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DocuSign Envelope ID:E8C538EF-9595-4E36-A4C9-2CA66C7BE34A <br /> employees only, such pharmacy shall complete an Envision-supplied form indicating the <br /> amounts to be invoiced to Plan Sponsor for Claims processed. In either case, the pharmacy shall <br /> submit all Claims to Envision for processing. Unless indicated otherwise in the Benefit <br /> Specification Form, Envision shall invoice Plan Sponsor for Claims received from Plan <br /> Sponsor's owned pharmacy. If the pharmacy is a Participating Pharmacy, Claims shall be <br /> adjudicated at the Network rates included in the PPA. <br /> 2.5 Customer Service: Envision shall maintain and operate a customer service center with <br /> toll-free customer service numbers and adequately staffed trained personnel 24 hours a day, 7 <br /> days a week, 365 days a year, for the use of Plan Sponsor, Covered Individuals, Prescribers, and <br /> Participating Pharmacies. <br /> 2.6 Records: Envision shall maintain such business records as may be required by applicable <br /> law or regulation, or as may be necessary to properly document the delivery of, and payment for, <br /> Covered Drugs and the provision of services by Envision under this Agreement. Upon <br /> termination of this Agreement, Envision agrees to provide only industry-standard transfer files to <br /> a subsequent pharmacy benefit manager at Plan Sponsor's written request. Plan Sponsor agrees <br /> to pay or reimburse Envision for any cost charged by a vendor or pharmacy related to the <br /> transfer of files from or to such vendor or pharmacy at any time during this Agreement or <br /> connected with the termination of this Agreement. <br /> 2.7 Reports: Envision shall provide Plan Sponsor with access to a web-based report <br /> generator through which Plan Sponsor may create and download a variety of standard and <br /> customized reports. Envision shall provide training for a Plan Sponsor designated individual on <br /> the capabilities of Envision's web-based reporting program. Plan Sponsor represents that the <br /> designated individual has received training and has knowledge of the HIPAA privacy and <br /> security regulations. Any reports that are to be provided by Envision to Plan Sponsor without <br /> cost (other than those available from Envision's web-based reporting program) shall be mutually <br /> determined prior to the configuration of Plan Sponsor's Benefit Plan in the Claims Adjudication <br /> System and shall be specified in the Benefit Specification Form. Plan Sponsor shall be charged a <br /> fee for any other reports requested by Plan Sponsor. <br /> Included in the web-based reports described above, or provided separately, Envision shall supply <br /> Plan Sponsor with reports of retrospective reviews to determine the drug utilization patterns of <br /> Members (e.g. high cost/high utilization of a particular drug class, therapeutic appropriateness of <br /> drug for a particular disease state). <br /> 2.7.1 Access to Third Parties: If Plan Sponsor desires Envision to provide one or more <br /> third parties access to web-based or other reports, Plan Sponsor shall complete and submit an <br /> Envision provided authorization form. Plan Sponsor acknowledges that any reports to be <br /> provided to Plan Sponsor's authorized third parties which are not accessible via the web-based <br /> reports generator, shall be provided via a secure FTP server. <br /> 2.8 Retiree Drug Subsidy (RDS) Reports: For Plan Sponsors which submit requests for drug <br /> subsidies under the Medicare RDS program, Envision shall provide Plan Sponsor with quarterly <br /> reports summarizing Claims paid by Plan Sponsor for Medicare Part D drugs dispensed to <br /> \Pass-through PBMSA(041917) ©Envision Pharmaceutical Services,LLC Page 7 of 41 <br />