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EMPLOYEE BENEFITS INTERNATIONAL EMPLOYEE BENEFITS INTERNATIONAL POLITICAL SUB-DIVISION AGREEMENT The following Agreement outlines Employee Benefits International's (EBI) relationship with the Cuyahoga County Political Sub-Division. This agreement is made by and between Mayfield Village hereinafter referred to as "Political Sub-Division", and Employee Benefits International, hereinafter referred to as "Consultant" on this 5'~ day of March, 2012. This contract shall run for thirty three (33) consecutive months commencing on April 1, 2012 and concluding on December 31, 2014. The Political Sub-Division named herein has agreed to participate in the Cuyahoga County Board of Commissioners Sponsored Insurance plans, hereinafter referred to as "Regionalization Program" as outlined in the Health Insurance Guideline document. To participate in the Regionalization Program, the Political Sub-Division agrees to pay the following applicable fees to the Consultant (Subject to change with prior approval from Cuyahoga County): 1. Underwriting and Renewal Fees Fees are payable for the Initial Underwriting and Renewal of each Political Sub-Division whether or not they are accepted into the County's Regionalization Program. Fees will be waived if the Political Sub- Division agrees to join the regionalization: Number of Covered Employees Fee • Less than 100 $1,000 • 100 or more employees $2,000 2. Basic Fees • $8.00 per covered employee per month, • Service Fees are billed monthly or quarterly, with a rrLnimum fee of $500 per quarter. Political Sub-Divisions can maintain existing broker relationships on a direct fee for service basis only. Outside brokers and consultants will not be able to resolve claim or eligibility issues. This responsibility falls to either the County or the County's consultant. Non-Contracted Agencies, Agents, or Brokers must abide by all requirements set forth by the County and no commissions are payable under the Regionalized Program. Other Benefits (ie., Dental, Vision, Group Life Insurance, and Voluntary Benefits also known as "Affinity Programs") are optional and not covered under this agreement. These benefits are commissionable, and subject to standard regionalized or state-filed commission rates. Outside brokers and consultants cannot access County-sponsored regional affinity programs. Basic Coveted Services • Initial Underwriting • Renewal Development • Gtoup Installation including. - Annual benefit communication support and employee meetings - Training on the on-line eligibility system - Service support from a dedicated Account Manager on high level claims issues ~~Q:~~M ~i ~= Fc~v v a.ea.ewn,.m~:,:~a.-~.u..xp1.