
Waiver. Failure by either party at any time to require full performance by the
other party or to claim a breach of any term of this Agreement will not (a) be
construed as a waiver of any right under this Agreement, (b) affect any
subsequent breach, or (c) affect the validity of this Agreement or any part
thereof.
Severability. If any term or provision of this Agreement should be declared
invalid by a court of competent jurisdiction, the remaining terms and conditions
of this Agreement shall be unimpaired.
Complete Agreement. The Agreement, including the Exhibits, constitutes the
entire agreement between the parties with respect to the subject matter hereof
and supersedes all prior proposals, negotiations, conversations, discussions and
agreements between the parties. This Agreement may be modified only by a written
instrument executed on behalf of both of the parties hereto.
Assignment. Neither party may assign any of its rights under this Agreement
without the prior written consent of the other party. Subject to the foregoing,
all of the terms and provisions of this Agreement shall be binding upon and
insure to the benefit of and be enforceable by the successors and permitted
assigns of PepsiCo and NMS.
Survival. The respective obligations of each party that would be their nature
continue after the termination or expiration of this Agreement, including
without limitation those contained in Confidentiality, Indemnification, and
Intellectual Property Indemnification, and shall survive the termination or
expiration of this Agreement.
Counterparts. This Agreement may be executed in one or more counterparts each of
which shall be deemed to be an original and all of which, taken together, shall
constitute a single instrument.
Benefit of the Parties. This Agreement is for the sole and exclusive benefit of
the parties hereto and is not intended to, nor does it, confer any benefit upon
any third party.
IN WITNESS WHEREOF, the parties hereto, through their duly authorized
representatives, have executed this Agreement effective as of the day and year
first set forth above.
NETWORK MANAGEMENT SERVICES, INC.
BY: /s/ Xxxxx X. Xxxxxxxx
-------------------------
Name: Xxxxx X. Xxxxxxxx
Title: Chief Financial Officer
PEPSICO, INC
BY: /s/ Xxxxxx Xxxxxxx
-------------------------
Name: Xxxxxx Xxxxxxx
Title: Manager Health & Welfare Benefits Delivery
PepsiCo Contract - Appendix A
--------------------------------------------------------------------------------
Pricing Schedule
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VIMIN/VIMOUT SETUP Fees
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1. Set-Up Environmental analysis ***
Description: Project Planning, Management, and coordination with client divisions and
vendors to initialize consolidated administration services. plus travel expenses
---------------------------------------------------------------------------------------------------------------------
2 . VIMIN - Set-up 5 Imports
Description: Analysis of group reporting, rate and benefit structure required by
client. Data mapping imports from client's payroll/benefit system, database ***
enhancements for customized data capture. Pre-import edit logic and reports ***
development. ***
***
***
***
Note: pricing corresponds
to list in comments
Assumption: Current VIMIN specification requires minimal modifications.
Estimated Total
*** *
*Does not include VIM-Ins
from Vendors
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Comments
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Phase I completed prior to separation of divisions.
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*Assume Corporate will supply 1 file versus two
* Assume PVN Import specification
PepsiCo VIM-INS:
. KFC Stress Test
. Frito/Caremark Import
. Frito-Lay PVN Import
. Pepsi-Cola PVN Import
. PepsiCo Corporate PVN Import
. International
Any additional requested VIM-Ins will be priced
separately.
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________________________________________________________________________________
J:\PepsiCo\PRICING\1997Pricing\pricing97.doc
Last Print Date: 11/09/98
Last Revision Date: 10/29/98
***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
PepsiCo Contract - Appendix A
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3.VIMOUT- Set-Up
Level I
Description: Interface with program vendors to deliver consolidated
electronic data feeds. Assumes comprehensive data, multiple Level I - Level I Vendors:
coverage's, translating into or converting from complex existing Assumes 14 . Aetna H&W (52)
group structures. charge range of . United/Met (52)
*** each *Assume PNP is included
. Xxxxxx Pension Val (6)
. Merck/Medco (52)
Estimated Total . SSB (401k/CSPP/RDC) (52)
*** . Xxxx Xxxxxxx (52)
. Corporate Adhoc (52) - 4 files*
. PVN Export
Additional VIM-OUT . PVN Financials (2 files)
set up @ *** each . PVN Data Edits
* Note: Pricing is separate as
identified as 4 deliverables later in
the process instead of 1 deliverable.
. KPMG (52)
. Xxxxxxx Demo (52)
. Xxxxxxx Xxxxx (4)
. Xxxxxxx Mini (52)
Level II . Benefacts Mini (12)
Description: Interface with program vendors to deliver consolidated Level II - Assume 5 . Benefacts SP (3)
electronic data feeds. Assumes fewer data elements, single line of @ *** each . Benefacts TCPS (6)
coverage, new data structure (no translation).
