Common use of Benefit Plan Design Clause in Contracts

Benefit Plan Design. In the event Employer wishes to implement Benefit Plan design changes; for example, implementation of Coinsurance or increase of Copayment/Deductible, the pricing in the BPA Addendum may no longer be applicable. If such Benefit Plan design changes impact the existing pricing, a new BPA Addendum pricing must be negotiated. Revised pricing proposed by Claim Administrator shall be effective pursuant to Section 6.4 Amending and Ex. 2 Section 3.3 of this Agreement, provided that if Parties cannot agree on the terms of the new BPA Addendum pricing, Employer shall be allowed to (a) proceed to dispute resolution, as set forth in the Agreement or (b) terminate this Exhibit with 90 days’ prior written notice to the other Party. Failure to reach agreement on the new Addendum pricing shall not be a breach of contract.

Appears in 1 contract

Sources: Administrative Services Agreement

Benefit Plan Design. In the event Employer wishes to implement Benefit Plan design changes; changes for example, example implementation of Coinsurance or increase of Copayment/Deductible, the pricing in the BPA Addendum may no longer be applicable. If such Benefit Plan design changes impact the existing pricing, a new BPA Addendum pricing must be negotiated. Revised pricing proposed by Claim Administrator shall be effective pursuant to Section 6.4 Amending and Ex. 2 Section 3.3 of this Agreement, provided that if Parties cannot agree on the terms of the new BPA Addendum pricing, Employer shall be allowed to (a) proceed to dispute resolution, as set forth in the Agreement or (b) terminate this Exhibit with 90 days’ prior written notice to the other Party. Failure to reach agreement on the new Addendum pricing shall not be a breach of contract.

Appears in 1 contract

Sources: Administrative Services Agreement