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R-1807 - 05/28/2019 - PURCHASING - Resolutions Supporting DocumentsOAK BR9蒻 場虎 ACENDA IT■MRegular Board ofTrtlstees Meeting Of May 28,2019 SUBJECT: Health, Third Party Administrator and Stop Loss Insurance, Dental, Life/AD&D Insurance, Vision Insurance & Telemedicine Agreements for 2019 - 2020 Plan Year FROM: Kathy Vonachen, Human Resource Director/BUDGET SOURCE/BLIDGET IMPACT: Program 126-Employee Benefits RECOMMENDED MOTION: I move to approve Resolution 2019-PL-IS-R-1807, a Resolution Approving the Waiver of Competitive Bidding and Authorizing the Purchase of Insurance Benefits for Employees and direct staffto execute Agreements after receiving final attorney review with BlueCross BlueShield (BC/BS) of Illinois forGroup Health Insurance Coverage, Third Party Administrator (TPA) Seruice, and Stop Loss Insurance as well as Guardian for Dental, Dearborrr National for Life and EyeMed for Vision in the Plan Year startingJuly l, 2019 through June 30,2020. Backsround/[Iistorv: The Village operates a self-insured health insurance program for all PPO claims on a per individual basis for the first $85,000 ("individual specific affachment point or ISL") of claims in a given plan year (July I to June 30). This program has been in place in this format since 1993, but with different specific attachment points and TPAs. The Village secures Stop Loss Coverage for claims that exceed $85,000 per individual or over 125%o of the annual aggregate affachment point of expected claims. As of March, the Village health benefit program has approximately l3l employees that include eligible dependents totaling 362 members. The Oak Brook Park District is also on our plan paying the full premium cost for all eligible individuals. The Village also offers a fully-insured HMO plan to all employees. Renewal Information: The PPO medical plan was marketed to four providers by our broker Vista National and unfortunately two carriers declined to quote due to claims utilization. The other two carriers ViLLAGL O「 BOARD OFttRUSttEES MEE丁lNG SAMUELE.DEAN BOARD R00M BUttLER GOVERNMENT CENttER 1200 0AK BR00K ROAD OAK BR00K′ILLINOIS 630-368-5000 BOT AGENDA Page I ITEM 12.B.1 were not competitive. Due to our enrollment on the PPO medical plan, BCIBS will not allow us to carve out the Stop Loss because they require at least 250 enrolled employees. The HMO medical plan was marketed to four carriers and, similar to last year, two declined to quote due to their rates being uncompetitive. The other two carriers provided quotes, but were uncompetitive as well. Medical: BCBS's proposal for the PPO has a rate increase of +3.97o7o or approximately $110,269 higher than our current plan year, although our premium equivalent contribution rates are increasing by +5o/o. When reviewing the BCBS proposal, there are a few key areas to highlight: (l) the estimated fixed costs were decreased by -2.36% or approximately $8,393 and (2) this year BC/BS is requesting an increase of +4.760/o or approximately $118,662 in claim liability. We evaluated an altemative PPO plan design, an increase in the ISL as well as a change of funding and determined the limited estimated savings did not justify a change. For the HMO there will be an increase of +5% for the 2019 - 2020 policy year. As a reminder, there are the Affordable Care Act (ACA) fees which were increased this year. The estimated total cost for the PPO policies will be around $897.00 for this plan which is now only the Patient-Centered Outcomes Research lnstitute Fee (PCORI). The last year for the Transitional Reinsurance fee was 2016. The Village avoids paying the Insurance Industry Fee by continuing to be self-funded on the PPO policies.If we were subject to the fee, it would increase costs by approximately 3 to 4%u The Village does pay that3-4o/o on the HMO within the premiums along with the PCORI fee. Dental: For the 2019 renewal, Delta initially proposed an increase of +5.33yu Based on competitive marketing Delta revised the renewal to +2.83%o which equates to an estimated annual increase of $5,507. Vista National provided a quote from Guardian Dental which offers a decrease of 6 .06% or approxim ately a $ 1 1 ,798 savings. Guardian is offering an enhanced dental plan which includes adult orthodontics and implant benefits. Life/AD&D: The Village is in a rate guarantee with Dearborn National until July l,2O2O. Therefore, there will be no additional costs associated with this benefit. Vision: The Village is in a rate guarantee with EyeMed until July l, 2022. Therefore, there will be no additional costs associated with this benefit plans. Telemedicine: The Village implemented l-800MD Telemedicine in2017. The Village will continue to promote education on this service. The Village will continue to promote its wellness program allowing those who receive insurance up to 2%o off their premium and for those without insurance the opportunity to receive gift cards for achieving pre-determined wellness goals. Overall, the program continues to provide many opportunities for employees to continue their healthy efforts. These programs include annual wellness evaluation, lunch and learn programming and group fitness activities such as the pink 5k event at the Oak Brook Park District. Recommendation: The Board approves the Resolution as presented. BOT AGENDA PageZ RESOLUTION 201 9-PL.IS-R.1 807 A RESOLUTION APPROVING THE WAIVER OF COMPETITIVE BIDDING AND AUTHORIZING THE PURCHASE OF INSURANCE BENEFITS FOR EMPLOYEES WHEREAS, the Village provides its employees with health, dental, and life insurance benefits (collectively, "lnsurance Plans'); and WHEREAS, the Village currently purchases health insurance coverage, third-party administrator services, and stop loss insurance from Bluecross Blueshield of lllinois (collectively, ?C/8S P/ans'J; and WHEREAS, the Village wishes to change providers and purchase dental insurance coverage from Guardian Oenlal ("Guatdian Ptan'1: a d WHEREAS, the Village currently purchases term life insurance coverage from Dearbom National ("Dearbom Plan\', and WHEREAS, the lnsurance Plans are up for renewal; and WHEREAS, instead of putting the purchase of the lnsurance Plans out to bid or request for competitive proposals, the Village Board has once again retained Vista National lnsurance Group, lnc. to market the lnsurance Plans to various insurance providers to obtain the most advantageous lnsurance Plans for the Village; and WHEREAS, because the Village retained Vista National lnsurance Group, lnc. to obtain quotes from various insurance providers, and the Village Board believes that Vista National lnsurance Group, lnc. has negotiated for the purchase of lnsurance Plans that are advantageous to the Village, Village staff has recommended that the Village waive competitive bidding for the purchase of the lnsurance Plans; and WHEREAS, Village staff has recommended the Village Board renew: (i) the BC/BS Plans so that they continue through June 30, 2020; (ii) change providers to the Guardian Plan so that it continues through June 30, 2020: (iii) and (iv) the Dearbom Plan so that it continues through June 30, 2020 (collectively, "Renewals'}; and WHEREAS, the President and Board of Trustees, being fully advised in the premises, have determined that it is in the best interests of the Village and its residents to so waive competitive bidding and to approve the lnsurance Plans, all subject to the appropriation of sufficient funds for the lnsurance Plans in the future fiscal year; NOW THEREFORE, BE IT RESOLVED BY THE PRESIDENT AND BOARO OF TRUSTEES OF THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows: Section 1: Recitals. The foregoing recitals are hereby incorporated into, and made a part of, this Resolution as the findings of the President and Board of Trustees of the Village of Oak Brook. Section 2: Waiver of Competitive Biddino Reouirements. The advertising and bidding requirements for the purchase of the lnsurance Plans are hereby waived in accordance with Section 1-7- 4 of the Village Code. Section 3: Authorization of lnsurance Plan. The purchase of the lnsurance Plans is hereby authorized. Section 4: Execution of Reouired Documentation. The President, Village Manager, and the Village Clerk shall be, and are hereby, authorized to execute and attest, on behalf of the Village all Resolution 20'l 9-PL-lS-R-'l 807 Approving the Purchase of lnsurance Plans Page 2 ol2 documents necessary to complete the purchase of the lnsurance Plans pursuant to Section 3 of this Resolution, which documentation shall be in a final form approved by the Village Attorney. @lionl: Effective Date. This Resolution shall be in full force and effect from and after its passage by two{hirds of the Trustees and its approval in the manner provided by law. APPROVEO THIS 28th day of May, 2019 Village President PASSED THIS 28th day of May, 2019 Ayes: Nays: Absent: ATTEST: Charlotte K. Pruss Village Clerk Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 1 an Independent Licensee of the Blue Cross and Blue Shield Association Benefit Program Application (“ASO BPA”) Applicable to Administrative Services Only (ASO) Group Accounts administered by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, hereinafter referred to as “Claim Administrator” or “HCSC” Group Status: Renewing ASO Account Employer Account Number (6-digits): Group Number(s): P19545 (Non- Union) P19546 (H S A), P56642 (Police), P56643 (Fire) Section Number(s): 0100 (Village - Union), 0101 (Village - Non Union), 0200 (Park District), 0300 (Retirees), 0400 (Retirees over 65), 0500 (PSEBA), 0501 (PSEBA), 0600 (Police Union), 0800 (Union - Fire), 1000 (PSEBA - Union), 1100 (Police - Union), 8887 (COBRA) 8888 (COBRA), 8889 (COBRA), 8900 (COBRA) Legal Employer Name: Village of Oak Brook (Specify the Employer or the employee trust applying for coverage. Names of subsidiary or affiliated companies to be covered must also be named below. AN EMPLOYEE BENEFIT PLAN MAY NOT BE NAMED.) ERISA Regulated Group Health Plan*: Yes No Is your ERISA Plan Year* a period of 12 months beginning on the Anniversary Date specified below? Yes If not, please specify your ERISA Plan Year*: Beginning Date / / End Date / / (month/day/year) ERISA Plan Administrator*: Plan Administrator’s Address: If you maintain that