Estimated Total
***
Level II Vendors:
Additional VIM-OUT . MetLife Dental (52)
set up @ *** each . CIGNA Dental (26)
. Aetna FSA (52)
. UHC FSA (52)
. MHN (26)
. Health International (52)
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Last Print Date: 11/09/98
Last Revision Date: 03/15/97
*** Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
2
PepsiCo Contract - Appendix A
----------------------------------------------------------------------------------------------------------------------------
VIMIN/VIMOUT SETUP Fees Comments
----------------------------------------------------------------------------------------------------------------------------
Level III Level III - Assume Level III Vendors:
Description: Interface with program vendors to deliver 10 plus HMOs (137) . Lenscrafters (26)
consolidated electronic or hard copy paper data feeds. If @ *** each . Xxxxxx 401k Discrim Test (4)
electronic, assumes minimal data elements, single line of . Hyatt Group Legal (26)
coverage, new data structure (no translation). . ECPA (12)
. Xxxxxx Pension Info Line (12)
Estimated Total . Work Comp (52)
*** and . Work Comp Frito (12)
*** * . Dep care Connect (26)
Free & Clear (26)
* Assumes 110 * Assumes part of Merck/Medco
Pepsi-Cola HMOs *Assumes part of UHC feed
with no change . Human Affairs (26) - this was eliminated
Additional VIM-OUT . HMOs - 137 (1644)
set up @ *** each
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TOTAL SET-UP FEE (estimated) *** Due 2nd quarter 1997
----------------------------------------------------------------------------------------------------------------------------
Last Print Date: 11/09/98
Last Revision Date: 03/15/97
*** Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
3
-------------------------------------------- ----------------------------- ---------------------------------------------------------
VIMIN/VIMOUT ONGOING Fees Comments
-------------------------------------------- ----------------------------- ---------------------------------------------------------
Global Fee of Assumptions:
***/month . Services for global fee are outlined below. All
Previous Pricing Schedule Fees: other services not in scope are subject to time &
VIM-IN Set Up: materials charge @ ***/hour.
------------- Phase 2 Interim Fee is . Fee does not include COBRA - see separate fees.
*** ***/month . Phase 2 interim fee is effective one month
prior to live date for Frito or Pepsi-Cola
VIM-IN Ongoing: . If there is a change in number of VIM In or Out
-------------- feeds (regardless of frequency), fee will increase
*** per VIMIN per month incrementally based on old pricing schedule for
Assumes 65,000 employees both development and ongoing.
VIM-OUT Set Up: (This number includes . Current Pepsi-Cola revenue for HMOs included in
-------------- Frito-Lay retirees who have fee.
Level 1: *** per VIMOUT H&W benefits) . Retiree Medical not included.
Level 2: *** per VIMOUT . Travel & Expense not included and billed
Level 3: *** per VIMOUT separately. Except; (4) account manager trips per
year are NMS expense.
VIM-OUT Ongoing: . Does not include development costs.
--------------- . T1 connection & implementation not included
Level 1: *** per VIMOUT per month . Annual increase for 1/1/99 subject to CPI + 3%
Level 2: *** per VIMOUT per month if scope & effort are equal. Increase for Year
Level 3: *** per VIMOUT per month 2,000 will be waived assuming PVN is in
maintenance mode, and NMS IS-related salary
increases do not necessitate increasing fees in
order to adequately support PVN.
. Assumes 65,000 ee's; an adjustment of ***/year
will be applied with every increase/decrease of
5,000 ee's
-------------------------------------------- ----------------------------- ---------------------------------------------------------
Last Print Date: 11/09/98
Last Revision Date: 03/15/97
***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
4
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VIMIN VIMOUT ONGOING Fees Comments
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1. VIMIN - On-Going Fee includes 4 ongoing Corporate PVN Import
Description: Receipt and processing of enrollment adds, changes, VIM-Ins Pepsi-Cola PVN Import
and termination records via electronic import from client's Frito PVN Import
payroll/benefit system. Additional VIM-Ins @ International PVN Import
***/mo.
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2. VIMOUT- On-Going Fee includes the following
Description: Distribution of enrollment adds, changes, and vendors outlined in set up Note: NMS will accept exchange for
termination records via electronic export or paper on a only. vendors in same level at no
weekly or as appropriate basis. additional cost to PepsiCo as long
as the net change equals zero.
This provision applies to ongoing
charge only - not the set up fees.
(14) Xxxxx 0
Xxxxx X additional VIMOUT
@ ***
(5) Level II
Level II additional VIMOUT
@ ***
(10) Level III
plus
Level III 137 HMOs
additional VIMOUT
@ ***
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________________________________________________________________________________
Last Print Date: 11/09/98
Last Revision Date: 03/15/97
***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
5
PepsiCo Contract - Appendix A
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OTHER ADMINISTRATIVE SERVICES Fees COMMENTS
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1. PCP Management No PEPM applied.
