2011-273 Co. Mgr. - RDS Services, LLC - Agreement for Early Retiree Reinsurance Program Services

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EXHIBIT A RDS SERVICES 1. RDS Services—Generally. During the term of this Agreement, RDS shall provide the following services,as more specifically detailed in Sections 2 through 4 below: (a) Determine and assist in completion of Plan Sponsor's "requirements to participate", as defined under Section 1102(b)of the PPACA of 2010 (45 CFR 149.35), and summarized below. Plan Sponsor's employment-based plan must: (i) Be certified by the Secretary of HHS (ii) Include programs and procedures that have generated or have the potential to generate cost-savings for plan participants with chronic and high-cost conditions A sponsor must: (A) Make available information, data, documents, and records as specified in 45 CFR 149.350 (B) Have a written agreement with its health insurance issuer or employment-based plan regarding disclosure of pertinent plan information to comply with the program (C) Ensure that policies and procedures to protect against fraud, waste and abuse under the program are in place (D) Submit an application to the Secretary in the manner,and at the time,required by the Secretary. (b) Assist Plan Sponsor in applying for the Reinsurance Program subsidy in connection with the Plan(as described in Section 1102 of the PPACA of 2010 and 45 CFR Part 149). 2. Specific RDS Services — Reinsurance Subsidy. During the term of this Agreement, RDS shall provide any or all of the following services as may be necessary to assist Plan Sponsor with respect to the Reinsurance Subsidies: (a) General consultation regarding the Reinsurance Program and assist in determining the magnitude of potential Reinsurance Subsidies that may be available to Plan Sponsor; (b) Assist in the identification of"qualifying claim" data which may include payments for medical, surgical, hospital and prescription drug costs, or other benefits as the HHS Secretary determines under Section 1102(a)(2)(A)of the PPACA of 2010; (c) Assist in obtaining, compiling and documenting detailed expenditure information from third-party administrators,insurance companies and other sources;