ERISA is not applicable to your group health plan, give legal reason for exemption: Select legal reason ; if applicable, specify other: Is your Non-ERISA Plan Year* a period of 12 months beginning on the Anniversary Date specified below? Yes If not, please specify your Non-ERISA Plan Year*: Beginning Date 07 /01/2019 End Date 07/01/2020 (month/day/year) For more information regarding ERISA, contact your Legal Advisor. *All as defined by ERISA and/or other applicable law/regulations Effective Date of Coverage: (Month/Day/Year) / / Anniversary Date: (Month/Day/Year) / / Account Information NO CHANGES SEE ADDITIONAL PROVISIONS Standard Industry Code (SIC): 8990 Employer Identification Number (EIN): 36-6009534 Address: 1200 Oak Brook Road City: Oak Brook State: IL ZIP: 60523 Administrative Contact: Kathy Vonachen Title: Human Resource Manager Email Address: kvonachen@oak-brook.org Phone Number: 630-368- 5036 Fax Number: 630-368- 5037 Wholly Owned Subsidiaries: Affiliated Companies: (If Subsidiaries or Affiliated Companies listed above are to be covered, Employer hereby confirms that Employer and the listed Subsidiaries and/or Affiliates are treated as a single employer under Internal Revenue Code Section 414(b), (c) or (m).) Blue Access for Employers (BAE) Contact: Kathy Vonachen (The BAE Contact is the Employee authorized by the Employer to access and maintain the Employer’s account in BAE.) Email Address: kvonachen@oak-brook.org Phone Number: 630-368- 5036 Fax Number: 630-368-5037 The Employer or other company listed in this BPA is a public entity or governmental agency/contractor Schedule of Eligibility NO CHANGES SEE ADDITIONAL PROVISIONS Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 2 an Independent Licensee of the Blue Cross and Blue Shield Association Employer has made the following eligibility decisions: 1. Eligible Person means: A full-time employee of the Employer. A full-time employee of the Employer who is a member of: (name of union) A part-time employee of the Employer. A retiree of the Employer. Define criteria: Other: Part-time employees that work at least 20 hours per week are enrolled in the Group Health Plan as of 06/30/2006 are eligible for Group Health Coverage under this plan. Part-time employees that are not enrolled as of 06/30/2006 and future part-time will not be eligible for coverage. Are any classes of employees to be excluded from coverage? Yes No If yes, please identify the classes and describe the exclusion: 2. Employee Definitions Full-Time Employee means: A person who is regularly scheduled to work a minimum of 30 hours per week and who is on the permanent payroll of the Employer. Other: Part-Time Employee means: A person who is regularly scheduled to work a minimum of hours per week and who is on the permanent payroll of the Employer. Other: 3. The Effective Date of termination for a person who ceases to meet the definition of Eligible Person: The date such person ceases to meet the definition of Eligible Person. The last day of the calendar month in which such person ceases to meet the definition of an Eligible Person. Other: 4. Select an effective `date rule for a person who becomes an Eligible Person after the Effective Date of the Employer’s health care plan (The effective date must not be later than the 91st calendar day after the date that a newly eligible person becomes eligible for coverage, unless otherwise permitted by applicable law). The date of employment. The 31st day of employment. The day of the month following month(s) of employment. The day of the month following days of employment. The day of the month following the date of employment. Other: Is the waiting period requirement to be waived on initial group enrollment? Yes No Are there multiple new hire waiting periods? Yes No If yes, please attach eligibility and contribution details for each section. 5. Domestic Partners covered: Yes No If yes: a Domestic Partner is eligible to enroll for coverage. If yes, are Domestic Partners eligible for continuation of coverage? Yes No If yes, are dependents of Domestic Partners eligible to enroll for coverage? Yes No If yes, are dependents of Domestic Partners eligible for continuation of coverage? Yes No The Employer is responsible for providing notice of possible tax implications to those Covered Employees with coverage for Domestic Partners. 6. Civil Union Partners covered: Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 3 an Independent Licensee of the Blue Cross and Blue Shield Association i. The Employer is an Illinois county, municipality, the State of Illinois, subject to the Illinois School Code, a church plan or other non-ERISA plan. For such Employers, a Civil Union Partner and his or her dependents are automatically eligible to enroll for coverage and, once enrolled, eligible for continuation of coverage as described in the Employer's Plan. ii. For all other Employers, Yes No If yes: A Civil Union Partner and his or her dependents are eligible to enroll for coverage. If yes, are Civil Union Partners and his or her dependents eligible for continuation of coverage? Yes No The Employer is responsible for providing notice of possible tax implications to those Covered Employees with coverage for Civil Union Partners. 7. Limiting Age for covered Children: Twenty-six (26) years, regardless of presence or absence of a child’s financial dependency, residency, student status, employment status, marital status, eligibility for other coverage, or any combination of those factors. Other: If Employer is an Illinois county, municipality, the State of Illinois, or subject to the Illinois School Code, this Limiting Age is extended to thirty (30) years, for unmarried eligible military personnel as described in the Employer’s Plan. 8. Termination of coverage upon reaching the Limiting Age: The last day of coverage is the day prior to the birthday. The last day of coverage is the last day of the month in which the limiting age is reached. The last day of coverage is the last day of the billing month. The last day of coverage is the last day of the year (12/31) in which the limiting age is reached. The last day of coverage is the day prior to the Employer’s Anniversary Date. Will coverage for a child who is medically certified as disabled and dependent on the employee terminate upon reaching the limiting age even if the child continues to be both disabled and dependent on the employee? Yes No However, such coverage shall be extended in accordance with any applicable federal or state law. The Employer will notify HCSC of such requirements. 9. Will extension of benefits due to temporary layoff, disability or leave of absence apply? Yes (specify number of days below) No Temporary Layoff: 0 days Disability: Police & Fire by IL Statute; Other 90 days Leave days Leave of Absence: 0 days However, benefits shall be extended for the duration of an Eligible Person’s leave in accordance with an applicable federal or state law. The Employer will notify HCSC of such requirements. 10. Enrollment: Special Enrollment: An Eligible Person may apply for coverage, Family coverage or add dependents within thirty-one (31) days of a Special Enrollment qualifying event if he/she did not previously apply prior to his/her Eligibility Date or when otherwise eligible to do so. Such person’s Coverage Date, Family Coverage Date, and/or dependent’s Coverage Date will be the effective date of the qualifying event or, in the event of Special Enrollment due to marriage or termination of previous coverage, then no later than the first day of the Plan Month following the date of receipt of the person’s application of coverage. An Eligible Person may apply for coverage within sixty (60) days of a Special Enrollment qualifying event in the case either of a loss of coverage under Medicaid or a state Children’s Health Insurance program, or eligibility for group coverage where the Eligible Person is deemed qualified for assistance under a state Medicaid or CHIP premium assistance program. Late Enrollment: An Eligible Person may apply for coverage, family coverage or add dependents if he/she did not apply prior to his/her Eligibility Date or did not apply when eligible to do so. Such person’s Coverage Date, family Coverage Date, and/or dependent’s Coverage Date will be a date mutually agreed to by the Claim Administrator and the Employer. Open Enrollment: An Eligible Person may apply for coverage, family coverage or add dependents if he/she did not apply prior to his/her Eligibility Date or did not apply when eligible to do so, during the Employer’s Open Enrollment Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 4 an Independent Licensee of the Blue Cross and Blue Shield Association Period. Such person’s Coverage Date, family Coverage Date, and/or dependent’s Coverage Date will be a date mutually agreed to by the Claim Administrator and the Employer. Such date shall be subsequent to the Open Enrollment Period. Specify Open Enrollment Period: The month of June for a July 1st effective date 11. * Does COBRA Auto Cancel apply? Yes No Member’s COBRA/Continuation of Coverage will be automatically cancelled at the end of the member’s eligibility period. * Not recommended for accounts with automated eligibility. Lines of Business (Check all applicable services) NO CHANGES See Additional Comments Medical Plan Services: Participating Provider Option (PPO) Blue Choice Select PPO Blue Choice Options Blue Distinction® Flexible Network Additional Services: Blue Care Connection® Wellbeing Management Wellness Incentives Health Advocacy Solutions Well onTarget® Blue Directions (Private Exchange) (If selected, the Blue Directions Addendum is attached and made a part of the Agreement.) Limited Fiduciary Services for Claims and Appeals Other Select Product Other Select Product Other Select Product Other Select Product Other Other Consumer Driven Health Plan: Health Care Account (HCA) Administrative Services (if purchased, complete separate HCA BPA) BlueEdge℠ FSA (Vendor: Select Vendor ) HSA Eligible Health Plan (Vendor: Other) Prescription Drugs: Covered under a pharmacy benefit (If selected, the PBM Fee Schedule Addendum must be attached and is part of this BPA.) Covered under the medical benefit or Blue Script Pharmacy Network (Select one): Traditional Select Network Advantage