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K. Termination Effective Date: 12:01 a.m. on the date the Agreement terminates for the group, any line(s) of business or any section(s) thereof, as specified pursuant to a written termination notice from one party to the other. Section 2: Invoicing A. Weeklv Invoices: Throughout the Agreement Period Medical Mutual Services shall invoice the Plan Sponsor each week by Electronic Mail (Email) or Facsimile (Fax) transmission for claims adjudicated by Medical Mutual Services during the preceding week, and for Stop Loss credits as notified by the Stop Loss carrier. Medical Mutual Services will also invoice the Plan Sponsor for claims paid during the preceding week under the Plan's free-standing prescription drug program and PPO dental program. The Plan Sponsor will pay the invoiced amounts by Wire Transfer on the next business day following the date of the invoice. Claim Amounts will be paid in accordance with Medical Mutual Service's c?aims disbursement schedule. If payment of the invoice is not received when due, Medical Mutual Services will suspend payment of the group's claims. B. Monthtv Invoices: Throughout the Agreement Period Medical Mutual Services shall issue on a monthly basis an invoice for the Administrative Fee, any applicable Out of State Surcharges and the month's claims less weekly invoices for the month. The Plan Sponsor shall pay the invoiced amounts due to Medical Mutual Services on the first of each month or within ten (10) days of the date of the invoice, whichever is later. If the invoice is not paid when due, Medical Mutual Services will suspend payment of the group's claims. C. Medical Mutual Services, through an affiliated company, has Agreements with Providers, including hospitals. Some of these Agreements with Providers allow discounts, allowances, incentives, adjustments and settlements. These amounts are for the sole benefit of Medical Mutual Services and Medical Mutual Services will retain certain of the payments resulting therefrom as more fully set forth in Section 1(d) hereof. In any event, however, Paid Claim Amounts shall be calculated as provided herein, and deductibles, copayments, coinsurance and benefit accumulations shall be calculated as set forth in Addendum III or the Benefit Book(s). D. The Plan Sponsor acknowledges and understands that the Paid Claim Amount may exceed the amount of Net Covered Charges for the Covered Services and that some of its payment responsibilities are nevertheless based on the Paid Claim Amounts and not upon the lesser of Net Covered Charges or the Paid Claim Amount. Page 3 Rev. 090102 03eCityofNorthOlmstedDRub ?.. .?? ?? . , .. .