Common use of GROUP RESPONSIBILITIES Clause in Contracts

GROUP RESPONSIBILITIES. The Group agrees that it shall undertake the responsibilities below. 14.1. Handle and distribute enrollment materials in a timely manner and promptly provide to SHP the information necessary to administer this Contract. There is an understanding and agreement that the Group’s failure to provide information in a timely manner may substantially delay and/or jeopardize the enrollment of eligible Members. 14.2. Restrict enrollment and payment of premiums through the Group to eligible Members. 14.3. Make payroll deductions for and verify with SHP the eligibility of any Member on a temporary leave of absence. 14.4. Remit premiums for a terminating Member through the end of the monthly coverage period in which the Member terminates, unless otherwise agreed in advance in writing. 14.5. Notify SHP of any Member terminations, loss of eligibility, or dis-enrollments within 30 days and as part of the administrative record-keeping process that occurs in the normal course of business. The Group further agrees that any refund shall be made only if claims have not been paid, and only where Group incorrectly paid those amounts for an ineligible individual. SHP will refund the premium less any paid claims. 14.6. Provide each Member 30 days prior written notice of termination of this Contract, including any termination due to the Group’s failure to pay premiums. 14.7. Notify each Member of any rights that may exist to continue coverage upon termination, as provided by any applicable law or as otherwise described under the Plan, and collect and forward associated timely enrollment forms and premiums, unless otherwise agreed on between SHP and the Group. 14.8. Provide notices and disclosures, in a timely manner, that a group health plan is required by law to provide (e.g. special enrollment rights provisions), unless otherwise agreed on between SHP and the Group. The Group agrees to indemnify and hold SHP harmless from and against any damages, loss, action, claim or suit (including court costs and attorney’s fees) arising from or related to its failure to provide such legally required notices. 14.9. Report monthly the names of new Members, cancelled Members and Members electing any statutory continuance of coverage by the 10th day of the month, and as required by applicable law. 14.10. Maintain Group eligibility in accordance with the minimum standards of applicable statutory continuances of coverage, unless SHP has agreed in advance and in writing to the Group’s use of standards more generous to Members. 14.11. If SHP provides its enrollment and/or change forms (“Forms”) and/or any benefit summaries and/or comparison sheets (“Documents”) in an electronic medium for inclusion on the Group’s internal intranet or by similar means, Group agrees that: • electronic access shall be limited to the Group’s enrolling employees and covered employees and be restricted to a “read-only” or similar basis; • the Group will replace any hard-copy Forms that have been modified by SHP; • the hard-copy documents on file with SHP shall control in the event of any discrepancy; and • the Group remains solely responsible for the content of the documents and all other legal requirements pertaining to them (e.g., distribution). 14.12. Deliver a Member Certificate to each enrolled employee, which will be provided to the Group by SHP, and includes in summary form the essential features of the insurance coverage of Members. 14.13. Provide COBRA notice and election forms, and collect and remit contributions from former employees and other COBRA beneficiaries, in accordance with applicable provisions of COBRA. 14.14. Take all other actions necessary to maintain and operate the group health benefits program insured by the Contract in compliance with applicable provisions of the Affordable Care Act, ERISA, HIPAA, the Internal Revenue Code and all other applicable state and federal laws and regulations.