CLAIMS FUNDING AGREEMENT. Under the terms of my Plan Service Agreement with GBS, I have agreed to provide funds for benefits payments monthly or more frequently, as required and agree GBS is under no obligation to pay my benefits if I have not provided adequate funds pursuant to the funding arrangement. I understand that in accordance with ERISA and this agreement, I am financially responsible for all eligible claims incurred while my Plan is in effect. FUNDING ARRANGEMENTS PRE-FUNDING I will remit my Maximum Monthly Medical Claims Liability, along with my monthly costs by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, as is typical for optional benefits or enrollment changes, I will remit the amount due which is to be received by GBS within five (5) days of notification. DENTAL PRE-FUNDING I will remit my Initial Dental Claims funding amount before inception of coverage. I will remit additional claims funding as needed and requested by GBS. I will remit my monthly costs for administration as billed by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, I will remit the amount due which is to be received by GBS within five (5) days of notification. In the event of a deficit in dental claims funding, dental benefits will be held until funding is received by GBS.
Appears in 2 contracts
CLAIMS FUNDING AGREEMENT. Under the terms of my Plan Service Agreement with GBS, I have agreed to provide funds for benefits payments monthly or more frequently, as required and agree GBS is under no obligation to pay my benefits if I have not provided adequate funds pursuant to the funding arrangement. I understand that in accordance with ERISA and this agreement, I am financially responsible for all eligible claims incurred while my Plan is in effect. FUNDING ARRANGEMENTS PRE-FUNDING FUNDING ARRANGEMENTS I will remit my Maximum Monthly Medical Claims Liability, along with my monthly costs by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, as is typical for optional benefits or enrollment changes, I will remit the amount due which is to be received by GBS within five (5) days of notification. DENTAL PRE-FUNDING I will remit my Initial Dental Claims funding amount before inception of coverage. I will remit additional claims funding as needed and requested by GBS. I will remit my monthly costs for administration as billed by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, I will remit the amount due which is to be received by GBS within five (5) days of notification. In the event of a deficit in dental claims funding, dental benefits will be held until funding is received by GBS.
Appears in 2 contracts
