RES-2000-094 Resolution to Adopt the Interlocal Agreement and Join the NC Assoc. of County Commissioners' Health Insurance Trust

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returned to the individual filing the claim. c. Settlement Authority. The Pool or its designee retains sole authority to adjudicate claims. 7. Termination by the Pool. This Agreement can be canceled by the Pool only on a renewal date and only after having given written notice by certified mail, return receipt requested, to the Member Group at least sixty (60) days before such anniversary date except that the Pool may cancel at any time: (1)after giving ten (10)days written notice to the Member Group If the Member Group has failed to pay any contribution when due, or, (I!) as a result of substantive reorganization or dissolution of the Member. If the Pool chooses not to cancel for non-payment, payment of the Member Group's claims will be suspended immediately until the balance due is paid in full. 8. Termination by the Member Group. The Member Group may cancel this Member their renewal date, after giving written notice to the Pool at least thirty (30) days prior to such renewal date. The _ _--- --^ -__ '--.n-_ _-Agreement_the event of an cycle. _---_ -_n~- -- outlined'in Article 4 above. If the Member Group wishes to terminate the Agreement duo to on off cycle contribution change, the Member Group must notify the Pool thirty days prior b»the date this contribution change will go into effect. In no event will termination become effective prior to thirty(30)days from the date of notice of termination by the Member Group. - 9. Terminadon Penalty. In the event the Member Group falls to comply with the provisions as outlined inArticle above, or if the Pool cancels for non-payment,the Member Group will be liable as follows: (i) if notice to the Pool is less than thirty (30)days before the Member Group's renewal date but prior to the renewal effective date,ten percent (10%) of the annual estimated renewal contribution will be payable, (ii) if notice to the Pool is after the renewal date, the full annual estimated renewal contribution will be payable. 10' Member Group Appeals. The Member Group shall h the right to appeal any decision or recommendation tothe Pool's Board of Trustees,whose determination will bafinal. Any appeal shall bm made in writing ho the Pool's Director of Risk Management within thirty(30)days of the decision or recommendation. 11. Membership. |n the interest of providing effective governance, the Member Group or at least one nf its budgetary contributors must be a member of the North Carolina Association of County Commissioners. 12. Notice. Any written notice bothe Pool shall be made by first class mail, |d and delivered to the Pool's Director of Risk K8mnagemard. North Carolina Association of County Cpmm|ooionems, PO Box 1488, Raleigh, WC 27602-1488. 13. Severability. If any portion of this shall bo declared illegal or unenforceable for any reason,the remaining portions shall continue in full force and effect. 14. Special Conditions. m' Shield plan) its employees as a health insurance plan option and may continue to do so on a"grandfather" basis since joining the NCACC Trust, without regard to the member or percentage of employees participatling in CIGNA. Orange County would be expected to comply with any future minimum participation requirements as might be adopted by the NCACC Trust Board nY Trustees|n the following circumstances; • Orange ' d| ndnoedufednQnTuust (Blue Cross and Blue Shield administered) health maintenance organization p uct while continuing to offer a competitors health maintenance organization product;or • If Orange County discontinued its ClGN&option;or • if Orange County offered additional health insurance carriers for medical coverage. b. Orange County has two sub-groups included In the health coverage: Orange Community Housing Corporation � ��_