Network Preferred Network (Not offered with Blue Script) Elite Network (Not offered with Blue Script) Network on PBM Fee Schedule Addendum PPO Drug List: Basic Drug List Other (please specify): Enhanced Prescription Drug Program Clinical Programs MTM (Retrospective) (Included with HAS) Ancillary Services: Dental Plan Services Vision Plan Services Stop Loss (if selected, complete separate Exhibit to the Stop Loss Coverage Policy) Dearborn National Life Insurance (if selected, complete separate Life application) COBRA Administrative Services (if selected, complete separate COBRA Administrative Services Addendum to the BPA) Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 5 an Independent Licensee of the Blue Cross and Blue Shield Association FEE SCHEDULE Payment Specifications NO CHANGES SEE ADDITIONALPROVISIONS Employer Payment Method: Online Bill Pay Electronic Auto Debit Check Employer Payment Period: Weekly (cannot be selected if Check is selected as payment method above) Semi Monthly Monthly Claim Settlement Period: Monthly Run-Off Period: Employer Payments are to be made for 12 months following end of Fee Schedule Period. Standard is twelve (12) months. Fee Schedule Period: To begin on Effective Date of Coverage and continue for 12 months. If other than 12 months, please specify: 60 Months Administrative Per Employee Per Month (PEPM) Charges NO CHANGES SEE ADDITIONAL PROVISIONS All Group Numbers Administrative Fee $64.96 $ $ $ Dental $ $ $ $ Limited Fiduciary Services $ $ $ $ Health Advocacy Solutions $ $ $ $ Wellbeing Management $ $ $ $ Management of the Virtual Visits Program $ $ $ $ *Rebate Credit for the Prescription Drug Program $46.65 $ $ $ MTM (Retrospective) (No cost if both HAS and Prescription Drug Program are elected) $ $ $ $ ] Commissions $ $ $ $ Other: Select Service Category List Service: $ $ $ $ Other: Select Service Category List Service: $ $ $ $ Other: Select Service Category List Service: $ $ $ $ Other: Select Service Category List Service: $ $ $ $ Miscellaneous: $ $ $ $ Miscellaneous: $ $ $ $ Total $18.31 $ $ $ *The Rebate Credit is a per Covered Employee per month credit applied to the monthly billing statement. The Employer and Claim Administrator have agreed to the Rebate Credit and Employer agrees that it and its group health plan have no right Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 6 an Independent Licensee of the Blue Cross and Blue Shield Association to, or legal interest in, any portion of the rebates, either under the pharmacy benefit or the medical benefit, actually provided by the Pharmacy Benefit Manager (PBM) to Claim Administrator and consents to Claim Administrator’s retention of all such rebates. The Rebate Credit will be provided from Claim Administrator’s own assets and may or may not equal the entire amount of rebates actually provided to Claim Administrator by the PBM or expected to be provided. Rebate Credits shall not continue after termination of the Prescription Drug Program. Employer agrees that any provision in the governing Administrative Services Agreement to the contrary is hereby superseded. Administrative Line Item Charges Frequency Amount Other: Select Service Category List Service: Select Billing Frequency If applicable, describe other: $ Other: Select Service Category List Service: Select Billing Frequency If applicable, describe other: $ Other: Select Service Category List Service: Select Billing Frequency If applicable, describe other: $ Other: Select Service Category List Service: Select Billing Frequency If applicable, describe other: $ Miscellaneous: Select Billing Frequency If applicable, describe other: $ Miscellaneous: Select Billing Frequency If applicable, describe other: $ Total: $ Claim Administrator Provider Access Fee(s) NO CHANGES SEE ADDITIONAL PROVISIONS Group Number(s): P19545 (Non- Union) P19546 (H S A), P56642 (Police), P56643 (Fire) % of ADP Savings: 2.51% $ per Covered Employee per month: $ Group with multiple Provider Access Fees by services (e.g., CMM, and/or PPO plans): Group Number(s): % of ADP Savings: % $ per Covered Employee per month: $ BlueCard Program/Network access fees: Available upon request. Other Service and/or Program Fee(s) NO CHANGES SEE ADDITIONAL PROVISIONS External Review Coordination: Yes No If yes, coordination fee: $700 for each external review requested by a Covered Person that the Claim Administrator coordinates for the Employer in relation to the Employer’s Plan. Employer elects the following process: State of Illinois External Review Process Federal Affordable Care Act Process Reimbursement Service: Yes No If yes : The Employer has elected to utilize the reimbursement service offered by the Claim Administrator, the Corporate Reimbursement Subrogation department. It is understood and agreed that in the event the Claim Administrator makes a recovery on a third-party liability claim, the Claim Administrator will retain 25% of any recovered amounts other than recovered amounts received as a result of or associated with any Workers’ Compensation Law. Claim Administrator’s Third Party Recovery Vendors and Law Firms (other than Reimbursement Services): Employer will pay no more than 25% of any recovered amount made by Claim Administrator’s Third Party Recovery Vendor. Employer will pay no more than 35% of any recovered amount made by Claim Administrator’s third party law firm. Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 7 an Independent Licensee of the Blue Cross and Blue Shield Association Alternative Compensation Arrangements: Employer acknowledges and agrees that Claim Administrator has Alternative Compensation Arrangements with contracted Providers, including but not limited to Accountable Care Organizations and other Value Based Programs. Further information concerning Employer’s payment for covered services under such Arrangements is described in the Administrative Services Agreement. Virtual Visits Program: Yes No If yes, Covered Persons would be able to obtain certain Covered Services remotely via video or audio only (where available) capability from Providers participating in the Virtual Visit program. Termination Administrative Charge As applies to the Run-Off Period indicated in the Payment Specifications section above: i. For service charges (including, but not limited to, access fees) billed on a per Covered Employee basis at the time of termination of the Agreement or partial termination of Covered Employees, the Termination Administrative Charge will be the amount equal to ten percent (10%) of the annualized charges based on the service charges in effect as of the termination date or date of partial termination and the Plan participation of the two (2) months immediately preceding the termination date or date of partial termination. Such aggregate amount will be due the Claim Administrator within ten (10) days of the Claim Administrator’s notification to the Employer of the Termination Administrative Charge described herein. ii. For service charges (including, but not limited to, access fees) billed on a basis other than per Covered Employee at the time of termination of the Agreement or partial termination of Covered Employees, the Termination Administrative Charge will be such service charges in effect at the time of termination of the Agreement or partial termination of Covered Employees to be applied and billed by the Claim Administrator, and paid by the Employer, in the same manner as prior to termination of the Agreement or partial termination of Covered Employees. Other Provisions NO CHANGES SEE ADDITIONAL PROVISIONS 1. Summary of Benefits & Coverage: a. Will Claim Administrator create Summary of Benefits & Coverage (SBC)? Yes. Please answer question b. The SBC Addendum is attached. No. If No, then skip question b and refer to the Administrative Services Agreement for further information. b. Will Claim Administrator distribute the Summary of Benefits & Coverage (SBC) to participants and beneficiaries? No. Claim Administrator will create SBC (only for benefits Claim Administrator administers under the Agreement) and provide SBC to Employer in electronic format. Employer will then distribute SBC to participants and beneficiaries (or hire a third party to distribute) as required by law. Yes. Claim Administrator will create SBC (only for benefits Claim Administrator administers under the Agreement) and provide SBC to Employer in electronic format. Employer will then distribute to participants and beneficiaries as required by law, except that Claim Administrator will send the SBC in response to the occasional request received directly from individuals. Yes. Claim Administrator will create SBC (only for benefits Claim Administrator administers under the Agreement) and distribute SBC to participants and beneficiaries via regular hardcopy mail or electronically. Distribution Fee for hardcopy mail is $1.50 per package. The distribution fee will not apply to SBCs that Claim Administrator sends in response to the occasional request received directly from individuals. 2. Massachusetts Health Care Reform Act: Does the Employer direct Claim Administrator to provide written statements of creditable coverage to its Covered Employees who reside, or have enrolled dependents who reside, in Massachusetts and file electronic reports to the Massachusetts Department of Revenue in a manner consistent with the requirements under the Massachusetts Health Care Reform Act? Yes No If no: The Employer acknowledges it will provide written statements and electronic reporting to the Massachusetts Department of Revenue as required by the Massachusetts Health Care Reform Act. Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 8 an Independent Licensee of the Blue Cross and Blue Shield Association 3. Case Management Program: Yes No The undersigned representative authorizes provision of alternative benefits for services rendered to Covered Persons for Utilization Management, Case Management, and other health care management programs. 