Description: Gather PCP elections, load into BEN-NET(TM) during Service included in the
open enrollment and fornew hires, validate against vendor global fee
directory in support of the enrollment process.
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2. Customer Service No PEPM applied.
Description: Receive and respond to inquiries from division Service included in the
HR/Benefits reps and Health Plans for inquiries regarding global fee
enrollment, eligibility, and reconciliation.
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3. Eligibility Verification No PEPM applied
Description: Application of edits against eligibility Service included in the
rules, student status verification, and file maintenance. global fee
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4. Premium Billing, Reconciliation No PEPM applied. Client will fund vendors
Description: Calculation and distribution of consolidated Service included in the direct using NMS-reported data,
monthly "self-xxxx" to client using NMS standard invoice global fee therefore, no collection effort
format, with fully adjudicated retroactive and no funds transfer and cash
adjustment processing and reconciliation. balancing required.
Assumes 13th month period billing, however not
at member level.
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5. BEN-NET(TM) Application Not Included.
Description: Internet access for inquiry Priced separately.
by division HR reps. NMS provides Help Desk
support and End-User training.
Description: Internet access for interactive web site
-----------
enrollment with personalized enrollment worksheets.
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________________________________________________________________________________
Last Print Date: 11/09/98
Last Revision Date: 03/15/97
6
PepsiCo Contract - Appendix A
--------------------------------------------------------------------------------
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OTHER ADMINISTRATIVE SERVICES Fees
----------------------------------------------------------------------------------------------------------------------
6.COBRA Administration Ongoing
Description: Provide continuation notification to qualified beneficiary or retiree,
process enrollment and eligibility, xxxx and collect Cobra recipient premium, ***/month
provide enrollment data to health plans and enrollment/premium data to client. per
Cobra Participant*
If NMS retains responsibility for renewal/open enrollment solicitation and
notification. Price assumes; a) passive enrollment, b) Client responsible for
development & production of enrollment materials, c) NMS responsible for cobra cover
letter and updated rate information and mailing of packets.
* Refers to entire family
unit covered
If NMS provides initial notification to employee following qualifying event only
which is incorporate into the general cobra participant fee.
If NMS does not retain 2% premium surcharge for COBRA participants, an additional fee
per participant applies and this is incorporated in the fee.
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7. COBRA Implementation- Set Up ***
Description: Project Planning, Management, and coordination with client divisions and one time fee
vendors to initialize consolidated administration services. plus
travel expense
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8. HIPAA Certificate Production & Mailing *** per Certificate
Weekly production and mailing of HIPAA certificates for PepsiCo, Pepsi-Cola, Frito-Lay, Produced
and International employees who's medical coverage is terminated. HIPAA
certificates will not be produced for employees transferring from one division
to another where no lapse in coverage occurs.
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OTHER ADMINISTRATIVE SERVICES COMMENTS
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6.COBRA Administration Ongoing
Description: Provide continuation notification to qualified beneficiary or retiree, Note: CORBA administration was not
process enrollment and eligibility, xxxx and collect Cobra recipient premium, included in original proposal and has
provide enrollment data to health plans and enrollment/premium data to client. been added as a result of the completion
of environmental analysis
Estimates:
----------
QB's/month
1200 - PepsiCo
If NMS retains responsibility for renewal/open enrollment solicitation and 800 - Restaurants
notification. Price assumes; a) passive enrollment, b) Client responsible for
development & production of enrollment materials, c) NMS responsible for cobra cover
letter and updated rate information and mailing of packets. Participants/year
800 - PepsiCo
300 - Restaurants
If NMS provides initial notification to employee following qualifying event only . Assumes client retains responsibility
which is incorporate into the general cobra participant fee. for funding vendors for COBRA and
Retiree fees
. Assumption of enrollment materials to
be developed by client
If NMS does not retain 2% premium surcharge for COBRA participants, an additional fee . Assume Cobra benefits and process
per participant applies and this is incorporated in the fee. similar across divisions & benefits
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7. COBRA Implementation- Set Up Note: COBRA administration was not
Description: Project Planning, Management, and coordination with client divisions and included in original proposal and has
vendors to initialize consolidated administration services. been added as a result of the completion
of environmental analysis
Assumes transition of Individual
administration from multiple divisions
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8. HIPAA Certificate Production & Mailing
Weekly production and mailing of HIPAA certificates for PepsiCo, Pepsi-Cola, Frito-Lay,
and International employees who's medical coverage is terminated. HIPAA
certificates will not be produced for employees transferring from one division
to another where no lapse in coverage occurs.
