HomeMy WebLinkAboutUNITED HEALTHCARE-2011't 3 "` '`
NSURANCE NOT REQUIRED SECOND AMENDMENT TO AGREEMENT
? WORK MAY PROCEED
CL?iK OF COUNCIL
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? ?? THIS SECOND AMENDMENT TO AGREEMENT is entered into on September
?? ?.?I'?-, 2011, by and between United Healthcare, a UnitedHealth Group Company ("UHC")
`b'? and the City of Santa Ana, a charter city and municipal corporation organized and
- existing under the Constitution and laws of the State of California ("City").
I RECITALS:
- ? A. The City and ProcessWorks, Inc. entered into Agreement N-2007-077, dated August
?? 1, 2007, (hereinafter "said Agreement") by which ProcessWorks, Inc. agreed to and
has provided Flexible Spending Account Reimbursement services.
? -
B. ProcessWorks has been reorganized and is now known as United Healthcare.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional one-year period, and provide
compensation to pay for services during the extended term.
WHEREFORE, in consideration of the covenants contained in said Agreement, and
subject to all the terms and conditions of said Agreement, except those amended in this
Second Amendment to Agreement, the parties agree as follows:
1. Section 3.1, Fees and Payment Terms, shall be amended to increase compensation by
$25,000, to pay for the Flexible Spending Account Plan services at the following
rates and charges:
Annual Renewal $750
Record-keeping 8z Claims Administration $3.75 per participant per month
Annuai Report Form 5500 $150 per fili.ig
Plan Amendments $100 per amendment
Annual Account Statements sent to
employer for distribution No charge.
2. Section 4.2, Duration of Agreement, shall be amended to provide that said Agreement
will be renewed for a twelve (12) month period, from January 1, 2012 through
December 31, 2012 ("Renewal Term").
3. Except as hereinabove amended, all terms and conditions of said Agreement shall.
remain in full force and effect.
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IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement on the date and year first written above.
ATTEST:
MARIA D. HUIZAR
Clerk oft
he Council
CITY OF SANTA ANA
PAUL M. WALTERS
Interim City Manager
APPROVED AS TO FORM:
JOSEPH STRAK.A
Interim` City Attorney
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
KATHIE S. GONZALEZ
Executive Director
Personnel Services Agency
UNITED HEALTHCARE
(NA 1? ? ? ? ? S
(Title) V ` ? O
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UnitedHealthcare
® A UnitedHealth Group Company
r+ r
;A-2010-164 01..
CITY OF SANTA ANA
RENEWAL AGREEMENT
Contract Period:
Flexible Spending Account Plan Services:
Annual Renewal
Record-keeping 8L Claims Administration
Annual Report Form 5500
Plan Amendments
Annual Account Statements
Sent to employer for distribution
January 1 through December 31, 2012
$750
$3.75 per participant per month
$1 SO per filing
$100 per amendment
No charge
ATTEST:
?? ? - ???
MARIA D. f-Pi:.311AR
CLERK OF ? f-dE COUNCIL
CITY OF SANTA
Accepted By:
Signature - as an authorized party of the Employer
Print Name: S a.ll? I?U\ . ?.??'L?-?' L' 1/^'?
Title: 1-- V'1?-E? if ? Vin C??i? u ?°?%? GI.?IU ?=t C? {?'
Date: ?i?'1?/ C1 4 21377
Sim and return to attention of Donna Labisch by September 1.201 1
LAIC BENEFIT SERVICES MAILING ADDRESS
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