4. Employer acknowledges and agrees to utilize Claim Administrator’s standard list of services and supplies for which pre-notification or preauthorization is required: Yes No If no, Employer authorizes Claim Administrator to post Employer’s pre-notification or preauthorization requirements on Claim Administrator’s Website: Yes No 5. Essential Health Benefits ("EHB”) Election: Employer elects EHBs based on the following: 1. EHBs based on a HCSC state benchmark: Illinois Oklahoma Montana Texas New Mexico 2. EHBs based on benchmark of a state other than IL, MT, NM, OK and TX If so, indicate the state's benchmark that Employer elects: 3. Other EHB, as determined by Employer In the absence of an affirmative selection by Employer of its EHBs, then Employer is deemed to have elected the EHBs based on the Illinois benchmark plan. 6. This ASO BPA is binding on both parties and is incorporated into and made a part of the Administrative Services Agreement with both such documents to be referred to collectively as the “Agreement” unless specified otherwise. 7. Producer/Consultant Compensation The Employer acknowledges that if any producer/consultant acts on its behalf for purposes of purchasing services in connection with the Employer’s Plan under the Administrative Services Agreement to which this ASO BPA is attached, the Claim Administrator may pay the Employer’s producer/consultant a commission and/or other compensation in connection with such services under the Agreement. If the Employer desires additional information regarding commissions and/or other compensation paid the producer/consultant by the Claim Administrator in connection with services under the Agreement, the Employer should contact its producer/consultant. Additional Provisions: The PPO UNION Police P56642 will duplicate the PPO UNION FIRE P56643 plan effective 7/1/2019 BCBSIL will provide a one-time wellness credit of $24,000 for the twelve-month period beginning on the Contract Effective Date, to be used to cover costs and expenses associated with implementation and/or operation of a wellness program. If Employer cancels coverage before expiration of the policy period, Employer will be required to refund BCBSIL the full amount of the wellness credit. Signature Ruben Mendez Sales Representative Signature of Authorized Purchaser 822 630-824-5197 District Phone & FAX Numbers Print Name Producer Representative Title Proprietary and Confidential Information of Claim Administrator Not for use or disclosure outside Claim Administrator, Employer, their respective affiliated companies and third party representatives, except with written permission of Claim Administrator. HCSC IL GEN ASO BPA (Rev. 06/18) A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, 9 an Independent Licensee of the Blue Cross and Blue Shield Association PROXY The undersigned hereby appoints the Board of Directors of Health Care Service Corporation, a Mutual Legal Reserve Company, or any successor thereof (“HCSC”), with full power of substitution, and such persons as the Board of Directors may designate by resolution, as the undersigned’s proxy to act on behalf of the undersigned at all meetings of members of HCSC (and at all meetings of members of any successor of HCSC) and any adjournments thereof, with full power to vote on behalf of the undersigned on all matters that may come before any such meeting and any adjournment thereof. The annual meeting of members is scheduled to be held each year in the corporate headquarters on the last Tuesday of October at 12:30 p.m. Special meetings of members may be called pursuant to notice provided to the member not less than thirty (30) nor more than sixty (60) days prior to such meetings. This proxy shall remain in effect until revoked in writing by the undersigned at least twenty (20) days prior to any meeting of members or by attending and voting in person at any annual or special meeting of members. From time to time, HCSC pays indemnification or advances expenses to directors, officers, employees or agents consistent with HCSC’s bylaws then in force and as otherwise required by applicable law. Group Name: Village of Oak Brook Address: 1200 Oak Brook Road City: Oak Brook State: IL ZIP: 60523 Dated this day of Month Year VistaNational Insurance Producer Firm Date 1301 West 22nd Street Suite 600 Oak Brook, IL 60523 Producer Address Producer Phone & FAX Numbers Producer Email Address 36-4095485 Tax I.D. No. Group No.: P19545 (Non- Union) P19546 (H S A), P56642 (Police), P56643 (Fire) By: Print Signer's Name Here Signature and Title Proprietary and Confidential Information of Blue Cross and Blue Shield of Illinois. Not for use or disclosure outside Blue Cross and Blue Shield of Illinois, Employer, their respective affiliated companies and third party representatives, except with written permission of Blue Cross and Blue Shield of Illinois. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association IL-LG-151PLUS-H-BPA Rev. 06/18 Page 1 Benefit Program Application (“BPA”) (All items are applicable to 151-Plus Grandfathered and Non-Grandfathered Insured Group Accounts unless otherwise specified.) Employer Account Number: 019545 HMO Illinois Employer Group Number(s): HMO Illinois Section Number(s): BlueAdvantage® HMO Employer Group Number(s): B19545 BlueAdvantage HMO Section Number(s): 0101 (Village/Non-Union), 0200 (Park District), 0300 (Retirees), 0400 (Retirees 65+), 0500 (PSEBA), 0501 (PSEBA), 0600 (Police Union), 8888 (COBRA) Employer’ Legal Name: Village of Oak Brook (Specify the Employer, the employee trust, or the association applying for coverage. Names of subsidiary or affiliated companies to be covered must also be included below. An employee benefit plan may not be named.) Physical Address: 1200 Oak Brook Road City: Oak Brook State: IL Zip Code: 60523 Billing Address (if different from above): Employer Identification Number (“EIN”): 36-6009534 City: State: Zip Code: Wholly Owned Subsidiaries to be Covered: Affiliated Companies to be Covered: (Affiliated Companies must be required or permitted to be aggregated per IRS guidelines. Employer hereby confirms that Employer, Subsidiaries and Affiliates are treated as a single employer under Internal Revenue Code Section 414(b), or (c), or(m),or (o), or under applicable law.) Administrative Contact: Kathy Vonachen Phone: 630-368-5036 Fax: 630-368-5037 Email: kvonachen@oak- brook.org Blue Access for Employers (“BAE”) Contact: Kathy Vonachen (The BAE Contact is the employee of the account authorized by the Employer to access and maintain its account via BAE.) Title: Human Resource Manager Phone: 630-368-5036 Fax: 630-368-5037 Email: kvonachen@oak- brook.org Policy Effective Date: 07/01/2019 Policy Anniversary Date: 07 / 01 / 2020 Month Day Year The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for employee benefit plans in the private industry. In general, all employer groups, insured or ASO, are subject to ERISA provisions except for governmental entities, such as municipalities and public school districts, and “church plans” as defined by the Internal Revenue Code. ERISA Regulated Group Health Plan*: Yes No IL-LG-151PLUS-H-BPA Rev. 06.18 Page 2 If Yes, specify ERISA Plan Year*: Beginning Date: / / End Date: / / (month/day/year) ERISA Plan Sponsor*: ERISA Plan Administrator*: ERISA Plan Administrator’s Address: City: State: Zip Code: ERISA Plan Administrator’s Email: Please provide your Non-ERISA Plan Month/Year: 07 /2019 If you contend ERISA is inapplicable to your group health plan, please give legal reason for exemption*: Federal Governmental Plan (e.g., the government of the United States or agency of the United States) Non-Federal Governmental Plan (e.g., the government of the State, an agency of the state, or the government of a political subdivision, such as a county or agency of the State) Church Plan (complete and attach a Medical Loss Ratio Assurance form) Other, please specify: For more information regarding ERISA, contact your Legal Advisor. *All as defined by ERISA and/or other applicable law/regulations. 1. Eligible Person: Employer has decided that Eligible Person means a person who resides in the Service Area of a Participating IPA and is: A Full-Time Employee of the Employer. A Full-Time Employee who is a member of (name of union or association): Other (please specify): A full-time non-union or union employee of the employer Full-Time Employee means: An Employee of the Employer who is regularly scheduled to work a minimum of 30 hours per week. Other (please specify): The term "Employee" shall have the meaning set forth under ERISA and applicable law. HCSC reserve the right to audit Employer’s initial and ongoing eligibility determinations. 2. Civil Union Partner Coverage: A Civil Union partner, as defined in the Policy, and his or her dependents are automatically eligible to enroll for coverage and, once enrolled, eligible for continuation of coverage as described in the Certificate Booklet. The Employer as Policyholder is responsible for providing notice of possible tax implications to those Insureds with coverage for Civil Union partners. 