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Last Print Date: 11/09/99
Last Revision Date: 03/15/97
***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
7
PepsiCo Contract - Appendix A
--------------------------------------------------------------------------------
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Optional Services Fees
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1. Ad Hoc Reporting No Charge - Standard
Description: Analysis and programming of custom reports to support data Report Package
management and decision making outside of the standard reporting package (Y-T-D
Enrollment, Monthly Enrollment and Payment summary). ***/hour
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Optional Services Comments
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1. Ad Hoc Reporting "Standard" reporting package provided at
Description: Analysis and programming of custom reports to support data no charge includes monthly enrollment
management and decision making outside of the standard reporting package (Y-T-D detail and summary, monthly cash flow
Enrollment, Monthly Enrollment and Payment summary). report, consolidated self-xxxx and
consolidated transfer of funds request.
Monthly charge of *** a month will be
billed to PepsiCo, beginning 4/1/98, and
continuing until such time that PepsiCo
determines that the ad hoc reporting
allocation should be increased or
decreased. In 1998, the allocation for
reporting is 400 hours. NMS will provide
a quarterly reconciliation of actual
hours compared to allocated hours.
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Last Print Date: 11/09/98
Last Revision Date: 03/15/97
***Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
8
PepsiCo Contract - Appendix A
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2. 13 Billing Reporting Export form primary
Description: NMS will provide PepsiCo a report which reflects database Cost and charges associated with the 13
payables on a 13 period accounting cycle. The report "13 *** set up fee period payable report are not included
Period Payable Report" will be produced from a separate in the base contract and are to Import
database used exclusively for this reporting purpose. Import to secondary to secondary be billed to PepsiCo on a
database time and materials basis.
*** set up fee
Development costs; One third of the 500 hours (@***/hr)
*** required to program for 13 period
process. NMS assumes the other two thirds
of development costs.
Ongoing Maintenance Costs; Assumes 65,000 employees
***/month An adjustment of *** will be applied to
any increase/decrease of 5,000 employees.
Annual increase for 1/1/99 subject to
CPI + 3% if scope & effort are equal.
Increase for Year 2,000 will be waived
assuming PVN is in maintenance mode, and
NMS IS-related salary increases do not
necessitate increasing fees in order to
adequately support PVN.
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3. Confirmation Statements Available, but not
Description: Generation and distribution of personalized requested
employee letters identifying enrollment election, No pricing offered
dependent information, and PCP selection.
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4. Customer Service: Level II
Description: Receive and respond to inquiries from division Service included in
HR/Benefits reps, Health Plans, and Continuants for Global Fee.
inquiries regarding enrollment, eligibility, billing and
payment.
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--------------------------------------------------------------------------------
Last Print Date: 11/09/97
Last Revision Date: 03/15/97
*** Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
9
PepsiCo Contract - Appendix A
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5. Retiree Administration
. Level II Customer Service (Inactives are supplied with *** monthly fee plus ***
NMS phone number for a first point of contact. per non-billed retiree,
. Billing, collection and reconciliation (Periodic *** per billed retiree
billing and collection for those inactives where NMS
is notified that their pensions does not cover their
premiums)
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--------------------------------------------------------------------------------
Last Print Date: 11/09/99
Last Revision Date: 03/15/97
*** Pursuant to Rule 406 of the Securities Act of 1933, as amended, confidential
portions of Exhibit 10.4 have been deleted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential
treatment.
10
PepsiCo Contract - Appendix C
--------------------------------------------------------------------------------
PepsiCo Vendor Network 12 (PVN12) consolidated invoice is due to PepsiCo from
NMS on the 18/th/ of each coverage month (calendar month). If the 18/th/ falls
on a non-business day, the business date closest to the 18/th/ will be the due
date of the invoice (for example, if the 18/th/ is on a Saturday, the due date
is the 17/th/; if the 18/th/ is on a Sunday, the due date is the 19/th/).
PepsiCo will make payment by the 25/th/ of each month. If the 25/th/ falls on a
Saturday or Sunday, PepsiCo will make payment by the Friday preceeding the
25/th/. Payment should be made to the PepsiCo established account.
NMS will distribute payments to each vendor, including itself, within 2 business
days following receipt. The payments will be made via ACH, unless a PepsiCo
vendor does not accept ACH. This two day turn around results in actual vendor
receipt of the distribution on the 3/rd/ business day.
Note: Payment must be received by 3 p.m. central time to be considered received
on that specific business day. If received after 3 p.m. central time, the
payment will be considered received the following business day.
11
L:\PepsiCo\PRICING\1997 PRICING\Appendix C.doc
Last Print Date: 11/09/98
Last Revision Date: 10/29/98