3. Domestic Partner Coverage: Yes No If Employer elects “Yes”, a Domestic Partner, as defined in the Policy, shall be considered eligible for coverage. The Employer is responsible for providing notice of possible tax implications to those Insureds with Domestic Partner Coverage. Continuation coverage for Domestic Partners: If Employer elects coverage for Domestic Partners, Domestic Partners are not eligible for continuation coverage under Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), but Employer may elect to offer continuation coverage to Domestic Partners similar to that available to spouses under COBRA continuation. Domestic Partner Coverage Continuation (only available if Domestic Partners are covered): Yes No 4. The Limiting Age for covered children: Hereafter, covered children means a natural child, a stepchild, an eligible foster child, an adopted child (including a child involved in a suit for adoption,) a child for whom the Insured is the legal guardian, under twenty-six (26) years of age, regardless of presence or absence of a child’s financial dependency, residency, student status, employment status (if applicable under the Policy), marital status, or any combination of those factors. If the covered child is eligible military personnel, the Limiting Age is thirty (30) years as described in the Certificate Booklet. IL-LG-151PLUS-H-BPA Rev. 06.18 Page 3 To cover children age twenty-six (26) or over, you may select option (a) or (b) below: (a) Limiting Age for covered children age twenty-six (26) or over, who are married who are unmarried regardless of marital status, is years (twenty-seven (27) – thirty (30) are the available options). If the covered child is eligible military personnel, the Limiting Age is thirty (30) years as described in the Certificate Booklet. (b) Limiting Age for covered children who are full-time students and age twenty-six (26) or over, who are married who unm arried regardless of marital status, is years (twenty-seven (27) – thirty (30) are the available options). If the covered child is eligible military personnel, the Limiting Age is thirty (30) years as described in the Certificate Booklet. Coverage will terminate: At the end of the period for which premium has been accepted. At the end of the month in which the Limiting Age is reached. At the end of the calendar year in which the Limiting Age is reached. On the Limiting Age Birthday. Other (please specify): . However, coverage shall be extended due to a leave of absence in accordance with any applicable federal or state law. 5. Total number of employees: (indicate the total number of actual employees, not enrollees) Of the Employer 220 Illinois employees 220 National employees 0 6. Eligibility Date: All current and new employees must satisfy the substantive eligibility criteria and required waiting period indicated below before coverage will become effective. No waiting period may result in an effective date that exceeds ninety-one (91) calendar days from the date that an employee becomes eligible for coverage, unless otherwise permitted by applicable law. If a person is added to the Policy and it is later determined that the Policyholder reported a Coverage Date earlier than what would apply, based on the Waiting Period and eligibility conditions the Policyholder provided to the Plan, the Plan reserves the right to retroactively adjust the Coverage Date for such person. The date of employment. The 31st day of employment. Note: This may not exceed ninety-one (91) calendar days. The day (select 1st or 15th) of the month following month(s) (option of 1 or 2 months) of employment. The day (select 1st or 15th) of the month following days (option of up to 60 days) of employment. The day of the month following the date of employment. Other (please specify): Note: This may not exceed ninety-one (91) calendar days. A full month’s premium will be charged for the first month of coverage for those employees whose Coverage Dates fall between the first (1st) and fifteenth (15th) day of the Premium Period. No premium will be charged for the first month of coverage for those employees whose Coverage Dates fall between the sixteenth (16th) day and the end of the Premium Period. Substantive eligibility criteria. Provide a representation below regarding the terms of any eligibility conditions (other than any applicable waiting period already reflected above) imposed before an individual is eligible to become covered under the terms of the plan. If any of these eligibility conditions change, Employer is required to submit a new BPA to reflect that new information. Check all that apply: An Orientation Period that: 1) Does not exceed one month (calculated by adding one calendar month and subtracting one calendar day from an employee’s start date); and 2) If used in conjunction with a waiting period the waiting period begins on the first day after the orientation period. IL-LG-151PLUS-H-BPA Rev. 06.18 Page 4 A Cumulative hours of service requirement that does not exceed 1200 hours An hours of service per period (or full-time status) requirement for which a Measurement period is used to determine the status of variable-hour employees, where the measurement period: 1) Starts between the employee’s date of hire and the first day of the following month; 2) Does not exceed 12 months; and 3) Taken together with other eligibility conditions does not result in coverage becoming effective later than 13 months from the employee’s start date plus the number of days between a start date and the first day of the next calendar month (if start day is not the first day of the month). Other substantive eligibility criteria not described above; please describe: 7. Special Enrollment: An Eligible Person may apply for coverage, Family coverage or add dependents within thirty one (31) days of a Special Enrollment event if he/she did not apply prior to his/her Eligibility Date or when eligible to do so. Such person’s Coverage Date, Family Coverage Date, and/or dependent’s Coverage Date will be the effective date of the Special Enrollment event or, in the event of Special Enrollment due to termination of previous coverage, the date of application for coverage. In the case of a Special Enrollment event due to loss of coverage under Medicaid or a state children’s health insurance program, however, this enrollment opportunity is not available unless the Eligible Person requests enrollment within sixty (60) days after such coverage ends. Open Enrollment: Specify Open Enrollment Period:The month of June for a July 1st effective date. An Eligible Person may apply for coverage, Family coverage or add dependents if he/she did not apply prior to his/her Eligibility Date or did not apply when eligible to do so, during the Employer’s Open Enrollment Period. Such person's Coverage Date, Family Coverage Date, and/or dependent's Coverage Date will be a date mutually agreed to by Blue Cross and Blue Shield of Illinois, A Division of Health Care Service Corporation, A Mutual Legal Reserve Company ("HCSC") and the Employer. Such date shall be subsequent to the open enrollment period. 8. Effective Date of Termination for a person who ceases to meet the definition of an Eligible Person: The date such person ceases to meet the definition of Eligible Person. The last day of the calendar month in which such person ceases to meet the definition of an Eligible Person. Other (please specify): . 9. Extension of Benefits due to Temporary Layoff, Disability or Leave of Absence: Temporary Layoff: 0 days; Disability: Police and Fire by IL Statute; Other 90 days; Leave of Absence: 0 days Other (please specify): However, benefits shall be extended for the duration of an Eligible Person's leave in accordance with any applicable federal or state law. 10. Funding Arrangement: Premium Prospective (complete section 12.) Cost Plus (complete section 15.) 11. STANDARD PREMIUM INFORMATION: The following elections apply to both Grandfathered and Non-Grandfathered Groups: Premium Period: The first (1st) day of each calendar month through the last day of each calendar month. (This option applies to all coverages if the Employer has BlueCare® Dental HMO Coverage.) The day of each calendar month through the day of the next calendar month. (This option is not available for any coverage if the Employer has BlueCare Dental HMO Coverage.) 12. MINIMUM EMPLOYER CONTRIBUTION INFORMATION: (a) The following elections apply to Grandfathered and Non-Grandfathered Groups: Employer Contribution: One hundred percent (100%) of the Individual Coverage Premium and an amount equal to one hundred percent (100%) of the Individual Coverage Premium will be contributed toward the Family Coverage Premium. 87.5% of the Individual Coverage Premium, and 87.5% of the Family Coverage Premium. Other (please specify): . IL-LG-151PLUS-H-BPA Rev. 06.18 Page 5 (b) The following applies to Grandfathered and Non-Grandfathered Groups: HCSC reserves the right to change premium rates when a substantial change occurs in the number or composition of subscribers covered. A substantial change will be deemed to have occurred when the number of subscribers covered changes by ten percent (10%) or more over a thirty (30) day period or twenty five percent (25%) or more over a ninety (90) day period. (c) The following applies to Non-Grandfathered Groups: HCSC reserves the right to take any or all of the following actions: 1) initial rates will be finalized for the effective date of the policy based on the employer contribution levels; 2) after the policy effective date the group will be required to maintain a minimum Employer contribution of 25%. In the event the group is unable to maintain the contribution requirements, then the rates will be adjusted accordingly; and/or 3) non-renew or discontinue coverage unless the 25% minimum employer contribution is met. Employer will promptly notify HCSC of any change in Employer contribution. (d) The following applies to Grandfathered Groups: It is understood that no Policy will be issued or renewed on a contributory basis unless at least 25%of the Eligible Persons, and for Family Coverage 75% of the Eligible Persons with eligible dependents, have enrolled for coverage. 13. Essential Health Benefits (“EHB”) Definition Election: Employer elects EHBs based on the following: a. EHBs based on a HCSC state benchmark: Illinois (“IL”) Oklahoma (“OK”) Montana (“MT”) Texas (“TX”) New Mexico (“NM”) b. EHBs based on benchmark of a state other than IL, MT, NM, OK and TX In the absence of an affirmative selection by Employer of its EHBs, then Employer is deemed to have elected the EHBs based on the IL benchmark plan. Premium Rates: (Indicate “N/A” in any rate field that does not apply) Health Coverage 1. Employee only HMO Illinois $ BlueAdvantage HMO $522.05 2. Employee plus one dependent (i.e. Employee plus one spouse or one child) HMO Illinois $ BlueAdvantage HMO $1020.65 3. Employee plus two or more dependents HMO Illinois $ BlueAdvantage HMO $1544.84 4. Employee plus Spouse HMO Illinois $ BlueAdvantage HMO $ 5. Employee plus Child(ren) (i.e. Employee plus one or more children) HMO Illinois $ BlueAdvantage HMO $ 6. Family HMO Illinois $ BlueAdvantage HMO $ Single Tier rate structure – complete item 1. Two Tier rate structure – complete items 1. and 6. IL-LG-151PLUS-H-BPA Rev. 06.18 Page 6 Three Tier rate structure – complete items 1., 2., and 3. Four Tier rate structure – complete items 1., 4., 5., and 6. Medicare Eligible Rates (When HCSC is Secondary Payer) Single Coverage HMO Illinois $ BlueAdvantage HMO $522.05 Family Coverage HMO Illinois $ BlueAdvantage HMO $1044.10 14. Cost Plus Program: a) Service Charges for Claim Payments: HMO Illinois: % of Claim Payments; $ per Enrollee per month for health Claim Payments. BlueAdvantage HMO: % of Claim Payments; $ per Enrollee per month for health Claim Payments. b) Physician's Services Fees: HMO Illinois: $ per month per single Enrollee; $ per month per Enrollee with one or more Dependents. BlueAdvantage HMO: $ per month per single Enrollee; $ per month per Enrollee with one or more Dependents. c) HMO Managed Care Fee: $ per HMO enrollee per month. d) Transfer Payment Method: Wire Transfer Draft Electronic Fund Transfer Other (please specify): Tentative Final Settlement Period - Transfer payments required after termination for: 3 months 6 months 9 months 12 months Other (please specify): e) Post Payment Method f) Payment Period: Daily Weekly Bi-Weekly Monthly Other (please specify): g) Claim Settlement Period: Monthly Quarterly Other (please specify) h) Excess Loss – Run Off Period: Months Standard is twelve (12) months. i) Final Settlement: Final Settlement is to be made within days after end of Excess Loss Run-Off Period. Standard is sixty (60) days. j) Employer Payments are to be made past the run-off period for all claims and adjustments. k) Prescription Drug Program: Yes (the Pharmacy Benefit Manager(s) (“PBM”) Fee Schedule Exhibit must be attached and is part of this BPA.) IL-LG-151PLUS-H-BPA Rev. 06.18 Page 7 No Rebate Credit for Drugs covered under the Pharmacy Benefit: $ per Covered Employee per month HMO Pharmacy Network (Select one): Traditional Select Network Network shown on PBM Fee Schedule Exhibit Other (please specify): Prescription Drug Program Clinical Management Programs Medication Therapy Management (MTM) (Retrospective) $ per Enrollee per month. l) Termination Administrative Charge As applies to the Run-Off Period indicated in the Payment Specifications section below: i. For service charges (including, but not limited to, access fees) billed on a per Covered Employee basis at the time of termination of the Policy or partial termination of Covered Employees, the Termination Administrative Charge will be the amount equal to ten percent (10%) of the annualized charges based on the service charges in effect as of the termination date or date of partial termination and the Policy participation of the two (2) months immediately preceding the termination date or date of partial termination. Such aggregate amount will be due the Plan within ten (10) days of the Plan’s notification to the Policyholder of the Termination Administrative Charge described herein. ii. For service charges (including, but not limited to, access fees) billed on a basis other than per Covered Employee at the time of termination of the Policy or partial termination of Covered Employees, the Termination Administrative Charge will be such service charges in effect at the time of termination of the Policy or partial termination of Covered Employees to be applied and billed by the Plan, and paid by the Policyholder, in the same manner as prior to termination of the Policy or partial termination of Covered Employees. Termination Administrative Charges assume the continuation of the Policy benefit program(s) and the administrative services in effect prior to termination. Should such Policy benefit program(s) and/or administrative services change, or in the event the average Policy enrollment during the three (3) months immediately preceding termination varies by ten percent (10%) or more from the enrollment used to determine the service charges in effect at the time of termination, the Plan reserves the right to adjust the rates for service charges (including, but not limited to, access fees) to be used to compute the Termination Administrative Charge. 15. Electronic Issuance: The Employer consents to receive, via an electronic file or access to an electronic file, a Certificate Booklet and SBC provided by BCBSIL to the Employer for delivery to each Employee. The Employer further agrees that it is solely responsible for providing each Employee access, to the most current version of any E- file Certificate Booklet, SBC, amendment, or other revised form provided by BCBSIL, or to provide a paper copy of the same to an Employee upon request. The Employer is solely responsible and hold BCBSIL harmless from any misuse of the E-file provided by BCBSIL. HMO members will continue to receive paper copies of their HMO certificates. By providing your consent, you agree to the electronic delivery of your insurance documents. You can go back to paper delivery at any time with no penalty. Your consent will be valid until it is withdrawn up to and including through policy renewals. To change your preferences, contact your Account Executive. Your documents can be viewed or printed using your computer or mobile device that supports most versions of Internet Explorer, Chrome and Firefox. Accept – Employer consents to receive electronic versions of Certificate Booklets and SBC’s for covered Employees. Employer may withdraw this consent at any time and request receipt of hard copy versions by contacting their BCBSIL Account Executive. Decline – Employer does not consent to receive electronic versions of Certificate Booklets and SBC’s for covered Employees or the Contract and desires BCBSIL to print and distribute hard copy versions. Authorized Company Official’s Initials: Date: IL-LG-151PLUS-H-BPA Rev. 06.18 Page 8 Changes in state or federal law or regulations or interpretations thereof may change the terms and conditions of coverage. The undersigned representative is authorized and responsible for purchasing insurance on behalf of the Employer, has provided the information requested in this BPA and on behalf of the Employer offers to purchase the benefit program as outlined in the proposal document submitted to the Employer by the Sales Representative. It is understood and agreed that the actual terms and conditions of the benefit program are those contained in the Policy. This BPA is subject to acceptance by HCSC. Upon acceptance, HCSC shall issue a Policy to the Employer and this BPA shall be incorporated and made a part of the Policy. Upon acceptance of this BPA and issuance of the Policy, the Employer shall be referred to as the Policyholder. In the event of any conflict between the proposal document and the Policy, the provisions of the Policy shall prevail. No coverage will begin until receipt of the first premium by HCSC. The undersigned representative acknowledges that any broker/producer is acting on behalf of the Employer for purposes of purchasing the Employer’s insurance, and that if HCSC accepts this BPA and issues a Policy to the Employer, HCSC may pay the Employer’s broker/producer a commission and/or other compensation in connection with the issuance of such Policy. The undersigned representative further acknowledges that if the Employer desires additional information regarding any commissions or other compensation paid to the broker/producer by HCSC in connection with the issuance of a Policy, the Employer should contact its broker/producer. The undersigned representative hereby acknowledges that the Employee Retirement Income Security Act of 1974, as amended, (“ERISA”), establishes certain requirements for employee welfare benefit plans. As defined in Section 3 of ERISA, the term “employee welfare benefit plan” includes any plan, fund or program which is established or maintained by an employer or by an employee organization, or by both, to the extent that such plan, fund or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, medical, surgical or hospital benefits, or benefits in the event of sickness, accident or disability. The undersigned representative further acknowledges that: (i) an employee welfare benefit plan must be established and maintained through a separate plan document which may include the terms hereof or incorporate the terms hereof by reference, and that (ii) an employee welfare benefit plan document may provide for the allocation and delegation of responsibilities thereunder. However, notwithstanding anything contained in the employee welfare benefit plan document of the Employer (or any group member if the group is an association), the Employer agrees that no allocation or delegation of any fiduciary or non-fiduciary responsibilities under the employee welfare benefit plan of the Employer (or any group member if the group is an association) is effective with respect to or accepted by HCSC except to the extent specifically provided and accepted in this BPA or the Policy or otherwise accepted in writing by HCSC. The Rebate Credit is a per Enrollee per month credit applied to the monthly billing statement. Rebate Credits shall not continue after termination of the Prescription Drug Program, except as otherwise set forth in this BPA or the PBM Fee Schedule Exhibit. (Further information about rebates, the Pharmacy Benefit Manager and the Rebate Credit is included in the governing Group Administration Document to which this BPA is attached under the section titled “The Plan’s Separate Financial Arrangements Regarding Prescription Drugs.”). OTHER PROVISIONS: 1. Summary of Benefits and Coverage (“SBC”): The SBC Addendum is attached and made a part of the Policy. BCBSIL will create SBC (only for benefits BCBSIL insures under the Contract) and provide SBC to the Employer in electronic format. If the Employer approves of the content, Employer will then distribute SBC to participants and beneficiaries (or hire a third party to distribute) as required by law. If the Employer would like changes to the SBC, it will promptly notify BCBSIL. The Plan will create SBC (only for benefits the Plan insures under the Policy) and distribute SBC to participants and beneficiaries via regular hardcopy mail or electronically in response to occasional requests received directly from individuals. All other distribution is the responsibility of the Policyholder. 2. BlueEdge FSA (Vendor: Select Vendor) purchased: Yes No 3. It is understood and agreed that in the event HCSC makes a recovery on a third-party liability claim, HCSC will retain twenty five percent (25%) of any recovered amounts (under cost-plus funding) or deduct twenty five percent (25%) of any recovered amounts from the amount credited to the group’s experience (under premium funding), other than recovery amounts received as a result of, or associated with, any Workers’ Compensation Law. 4. Excess Loss Coverage purchased: Yes No If yes : Complete separate Application for Excess Loss Coverage. IL-LG-151PLUS-H-BPA Rev. 06.18 Page 9 5. Blue Directions for Large Business purchased: Yes No (if yes, The Blue Directions Addendum is attached and made a part of the Policy.) 6. Wellbeing Management: Yes No ADDITIONAL PROVISIONS: A. Grandfathered Health Plans: Policyholder shall provide HCSC with written notice prior to renewal (and during the plan year, at least sixty (60) days advance written notice) of any changes in its Contribution Rate Based on Cost of Coverage or Contribution Rate Based on a Formula towards the cost of any tier of coverage for any class of Similarly Situated Individuals as such terms are described in applicable regulations. Any such changes (or failure to provide timely notice thereof) can result in retroactive and/or prospective changes by HCSC to the terms and conditions of coverage. In no event shall HCSC be responsible for any legal, tax or other ramifications related to any benefit package of any group health insurance coverage (each hereafter a “plan”) qualifying as a “grandfathered health plan” under the Affordable Care Act and applicable regulations or any representation regarding any plan's past, present and future grandfathered status. The grandfathered health plan form (“Form”), if any, shall be incorporated by reference and part of the BPA and Group Policy, and Policyholder represents and warrants that such Form is true, complete and accurate. If Policyholder fails to timely provide HCSC with any requested grandfathered health plan information, HCSC may make retroactive and/or prospective changes to the terms and conditions of coverage, including changes for compliance with state or federal laws or regulations or interpretations thereof. B. Retiree Only Plans and/or Excepted Benefits: If the BPA includes any retiree only plans and/or excepted benefits, then Policyholder represents and warrants that one or more such plans is not subject to some or all of the provisions of Part A (Individual and Group Market Reforms) of Title XXVII of the Public Health Service Act (and/or related provisions in the Internal Revenue Code and Employee Retirement Income Security Act) (an “exempt plan status”). Any determination that a plan does not have exempt plan status can result in retroactive and/or prospective changes by HCSC to the terms and conditions of coverage. In no event shall HCSC be responsible for any legal, tax or other ramifications related to any plan’s exempt plan status or any representation regarding any plan’s past, present and future exempt plan status. C. Policyholder shall indemnify and hold harmless HCSC and its directors, officers and employees against any and all loss, liability, damages, fines, penalties, taxes, expenses (including attorneys’ fees and costs) or other costs or obligations resulting from or arising out of any claims, lawsuits, demands, governmental inquiries or actions, settlements or judgments brought or asserted against HCSC in connection with (a) any plan’s grandfathered health plan status, (b) any plan’s exempt plan status, (c) any directions, actions and interpretations of the Policyholder, (d) any provision of inaccurate information, (e) the SBC, (f) any plan’s design (including but not limited to any directions, actions and interpretations of the Policyholder, and/or (g) Employer’s selection of EHB definition for the purpose of the Patient Protection and Affordable Care Act (“ACA”). Changes in state or federal law or regulations or interpretations thereof may change the terms and conditions of coverage. The provisions of paragraphs A-C (directly above) shall be in addition to (and do not take the place of) the other terms and conditions of coverage and/or administrative services between the parties. ACA FEE NOTICE: ACA established a number of taxes and fees that will affect our customers and their benefit plans. One of those fees is: the Annual Fee on Health Insurers or “Health Insurer Fee.” Section 9010(a) of ACA requires that “covered entities” providing health insurance (“health insurers”) pay an annual fee to the federal government, commonly referred to as the Health Insurer Fee. The amount of this fee for a given calendar year will be determined by the federal government and currently involves a formula based in part on a health insurer’s net premiums written with respect to health insurance on certain health risk during the preceding calendar year. This fee will go to help fund premium tax credits and cost-sharing subsidies offered to certain individuals who purchase coverage on health insurance exchanges. In addition, ACA Section 1341 and/or other applicable laws may provide for the establishment of a temporary reinsurance program(s) that may be funded by reinsurance contributions or other amounts (collectively, the “Reinsurance Fees or Amounts”) collected from health insurance issuers and/or self-funded group health plans. Federal and/or state governments may provide information as to how these Reinsurance Fees or Amounts are calculated. Federal regulations establish a flat, per member, per month fee. The temporary reinsurance programs funded by these Reinsurance Fees or Amounts may be designed help stabilize premiums in the individual or other markets. IL-LG-151PLUS-H-BPA Rev. 06.18 Page 10 Except for the Cost Plus Program, your premium, which already accounts for current applicable federal and state taxes, includes the effects of the Health Insurer Fees and Reinsurance Fees or Amounts, if any. These rates may be adjusted on an annual basis for any incremental changes in Health Insurer Fees and Reinsurance Fees or Amounts, if any. Notwithstanding anything in the Policy or Renewal(s) to the contrary, HCSC reserves the right to revise our charge for the cost of coverage (premium or other amounts) at any time if any local, state or federal legislation, regulation, rule or guidance (or amendment or clarification thereto) is enacted or becomes effective/implemented, which would require HCSC to pay, submit or forward, on its own behalf or on the Policyholder’s behalf, any additional tax, surcharge, fee, or other amount (all of which may be estimated, allocated or pro-rated amounts). Renewals Only: If this BPA is blank, it is intentional and this BPA is an addendum to the existing BPA. In such case, all terms of the existing BPA as amended from time to time shall remain in force and effect. However, beginning with the Policyholder's first renewal date on or after September 23, 2010, the provisions of paragraphs A-C (above) shall be part of (and be in addition to) the terms of the existing BPA as amended from time to time. Any reference in this BPA to eligible dependents may include Domestic Partners or Civil Union partners, but will include dependent covered children under the Limiting Age of twenty-six (26), or election made above. Any reference in this BPA to the Limiting Age for covered children means twenty-six (26) years, or election made above, regardless of presence or absence of a child’s financial dependency, residency, student status, employment, marital status or any combination of those factors. If the covered child is eligible military personnel, the Limiting Age is thirty (30) years as described in the certificate booklet. Any reference in this BPA to the “Employee plus one dependent” rate structure means “Employee plus one spouse (includes Civil Union partner and/or, if elected, Domestic Partner) or one child.” Any reference in this BPA to the “Employee plus Child(ren)” rate structure means “Employee plus one or more children.” Ruben Mendez Sales Representative Signature of Authorized Purchaser 822 630-824-5197 District Phone No. Title Producer Representative Date Signature of Producer Representative Witness VistaNational Insurance Producer Firm 1301 W. 22nd Street Suite 600 Oak Brook, IL 60523 Producer Address 36-4095485 Producer Numer $ Amount Submitted (not required for renewals) IL-LG-151PLUS-H-BPA Rev. 06.18 Page 11 Producer Tax ID No. PROXY The undersigned hereby appoints the Board of Directors of Health Care Service Corporation, a Mutual Legal Reserve Company, or any successor thereof (“HCSC”), with full power of substitution, and such persons as the Board of Directors may designate by resolution as the undersigned’s proxy to act on behalf of the undersigned at all meetings of members of HCSC (and at all meetings of members of any successor of HCSC) and any adjournments thereof, with full power to vote on behalf of the undersigned on all matters that may come before any such meeting and any adjournment thereof. The annual meeting of members is scheduled to be held each year in the corporate headquarters on the last Tuesday of October at 12:30 p.m. Special meetings of members may be called pursuant to notice provided to the member not less than 30 nor more than 60 days prior to such meetings. This proxy shall remain in effect until revoked in writing by the undersigned at least 20 days prior to any meeting of members or by attending and voting in person at any annual or special meeting of members. HCSC pays indemnification or advances expenses to directors, officers, employees or agents consistent with HCSC’s bylaws then in force and as otherwise required by applicable law. Group No(s).: B19545 By: Print Signer’s Name Here Group Name: Village of Oak Brook Address: 1200 Oak Brook Road Signature and Title City: Oak Brook State: Zip Code: Dated this: day of , Month Year Cut along dotted lines A Division of Health Care Service Corporation, a Mutual Legal Reserve Company an Independent Licensee of the Blue Cross and Blue Shield Association GA-10-4.1 HCSC CARVE OUT APP Rev. 06/17 BlueCross BlueShield of Illinois EXHIBIT TO THE STOP LOSS COVERAGE POLICY Employer Group Name: Village of Oak Brook Employer Group Address: 1200 Oak Brook Road City: Oak Brook State of Situs: IL Zip Code: 60523 Account Number: 019545 Employer Group Number(s): P19545 (Non-Union), P56642 (Police), P56643 (Fire), P19546 (H S A) Current Effective Date of Policy 07/01/2019 Current Policy Period: These specifications are for the Policy Period commencing on 07/01/2019 and ending on 07/01/2020 The specifications below shall become effective on the first day of the Policy Period specified above and shall continue in full force and effect until the earliest of the following dates: (1) The last day of the Policy Period; (2) The date the Policy terminates; or (3) The date this Exhibit is superseded in whole or in part by a later executed Exhibit. A. Aggregate Stop Loss Coverage: Yes No If yes, complete items 1. through 9. below. 1. New Coverage Renewal of Existing Coverage 2. Stop Loss Coverage during the current Policy Period: New Coverage (Select one from below): Incurred and paid during the Policy Period: Run-in coverage: Claims incurred and paid from to Claims incurred from to and Claims paid from to If coverage is for claims incurred prior to the effective date of the Policy and paid by Policyholder’s prior claim administrator, then such claims must be reported by the Policyholder to the Company (Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company) and paid by the Policyholder’s prior claim administrator by the end of the current Policy Period. Renewal of Existing Coverage: Claim Administrator’s Claims: Claims incurred on or after the original Effective Date of Policy and paid during the Policy Period. 3. Aggregate Stop Loss Coverage shall apply to: Medical Claims Vision Claims Outpatient Prescription Drug Claims with Company’s Pharmacy Benefit Manager Dental Claims GA-10-4.1 HCSC CARVE OUT APP Rev. 06/17 2 Outpatient Prescription Drug Claims with Policyholder’s Pharmacy Benefit Manager: For Hospital Employer Groups only: Excludes % of Home Hospital Medical claims Other (please specify): 4. Average Claim Value: $1380.44 (per Employee per month) Includes Claim Administrator’s Provider Access Fee Excludes Claim Administrator’s Provider Access Fee Attachment Factor: 125% of the Average Claim Value 5. Aggregate Attachment Claim Liability: a. Employer’s Claim Liability for each Policy Period shall be the sum of the Monthly amounts obtained by multiplying the number of Individual and Family Coverage Units for each Month by the following factor: $ for each Coverage Unit $ for each Family Coverage Unit 6. Aggregate Stop Loss Coverage includes coverage of Run-Off Paid Claims: Yes No Run-Off Attachment Claim Liability Factors: Employer’s Run-Off Claim Liability shall be an amount equal to 15% of the annualized Employer Claim Liability based on the participation of the two (2) calendar months immediately preceding termination. Settlement for the final accounting period will be described in the section of the Policy entitled SETTLEMENTS. 7. Aggregate Stop Loss Claims: a. The amount of Paid Claims during the current Policy Period, less Individual (Specific) Stop Loss Claims if any, that exceeds the Aggregate Point of Attachment. The Aggregate Point of Attachment shall equal the sum of the Employer’s Claim Liability amounts calculated Monthly as described in item A.5. above for the current Policy Period. However, for the current Policy Period the minimum Aggregate Point of Attachment shall be $2,197,172.70. b. The following applies if the answer to item A.6. above is “Yes” (Aggregate Stop Loss Coverage includes coverage of Run-Off Paid Claims): In the event of termination at the end of the current Policy Period, Aggregate Stop Loss Coverage shall equal the amount of Final Settlement Paid Claims that exceed the Final Settlement Aggregate Point of Attachment. Final Settlement Paid Claims shall equal the sum of the Paid Claims during the Final Policy Period and the Paid Claims during the Run-Off Period, less Individual (Specific) Stop Loss Claims, if any. The Final Settlement Point of Attachment shall equal the sum of the Employer’s Claim Liability amount for the Final Policy Period and the Employer’s Run-Off Claim Liability calculated as described in items A.5. and A.6. above. However, for the Final Settlement Period the minimum Aggregate Point of Attachment shall be the minimum Aggregate Point of Attachment in item A.7.a. above increased by 15%. c. The amount of “Run-in” Claims that is excluded from Individual (Specific) Stop Loss Coverage in item B.2. is also not eligible for Aggregate Stop Loss coverage. 8. Stop Loss Premium (Select one): Annual Premium (Due on the first day of the current Policy Period): $23,219. The following applies if the answer to item A.6. above is “Yes” (Aggregate Stop Loss Coverage includes coverage of Run-Off Paid Claims): In the event of termination at the end of the current Policy Period, an additional premium amount equal to 15% of the Annual Premium will be due within ten (10) calendar days of receipt of the billing. Monthly Premium shall be equal to the amounts obtained by multiplying the number of Individual and Family Coverage Units for a particular Month by: $ for each Coverage Unit GA-10-4.1 HCSC CARVE OUT APP Rev. 06/17 3 $ for each Family Coverage Unit The following applies if the answer to item A.6. above is “Yes” (Aggregate Stop Loss Coverage includes coverage of Run-Off Paid Claims): In the event of termination at the end of the current Policy Period, an additional Premium amount equal to 15% of the annualized Premium based on the participation of the two (2) months immediately preceding termination will be due within ten (10) calendar days of receipt of the billing. 9. The premium is based upon a current membership of 30 Individual Coverage Units and 101 Family Coverage Units. B. Individual (Specific) Stop Loss Coverage: Yes No If yes, complete items 1. through 6. below. 1. New Coverage Renewal of Existing Coverage 2. Stop Loss Coverage during the current Policy Period: New Coverage (Select one from below): Incurred and paid during the Policy Period: Claims incurred and paid from to Run-in coverage: Claims incurred from to and Claims paid from to If coverage is for claims incurred prior to the effective date of the Policy and paid by Policyholder’s prior claim administrator, then such claims must be reported by the Policyholder to the Company (Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company) paid by the Policyholder’s prior claim administrator by the end of the current Policy Period. Renewal of Existing Coverage: Claim Administrator’s Claims: Claims incurred on or after the original Effective Date of Policy and paid during the Policy Period. 3. Individual (Specific) Stop Loss Coverage shall apply to: Medical Claims Vision Claims Outpatient Prescription Drug Claims with Company’s Pharmacy Benefit Manager Dental Claims Outpatient Prescription Drug Claims with Policyholder’s Pharmacy Benefit Manager: For Hospital Employer Groups only: Excludes % of Home Hospital Medical claims Other (please specify): 4. Individual (Specific) Stop Loss Claims For each other Covered Person: a. Individual (Specific) Stop Loss Coverage equals the amount of Paid Claims for a Covered Person during the current Policy Period in excess of the Individual Point of Attachment of $85,000 per Covered Person. Such amount shall apply for the current Policy Period. Point of Attachment Includes Claim Administrator’s Provider Access Fee Excludes Claim Administrator’s Provider Access Fee GA-10-4.1 HCSC CARVE OUT APP Rev. 06/17 4 b. Employer’s Claim Liability equals the sum of Paid Claims for a Covered Person during the current Policy Period up to the Point of Attachment specified in item B.4.a. above. 5. Individual (Specific) Stop Loss Coverage includes coverage of Run-Off Paid Claims: Yes No The following applies if the answer to item B.5. above is “Yes” (Individual Stop Loss Coverage includes coverage of Run-Off Paid Claims): a. In the event of termination at the end of the current Policy Period, Individual (Specific) Stop Loss Coverage shall equal the amount of Final Settlement Paid Claims that exceed the Point of Attachment specified in B.4. above. Final Settlement Paid Claims shall equal the sum of Paid Claims for a Covered Person during the Final Policy Period and the Run-Off Period (beginning on and ending on . b. In the event of termination at the end of the current Policy Period, Employer’s Final Settlement Claim Liability equals the sum of Paid Claims for a Covered Person during the Final Policy Period and Run- Off Period up to the Point of Attachment specified in item B.4.a. above. Settlement for the final accounting period will be described in the section of the Policy entitled SETTLEMENTS. 6. Stop Loss Premium (select one): Annual Premium (Due on the first day of the current Policy Period): $ . The following applies if the answer to item B.5. is “Yes” (Individual (Specific) Stop Loss Coverage includes coverage of Run-Off Paid Claims): In the event of termination at the end of the current Policy Period, an additional premium amount equal to 20% of the Annual Premium will due within ten (10) calendar days of receipt of the billing. Monthly Premium shall be equal to the amounts obtained by multiplying the number of Individual and Family Coverage Units for a particular Month by: $ 212.09 for each Coverage Unit $ for each Family Coverage Unit The following applies if the answer to item B.5. above is “Yes” (Individual (Specific) Stop Loss Coverage includes coverage of Run-Off Paid Claims): In the event of termination at the end of the current Policy Period, an additional premium amount equal to 20% of the annualized Premium based on the participation of the two (2) months immediately preceding termination will be due within ten (10) calendar days of receipt of the billing. 7. The premium is based upon a current membership of 35 Individual Coverage Units and 99 Family Coverage Units. Additional Provisions: Retirees Covered: Yes No The undersigned person represents that he/she is authorized and responsible for purchasing stop loss coverage on behalf of the Employer. It is understood that the actual terms and conditions of coverage are those contained in this Exhibit and the Stop Loss Coverage Policy into which this Exhibit shall be incorporated at the time of acceptance by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (“HCSC”). Upon acceptance, HCSC shall issue a Stop Loss Coverage Policy to the Employer. Upon acceptance of this Exhibit and issuance of the Stop Loss Coverage Policy, the Employer shall be referred to as the "Policyholder." Ruben Mendez GA-10-4.1 HCSC CARVE OUT APP Rev. 06/17 5 Sales Representative Signature of Authorized Purchaser Brian Buzecky Name of Underwriter Title of Authorized Purchaser Signature of Underwriter Date INTERNAL USE ONLY Date Application approved by Underwriting: Name of Underwriter: