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HomeMy WebLinkAbout42-93 RESOLUTION1 RESOLUTION NO. 4 9 - 9 3 A RESOLUTION AUTHORIZING THE APPOINTMENT OF BLUE CROSS AND BLUE SHIELD OF ARKANSAS AND ITS SUBSIDIARY U.S ABLE LIFE AS THE GROUP INSURANCE PROVIDER FOR CITY EMPLOYEE'S HEALTH, DENTAL, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY PLANS. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS. Section L. That the City Council hereby appomts Blue Cross and Blue Shield of Arkansas and its subsidiary U.S. Able Life as the group insurance provider for City employee's health, dental, life, accidental death and dismemberment and long term disability plans ,Section 2. That the term of this msurance contract is for one year commencmg May 1, 1993 with options for four one year annual renewals upon agreement by the City and Blue Cross/Blue Shield. Section 3. That the Mayor is authorized to execute the attendant msurance contracts consisting of a group medical and dental retention and liability agreement, life and long term disability renewal notification forms, a copy of each which are attached hereto marked Exhibit "A" and made a part hereof. PASSED AND APPROVED this AL day of April , 1993. ATTEST: BY: APPROVED: BY: 4,40/44 Sherry Thomas, City Clerk Fred Hanna, Mayor • 4 AMENDMENT NO. 1 TO BE ATTACHED AND MADE A PART OF GROUP POLICY NO 2467-001 Issued City of Fayetteville to - (Policyholder) The group policy is hereby amended as follows: The "Eligibility" provision on Page 10 is deleted in its entirety and the following shall apply: Persons eligible to be covered under this policy are those who qualify for the class (es) described in the Policy Application. No person may be insured as both an employee (or member) and as a dependent at the same time. If a family plan is elected, only one person in the family may be insured as an employee (or member). This includes anyone who may become eligible while the policy is in force. Employees who work on a full-time basis for the Employer are eligible for insurance after completion of the required waiting period, provided they are in a class of Employees who are included. Employees will be considered to work on a full-time basis if they customarily work at least 40 hours per week. The effective date of this amendment is May 1, 1993 Nothing contained herein shall be held to alter or affect any of the terms and conditions of said policy other than as herein stated. Dated at Little Rock, Arkansas, this day of 19 73 City of Fayetteville (Policyholder) C-719411.a4Peresidertit (Signature) Ada, P-23 (10-88) bit.9014.7.4 (4 4 -fate 41C , .no,Rute ve--( LP-. -13 , - ... _ . IC _ ,.. . .._. , „.. , , t 1 . 6.7' _ . ' , . AMENDMENT NO 2 TO BE ATTACHED AND MADE A PART OF GROUP POLICY NO 2467-001 City of Fayetteville Issued to• The group policy The maximum amount refers to number application under Item # 5 on the and employee is first $25,000 of The effective date of this amendment Nothing contained herein shall than as herein stated. Dated at Little Rock, Arkansas, City of Fayetteville (Policyholder) is hereby amended as follows: of coverage is changed to $100,000. This 3 shown on the attachment to the "Applicable Principal Sum". application, premiums are paid by employer changed as follows: Employer pays for the employee only coverage. is April 1, 1993 be held to alter or affect any of the terms and conditions of said policy other this 616 day of OlaM 191U____ (Policyholder) • my(4444,,za.„ it Avittout)t-- C.79 President • (Signature) P-23 9141) U$MLe Life $ PM. Box 4650 Little Rock, ARI72203 (501) 375-7200 Policyholder: RENEWAL NOTIFICATION FORM CITY OF FAYETTEVILLE Description of Classes: ALL FULL TIME EMPLOYEES Remarks: Current Premium Rates Renewal Premium Rates: LIFE 2 X ANNUAL SALARY MAXIMUM $150,000 .28 .28 AD&D 2 X ANNUAL SALARY MAXIMUM $150,000 .07 .07 Renewal Date 05/01/93 Marketing Representative KUEHN Group #: 2467 Date Typed: 3/3/93 STD DEP LIFE CERTIFICATION OF ENROLLMENT AND ELIGIBILITY We have reviewed the enrollment in the above group plan and our employee records. We certify that: 1. The employer contribution is Life & AD&D - % STD - IMPORTANT NOTE If Employer Contribution is 100%, all digible employees must be enrolled. If employees are required to pay any part of the premium, employees enrolling more than 31 days after completing their waiting period will be required to furnish Evidence of Insurability. 2. There are pasons eligible to participate in the plan and are enrolled. 3. All persons enrolled in the plan are: (a) members of an eligible dass of employees; (b) are actively at work at least hours per week, are actively working at their normal place of employment, working in our regular business and are not in a hospital, nursing home, convalescent facility, or are not convalescing from illness or injury at home and (c) are directly compensated by us for their services. EXCEPTIONS: For any person enrolled not meeting the above requirement, the following information is provided: NAME DATE LAST WORKED REASON FOR EXCEPTION Marketing Representative UND-001 (2-91) 1444,s40 Group 7ministrator 5/-6-73 Date • • GLP-ABR (9-92) 1 , a ,. USAble . _ . „. a . life . . . . . , , . , . , , . , Rock, Axicansas .., , • . , Benefits Rider Policy No.: LA2467 CITY OF FAYETTEVILLE Date of This Rider: 05/01/93 • , . 0 . , i. .„. Iltk .. , Group Life Accelerated This rider is made part of Group Policyholder: Effective This page and the pages that follow are part of this rider. NOTICE OF POSSIBLE TAX CONSEQUENCES Please be advised that receipt of the accelerated benefits described in this Rider may be taxable. Any person who receives accelerated benefits should consult his personal tax advisor. DEFINITIONS INSURED PERSON means an insured employee or an insured dependent. Each will be insured for the benefits of this rider only if he becomes and remains insured for life insurance benefits under the group policy. TERMINAL ILLNESS means a medical condition: 1. which is expected to result in the insured person's death within 6 months; and 2. from which the insured person is not expected to recover. WAITING PERIOD means a period of 180 consecutive days which begins on the date a person's insurance takes effect under this rider. ELIGIBLE CLASSES 1. All employees under age 70 who are insured for a minimum of $10,000 of life insurance under the group policy. 2. All dependents of the person described in 1 above, if they are insured for a minimum of $10,000 of life insurance under the group policy and are under age 70. DATE PERSONS ARE ELIGIBLE FOR INSURANCE UNDER THIS RIDER A person will be eligible for such insurance on the later of: . 1. the date he is eligible for life insurance under the group policy, or 2. the effective date of the group policy rider. GLP-ABR (9-92) 1 GLP-ABR (9-92) • 1 ...• .- 4 , LJS.A1Ie 1 4 1 -e- --i 1,- - - ‘.. ) 1 j . 4rer A' ,.. Little Rock; Aricanus --1 - • , . . .. (V V' I i ... . ) Group Life Accelerated This rider is made part of Group Policyholder: Effective This page and the pages that follow are NOTICE OF POSSIBLE TAX CONSEQUENCES Please be advised that receipt of the taxable. Any person who receives advisor. DEFINITIONS INSURED PERSON means an insured for the benefits of this rider only if he under the group policy. TERMINAL ILLNESS means a medical 1. which is expected to result in the insured 2. from which the insured person is not WAITING PERIOD means a period of insurance takes effect under this rider. ELIGIBLE CLASSES 1. All employees under age 70 who under the group policy. 2. All dependents of the person described $10,000 of life insurance under the DATE PERSONS ARE ELIGIBLE FOR A person will be eligible for such insurance 1. the date he is eligible for life insurance 2. the effective date of the group policy Benefits Rider Policy No.: LA2467 CITY OF FA ILLE Date of This Rider: 05/01/93 part of this rider. accelerated benefits described in this Rider may be accelerated benefits should consult his personal tax employee or an insured dependent. Each will be insured becomes and remains insured for life insurance benefits condition: person's death within 6 months; and expected to recover. 180 consecutive days which begins on the date a person's are insured for a minimum of $10,000 of life insurance in 1 above, if they are insured for a minimum of group policy and are under age 70. INSURANCE UNDER THIS RIDER on the later of: under the group policy, or rider. GLP-ABR (9-92) Group Life Accelerated Benefits Rider (continued) NON -CONFINEMENT REQUIREMENT An employee or his dependent might be confined for medical treatment in an institution or at home on the date his insurance is to take effect under this rider. If so, his insurance will take effect on the day following his final medical discharge from such confinement. THE ACCELERATED BENEFIT The accelerated benefit is an advance payment to the person who: 1. is terminally ill, and 2. elects to receive part of his insurance amount under the group policy, subject to the maximum and minimum benefit requirements stated below. We will pay an accelerated benefit to the insured employee when we receive the following after the waiting period: I. a written request for payment of the accelerated benefit, and 2. due proof that the insured person is terminally ill. The accelerated benefit will be paid once and in one lump sum to the insured employee. Cast of Providing The Accelerated Benefit The accelerated benefit amount as determined below will be discounted to reflect the cost of providing the benefit. We will calculate the discount on the date we receive the request for payment of the accelerated benefit. The discount will be based on the coupon rate of the current 10 year U S Treasury Note. A claims atiministrative fee of 5150 will be deducted from the amount of the Accelerated Benefit paid. Amount of Accelerated Benefit The maximum accelerated benefit will be equal to the lesser of: 1. 30% of the insured person's life insurance amount as shown in the Schedule of Benefits of his certificate, less the discount and the claims administrative fee; or 2. $50,000 less the discount and the claims administrative fee. An insured employee's life insurance amount may be scheduled for a reduction within 6 months after the date he requests the payment of the accelerated benefit. In this case, the maximum accelerated benefit will be limited to the lesser of: 1. 30% of the life insurance amount which will be in effect after the scheduled reduction, less the discount and the claims administrative fee; or 2. $50,000 less the discount and the claims administrative fee. The minimum accelerated benefit for the insured employee or the insured dependent will be 53.000 less the discount and the claims administrative fee Written Request for Payment of the Accelerated Benefit After the waiting period, the insured employee may request payment of an accelerated benefit in writing. If the insured person is not the owner of the certificate, the owner must request payment of the accelerated benefit in writing. ff the insured person is a minor or incompetent, his guardian must request payment of the accelerated benefit in writing. GLRABR (9-92) Group Life Accelerated Benefits Rider (continued) P 11 • Proof of Terminal Illness Proof that an insured person is terminally ill must be given to us. The proof must be certified by a licensed physician and in a form that is satisfactory to us. We are not obligated to ask for any proof. Any delay in submitting proof will not cause a request to be denied so long as the proof is given to us as soon as reasonably possible. After receipt of such proof, we may require the insured person to be examined by a licensed physician of our choice, at our expense. If there is a disagreement between the two physicians, we may require the insured person to be examined by another licensed physician of our choice, at our expense. The decision of the third physician will be final. EFFECT OF PAYMENT OF AN ACCELERATED BENEFIT ON GROUP POLICY PROVISIONS The insured person's amount of life insurance under the group policy will be reduced by the amount of an accelerated benefit paid to him, plus the discount. As a result, the following will be based on such reduced life insurance amount: 1. the amount of life insurance payable to the beneficiary when the insured person dies; 2. the amount of life insurance the insured person can convert under the group policy; and 3. the premiums payable for the insured person's life insurance under the group policy after an accelerated benefit is paid to the insured employee, if such premiums are not waived. The payment of an accelerated benefit will not affect the amount of the insured person's Accidental Death and Dismemberment Benefits under the group policy, if any. EXCLUSIONS We will not pay an accelerated benefit if: 1. the insured person has made an absolute assignment of his life insurance under the group policy; 2. all or part of the insured person's life insurance under the group is to be paid to his child(ren) or former spouse as part of a court approved divorce agreement; 3. we do not receive written consent by any irrevocable beneficiary; or 4. the terminal illness is a result of intentional self-inflicted injury or attempted suicide. DATE THIS RIDER ENDS FOR AN INSURED PERSON With respect to an insured person this rider will end at the earliest of: 1. the date the accelerated benefit is paid to him or on his behalf; 2. the date his life insurance ends under the group policy; or 3. the policy anniversary on which he is age 70. This rider is subject to all provisions of the group policy which are not inconsistent with the terms of this rider. Signed at our Home office on the effective date. Poticy older 40,1447., Signature President USAble Life •ef JAMES B. B HOUSE GLP-ABR (9-92) 3 F 4 '11 • a • USAble Life little Roth, Manses to. AMENDMENT NO 5 TO BE ATI'ACHED AND MADE A PART OF GROUP POLICY NO 2467 City of Fayetteville (Policyholder) Issued to. The group policy is hereby amended as follows: Paragraph No. 1 under the "Employee Eligibility" provision on Page 5 is deleted in its entirety and the following shall apply: Employees who work on a full-time basis for the Employer are eligible for insurance after completion of the the required waiting period, provided they are in a class of Employees who are included. Employees will be considered to work on a full-time basis if they customarily work at least 40 hours per week. The effective date of this amendment is May 1, 1992 Nothing contained herein shall be held to alter or affect any of the terms and conditions of said policy -other than as herein stated. Dated at Little Rock, Arkansas, this LA day of CiliT a TaYetteville - , -(Pthicyholder) (Signature) gre (:4; r ALS— President P-23 (10-88) • • USAble Life • • LONG TERM DISABILITY RENEWAL NOTIFICATION Company Name: Group Number: Representative: Renewal Date: Date Typed: Amount of Benefit: Benefit Period: CITY OF FAYETTEVILLE 2467-100 FRANCIS KUEHN 05/01/93 3/3/93 60X OF MONTHLY SALARY NOT TO EXCEED $6,000 TO AGE 65 WITH RBD Present Rate per $100 of Covered Payroll: $.56 ***************************************** Renewal Rate Per $100 of Covered Payroll: $.46 Number of LTD Employees Currently Insured: 371 Monthly Covered Payroll: $700.424 ***************************************** PLEASE COMPLETE THE FOLLOWING Percentage of Company Contribution: Number of Eligible Employees: Remarks: Group Administrator: 1\ USAble Life Representative! ***************************************************************** MARKETING REPRESENTATIVE REASSIGNMENT From! To: Regional Manager Dir. of Mkt. USAble Date • • • • • AMENDMENT NO. TO BE ATTACHED AND MADE A PART OF GROUP POLICY NO.2467..-100 Issued to: Clty of Fa ettevi.1 1 a (Policyholder) The group policy is hereby amended as follows: It is agreed that the folllowing changes are hereby made to Form No. GLTD P(5-89): Item #6 of the application (Eligible Classes) is changed as follows: All regular full time employee's working a minimum of 40 regularly scheduled hours per week. The effective date of this amendment is May 1 1.991 Nothing contained herein shall be held to alter or affect any of the terms and conditions of said policy other than as herein stated. Dated at Little Rock, Arkansas, this kA_day of 19 IF 3 ('it f tr (Policyholder) /4/(AVIii (Signature) President P-23 (10-88) I4PI ARICA/13AS BLUE CROSS AND BLUE SF= a 2• A MUTUAL INSURANCE CCM4PANY Retention Agreement for CITY OF FAYETTEVILLE AND FAYETTEVILLE PUBLIC LIBRARY Group Numbers 090041 and 090042 This Retention Agreement applies to the above group. The Agreement is a retrospective refund calculation, and will be determined using earned premiums and incurred claims of Blue Cross, Blue Shield, and Extended Benefits coverage. The effective date of the Agreement is to be May 1, 1993. Each policy year constitutes a period for accountability of premiums and incurred claims, and hereafter will be referred to as a refund period. The refund will be calculated one hundred and eighty (180) days after the end of each policy year. The composition of the formula used to determine the refund amount and the definition of each item contained in the formula are as follows: ELIGIBILITYFOR COVERAGE UNDER THE GROUP: In addition to any other eligibility requirements, group members must work at least 40 hours per week in order to be eligible for coverage under the above named groups. EARNED PREMIUM: Blue Cross, Blue Shield, and Extended Benefits income for the refund period. RETENTION: The amount retained by Arkansas Blue Cross and Blue Shield for claims administration expense, general administration expenses, general contingency, insurance risk, and large claim pool. The retention used in establishing the refund amount is 17.1% of earned premium. CLAMSCOST: Claims cost is the amount of earned premium required to pay policy benefits for claims incurred during the refund period. Provided, however, that large claim ad3ustments shall be based on those amounts actually paid per covered person during the term of the Agreement, whether those paid amounts were incurred before or during the term of the agreement. See Paragraph LARGE CLAIM ADJUSTMENT. LAME CLAIM ADJUSTMENT: The Large Claim Pool base agreed to by the Carrier and the Group is $ 50,000.00 per covered person per policy year. At the time of settlement, only • • • • "ip • the $ 50,060.00 per covered person per policy year will be applied toward the determination 4 of the Retkospective Refund and Stabilization Reserve Fund. RATE STABILIZATION RESERVE: The amount of earned premium maintained in reserve for the Group by Arkansas Blue Cross and Blue Shield to offset unusual fluctuations in claims. This will be 13.4% of earned premium for the policy year beginning May 1, 1993. Once the reserve is established, it will be credited with interest earned during subsequent periods. If an underwriting loss is incurred during the refund period, it will be charged against the rate stabilization funds. Negative balances in the rate stabilization fund will be carried forward to the next refund period. REFUND: The retrospective refund shall be earned premium less retention, minus claims cost less large claim adjustment, minus the adjustment to the stabilization fund. The formula is illustrated as follows: (EARNED PREMIUM - RETENTION) - (CLAIMS COST - LARGE CLAIN ADJUSTMENT) - ADJUSTMENT TO STABILIZATION FUND = REFUND. The refund shall be paid to City of Fayetteville and Fayetteville Public Library. TERMINATION: In the event the Group terminates Blue Cross and Blue Shield coverage during the policy year, any refund or rate stabilization reserve due the Group will be considered liquidated damages. If the termination occurs at the end of a policy year, any refund of rate stabilization reserve due the Group will not be settled until twelve (12) months following the group's termination. This Agreement may be terminated by either the Policy Holder or the Plan at the end of the policy year by thirty (30) days prior notice in writing. ARKANSAS BLUE AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY Signed ohn B. Greer, Senior Vice President, Group Services 3- - Date: CITY OF FAYETTEVILLE AND FAYETTEVILLE PUBLIC LIBRARY 09/9) Date: a • 4 • a 4 • • AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 • Effective May 1, 1990, CITY OF FAYETTEVILLE, Group Number 090041, is hereby changing their anniversary date from April 15 to May 1. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 • 1PDY • t • • GROUP INSURANCE AGREEMENT WITH ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY • • This is an agreement between Arkansas Blue Cross and Blue Shield, A Mutual Insurance Company (We, Us) and the Group Employer (You, Your) whose name and signature appears on the Application for Insurance made apart hereof. ARTICLE I. WE AGREE: In consideration of the premiums set forth in Schedule A, attached hereto, we agree to: Section 1. Provide to your enrolled employees and their eligible dependents the health benefits set forth in the Benefit Certificate, attached hereto and incorporated herein. Such benefits are subject to all terms therein. ARTICLE II. UNLESS OTHERWISE AGREED IN WRITING, THE MEMBER AGREES TO: Section 1. Pay us the charges for each enrolled employee and their dependents every month, in advance. Section 2. Act as the agent of your employees (not of us) in all dealings between we and such employees, including: a. paying premiums to us; notifying us of changes in membership status: securing and forwarding to us applications for coverage for new employees; d. providing employees all communications and notices from us. Section 3. Abide by our regulations as specified in the enrollment regulations contained in the group folder provided by us. Section 4. Establish and maintain this membership by having 75% (or more) of eligible employees enrolled. GMC Co DY • a AMENDMENT TO THE ARKANSAS BLUE CROSS AND BLUE SHIELD GROUP MASTER CONTRACT a ARTICLE III, Section 2., is hereby amended by deleting it in its entirety and substituting the following paragraph therefor: We may amend the terms of this Contract. If we do so, we will give 30 days written notice to you. Such change shall be effective on the date fixed in the notice. This Amendment becomes a part of the Arkansas Blue Cross and Blue Shield Group Master Contract. GMC -R/90 George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 • ▪ • • • • 4 • • • • t AMENDMENT TO THE ARKANSAS BLUE CROSS AND BLUE SHIELD GROUP CONTRACT • In ARTICLE IV, Section 1, the bracketed subparagraph is hereby amended to read as follows: [THE ANNUAL MEETING OF THE MEMBERS SHALL BE HELD EACH YEAR AT THE HOME OFFICE, LOCATED AT 601 GAINES STREET, LITTLE ROCK, ARKANSAS, ON THE THIRD MONDAY IN MARCH AT 1:00 P.M. (PROVIDED, IF SUCH DAY SHALL BE A LEGAL HOLIDAY, THEN AT THE SAME TIME AND PLACE ON THE NEXT SUCCEEDING DAY WHICH IS NOT A LEGAL HOLIDAY)]. The Proxy is hereby amended to read as follows: PROXY I hereby appoint the Board of Directors ("Board") of Arkansas Blue Cross and Blue Shield, A Mutual Insurance Company ("Company"), as my proxy to act on my behalf at all meetings of Members of the Company. This appointment shall include such persons as the Board may designate by resolution to act on its behalf. This proxy gives the Board, or its designee, full power to vote for me on all matters that may be voted upon at any meeting. The annual meeting of Members is held each year at the home office of the Company located at 601 Gaines Street, Little Rock, Arkansas, on the third Monday of March at 1:00 p.m. If the third Monday of March is a legal holiday, then the meeting will be at the same time and place on the next day after, which is not a legal holiday. Special meetings may be called upon notice mailed not less than ten (10) nor more than sixty (60) days prior to such meeting. This proxy, unless revoked, shall remain in effect during my membership in the Company. I may revoke this proxy in writing by advising the Company of such at least five (5) days prior to any meeting. I may also revoke my proxy by attending and voting in person at any Members' meeting. This Amendment becomes a part of the Arkansas Blue Cross and Blue Shield Group Contract. 2/89 act -c, George K. Mitchell President and Chief Executive Officer • ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company Ns 601 Gaines Street -" r7)\-\. Little Rock, Arkansas 72201 • 6 • • • • ARTICLE III. BOTH PARTIES AGREE: Section 1. Coverage shall depend upon receipt of premiums by us at our Home Office. The first premium is due on the contract date. Subsequent premiums shall be paid in advance. Section 2. We may amend the terms of this Contract. If we do so, we will give 30 days written notice to you. Such change shall be effective on the date fixed in the notice. Unless both of us agree, any change in benefits and premiums shall occur on the anniversary date. Section 3. All statements by you or your enrolled employees will be deemed representations and not warranties, unless there is fraud. No statement will be used to void coverage or reduce benefits unless it is in a written document signed by you or the enrolled employees and they are given a copy of it. Section 4. Either of us can cancel this Contract by 30 days written notice to the other. We cannot cancel before the last day of any period for which we have received premiums. ARTICLE IV. POLICY PROVISIONS RELATIVE TO MEMBERSHIP, MEETINGS AND VOTING Section 1: Annual Meeting. An annual meeting of the members shall be held each and every calendar year in the State of Arkansas for the purpose of electing directors, receive and consider reports as to the business and affairs of the Corporation, and transacting such other business as may properly come before the meeting. The meeting shallrbe held between January 1 and April 1 of each year at such place, date and time as shall be fixed by the Board of Directors or the Chief Executive Officer. The Board of Directors may, from time to time, provide that the place, date and time of the annual meeting shall be set forth in the policy of members as provided in Article IIII Section 3 of these ByLaws. [THE ANNUAL MEETING OF THE MEMBERS SHALL BE HELD EACH YEAR AT THE HOME OFFICE OF THE COMPANY ON THE THE THIRD THURSDAY IN MARCH AT 1:00 P.M. (PROVIDED, IF SUCH DAY SHALL BE A LEGAL HOLIDAY, THEN AT THE SAME TIME AND PLACE ON THE NEXT SUCCEEDING DAY WHICH IS NOT A LEGAL HOLIDAY)) . Section 2: Special Meetings. A special meeting of members for any purpose may be called by the Board of Directors or Chief Executive Officer, and shall be called by the Chief Executive Officer or the Secretary at the request of members holding one- third (1/3) of the voting power entitled to vote thereat. Such request shall state the purpose or purposes of the meeting and no other business outside the scope of the stated purpose or purposes shall be transacted. Unless ordered by the Board of Directors, the time and place of each special meeting of members shall be determined by the Chief Executive Officer. GMC 1 .• 1 1 • • • • • • • • • Section 3: Notice of Meetings. So long as each insurance policy issued by the Corporation sets forth the place, date and hour of the annual meeting of members, no notice of any annual meeting shall be required to be given to any member, regardless of the number or nature of proposals to be considered and voted upon at the annual meeting. If notice of the annual meeting is not set forth in each insurance policy, written or printed notice of the annual meeting and every special meeting of the members, stating the place, date, time and the purpose or purposes of such meeting shall be given to the members entitled to vote at such meeting not less than ten (10), nor more than sixty (60), days before the date of the meeting. All such notices shall be given, either personally or by mail, by or at the direction of the Chief Executive Officer or Secretary unless ordered by the Board of Directors. Notices which shall be mailed shall be deemed to be "given" when deposited in the United States Mail addressed to the member at the member's address as it appears on the records of the Corporation, with postage prepaid [first class mail, if the notice is mailed thirty (30) days or less before the date of the meeting], and any notice transmitted other than by mail shall be deemed to have been "given" when delivered to the member. Section 4: Quorum. Except as otherwise provided by applicable law, a majority of the members of the Corporation (present in person or by proxy) shall be necessary to constitute a quorum for the transaction of business at any annual or special meeting of the members of the Corporation. Section 5: Voting Rights. Each member shall be entitled to one vote for each policy held by him upon each matter coming to a vote at meetings of members. Provided, a group policyholder shall be entitled to a number of votes equal to the number of certificate holders insured under the group policy. Such vote may be exercised in person or by written proxy. Section 6: Vote Required. A majority of the voting power represented at any meeting of members shall be necessary and sufficient to approve any given matter. There shall be no cumulative voting. Section 7: Proxy. At all meetings of members a member may vote by proxy executed in writing by the member or by the member's duly authorized attorney in fact. Such proxy shall be filed with the Secretary before commencement of the meeting or at such later time as shall be expressly permitted by the Corporate officer presiding at such meeting. Each application for an insurance policy issued by the Corporation shall contain a provision pursuant to which the policyholder thereof grants a revocable proxy to the Board of Directors with respect to all matters to be considered and voted upon by members at any meeting for the term of such insurance policy. GMC 2 C 0 • • ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY 601 Gaines Street Little Rock, Arkansas 72201 (herein called the Company) GROUP APPLICATION AND PROXY COMPANY, IN CONSIDERATION of the application made by CITY OF FAYETTEVILLE (herein called the Member) • Group Master Contract Number 090041 and in consideration of payment by the Member of the charges as herein provided in Schedule A, agrees to provide the benefits described in the Benefit Certificate, which is a part of the Group Master Contract. This agreement shall be for a period of twelve (12) months beginning at 12:01 a.m. on April 15, 1987, (the Effective Date) to April 15, 1988, (the Anniversary Date) and from year to year thereafter, unless the Contract is cancelled as provided therein. The premiums shall be paid in advance of the Effective Date and thereafter as provided herein. This Application is made and delivered in the State of Arkansas. It is governed by the laws of such and is subject to the terms and conditions of the Group Contract, which is apart of this Application by reference. Signed at ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY • Ct9IMC, t C P Authorized Signature GMC 3 ThawIGLeip Authomzed Signature AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE GROUP NUMBER 090041 Schedule A of the Blue Cross and Blue Shield Group Contract is amended to show the rates effective May 1, 1991. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Blue Cross --Blue Shield Dental Total $91.29 $218.76 8.48 29.71 $99.77 $248.47 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, AR 72201 c LV AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 Schedule A of the Blue Cross and Blue Shield Group is amended to show the rates effective May 1, 1991. Contract Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Blue Cross --Blue Shield $91.29 $218.76 Dental 8.48 29.71 Total $99.77 $248.47 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 •jL I AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 Schedule A of the Blue Cross and Blue Shield Group Contract is amended to show the rates effective May 1, 1990. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee Blue Cross --Blue Shield Dental Total ONE PERSON COVERAGE $ 94.60 7.83 $102.43 FAMILY COVhRAGF. $226.70 27.43 $254.13 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 0 AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 Schedule A of the Blue Cross and Blue Shield Group Contract is amended to show the rates effective April 15, 1989. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee Blue Cross --Blue Shield Dental Total ONE PERSON COVERAGE $82.98 7.83 $90.81 Initial charges shall be paid on the E no coverage shall be in effect until received by the Plan. Subsequent charges or before the same day as the Effective thereafter. FAMILY COVERAGE $198.86 27.43 $226.29 ffective Date and such payment is shall be payable on Date of each month This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 COPY .. , AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 Schedule A of the Blue Cross and Blue Shield Group Contract is amended to show the rates effective April 15, 1988. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Blue Cross --Blue Shield $61.74 $147.96 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitc e l President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 C (a pY AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR CITY OF FAYETTEVILLE Group Number 090041 Schedule A of the Blue Cross and Blue Shield Group Contract is amended to show the rates effective April 15, 1987. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Blue Cross --Blue Shield $65.68 $157.40 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 CoLrr • SCHEDULE A CHARGES FOR EACH ENROLLED EMPLOYEE SHALL BE AS FOLLOWS: Blue Cross --Blue Shield Monthly Charge Per Covered Employee (Group No. 090041 ) ONE PERSON FAMILY COVERAGE COVERAGE $ 64.89 $ 155.51 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Company. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. GMC 4 COPY PROXY I hereby appoint the Board of Directors ("Board') of Arkansas Blue Cross and Blue Shield, A Mutual Insurance Company ("Company") as my proxy to act on my behalf at all meetings of members of the Company. This appointment shall include such persons as the Board may designate by resolution to act on its behalf. This proxy gives the Board, or its designee, full power to vote for me on all matters that may be voted upon at any meeting. The annual meeting of Members is held each year at the home office of the Company on the third Thursday of March, at 1:00 o'clock p.m. beginning March 17, 1988. If the third Thursday of March is a legal holiday, then the meeting will be at the same time and place on the next day after, which is not a legal holiday. Special meetings may be called upon notice mailed not less than ten (10) nor more than sixty (60) days prior to such meeting: This proxy, unless revoked, shall remain in effect during my membership in the Company. I may revoke this proxy in writing by advising the Company of such at least five (5) days prior to any meeting. I may also revoke my proxy by attending and voting in person at any Members' meeting. /EEY%LCr 3? Address GROUP NUMBER G' 900 f/ Si natuv4 and Title ) Dated this day of , 193. GMC 5 COPY DENTAL GROUP CONTRACT BETWEEN ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY Lf f FAYETTEVILLE PUBLIC LIBRARY Group Number 090042 A64 I COPY I • DENTAL GROUP INSURANCE AGREEMENT WITH ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY This is an agreement between Arkansas Blue Cross and Blue Shield, A Mutual Insurance Company (We, Us) and the Group Employer (You, Your) whose name and signature appears on the Application for Insurance made a part hereof. ARTICLE I. WE AGREE: In consideration of the premiums set forth in Schedule A, attached hereto, we agree to: Section 1. Provide to your enrolled employees and their eligible dependents the dental benefits set forth in the Benefit Certificate, attached hereto and incorporated herein. Such benefits are subject to all terms therein. ARTICLE II. UNLESS OTHERWISE AGREED IN WRITING, THE MEMBER AGREES TO: Section 1. Pay us the charges for each enrolled employee and their dependents every month, in advance. Section 2. Act as the agent of your employees (not of us) in all dealings between we and such employees, including: a. paying premiums to us; b. notifying us of changes in membership status; c. securing and forwarding to us applications for coverage for new employees; d. providing employees all communications and notices from us. Section 3. Abide by our regulations as specified in the enrollment regulations contained in the group folder provided by us. A64 2 Copy AMENDMENT TO THE ARKANSAS BLUE CROSS AND BLUE SHIELD DENTAL GROUP MASTER CONTRACT ARTICLE III, Section 3., is hereby amended by deleting it in its entirety and substituting the following paragraph therefor: We may amend the terms of this Contract. If we do so, we will give 30 days written notice to you. Such change shall be effective on the date fixed in the notice. This Amendment becomes a part of the Arkansas Blue Cross and Blue Shield Dental Group Master Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 DGMC-R/90 Section 4. Establish and maintain this membership by having 75% (or more) of eligible employees enrolled. ARTICLE III. BOTH PARTIES AGREE: Section 1. Dental coverage shall depend upon receipt of premiums by us at our Home Office. The first premium is due on the contract date. Subsequent premiums shall be paid in advance. Section 2. That the separate Fee Schedule and amendments thereto shall become a part of this Contract. Section 3. We may amend the terms of this Contract. If we do so, we will give 30 days written notice to you. Such change shall be effective on the date fixed in the notice. Unless both of us agree, any change in premiums shall occur on the anniversary date. Section 4. All statements by you or your enrolled employees will be deemed representations and not warranties, unless there is fraud. No statement will be used to void coverage or reduce benefits unless it is in a written document signed by you or the enrolled employees and they are given a copy of it. Section 5. Either of us can cancel this Contract by 30 days written notice to the other. We cannot cancel before the last day of any period for which we have received premiums. ARTICLE IV. POLICY PROVISIONS RELATIVE TO MEMBERSHIP, MEETINGS AND VOTING Section 1: Annual Meeting. An annual meeting of the members shall be held each and every calendar year in the State of Arkansas for the purpose of electing directors, receive and consider reports as to the business and affairs of the Corporation, and transacting such other business as may properly come before the meeting. The meeting shall be held between January 1 and April 1 of each year at such place, date and time as shall be fixed by the Board of Directors or the Chief Executive Officer. The Board of Directors may, from time to time, provide that the place, date and time of the annual meeting shall be set forth in the policy of members as provided in Article III, Section 3 of these ByLaws. [THE ANNUAL MEETING OF THE MEMBERS SHALL BE HELD EACH YEAR AT THE HOME OFFICE, LOCATED AT 601 GAINES STREET, LITTLE ROCK, ARKANSAS, ON THE THIRD MONDAY IN MARCH AT 1:00 P.M. (PROVIDED, IF SUCH DAY SHALL BE A LEGAL HOLIDAY, THEN AT THE SAME TIME AND PLACE ON THE NEXT SUCCEEDING DAY WHICH IS NOT A LEGAL HOLIDAY)). 464 3 Copy e Section Special Meetings. A special meeting of members for any purpose may be called by the Board of Directors or Chief Executive officer, and shall be called by the Chief Executive Officer or the Secretary at the request of members holding one-third (1/3) of the voting power entitled to vote thereat. Such request shall state the purpose or purposes of the meeting and no other business outside the scope of the stated purpose or purposes shall be transacted. Unless ordered by the Board of Directors, the time and place of each special meeting of members shall be determined by the Chief Executive Officer. Section 3: Notice of Meetings. So long as each insurance policy issued by the Corporation sets forth the place, date and hour of the annual meeting of members, no notice of any annual meeting shall be required to be given to any member, regardless of the number or nature of proposals to be considered and voted upon at the annual meeting. If notice of the annual meeting is not set forth in each insurance policy, written or printed notice of the annual meeting and every special meeting of the members, stating the place, date, time and the purpose or purposes of such meeting shall be given to the members entitled to vote at such meeting not less than ten (10), nor more than sixty (60), days before the date of the meeting. All such notices shall be given, either personally or by mail, by or at the direction of the Chief Executive Officer or Secretary unless ordered by the Board of Directors. Notices which shall be mailed shall be deemed to be "given" when deposited in the United States Mail addressed to the member at the member's address as it appears on the records of the Corporation, with postage prepaid [first class mail, if the notice is mailed thirty (30) days or less before the date of the meeting], and any notice transmitted other than by mail shall be deemed to have been "given" when delivered to the member. Section 4: Quorum. Except as otherwise provided by applicable law, a majority of the members of the Corporation (present in person or by proxy) shall be necessary to constitute a quorum for the transaction of business at any annual or special meeting of the members of the Corporation. Section 5: Voting Rights. Each member shall be entitled to one vote for each policy held by him upon each matter coming to a vote at meetings of members. Provided, a group policyholder shall be entitled to a number of votes equal to the number of certificate holders insured under the group policy. Such vote may be exercised in person or by written proxy. Section 6: Vote Required. A majority of the voting power represented at any meeting of members shall be necessary and sufficient to approve any given matter. There shall be no cumulative voting. A64 4 COP Section 7: Proxy. At all meetings of members a member may vote by proxy executed in writing by the member or by the member's duly authorized attorney in fact. Such proxy shall be filed with the Secretary before commencement of the meeting or at such later time as shall be expressly permitted by the Corporate officer presiding at such meeting. Each application for an insurance policy issued by the Corporation shall contain a provision pursuant to which the policyholder thereof grants a revocable proxy to the Board of Directors with respect to all matters to be considered and voted upon by members at any meeting for the term of such insurance policy. A6.4 5 COPY ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY 601 Gaines Street Little Rock, Arkansas 72201 (herein called the Company) DENTAL GROUP APPLICATION AND PROXY COMPANY, IN CONSIDERATION, AND UPON ACCEPTANCE BY THE COMPANY of the application made by FAYETTEVILLE PUBLIC LIBRARY (herein called the Member) Dental Group Master Contract Number 090042 and in consideration of payment by the Member of the charges as herein provided in Schedule A, agrees to provide the dental benefits described in the Dental Benefit Certificate, which is a part of the Dental Group Master Contract. This agreement shall be for a period of twelve (12) months beginning at 12:01 a.m. on April 15, 1989, (the Effective Date) to April 15, 1990, (the Anniversary Date) and from year to year thereafter, unless the Dental Contract is cancelled as provided therein. The premiums shall be paid in advance of the Effective Date and thereafter as provided herein. This Application is made and delivered in the State of Arkansas. It is governed by the laws of such and is subject to the terms and conditions of the Dental Group Contract, which is a part of this Application by reference. Signed at i9 . , this ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INSURANCE COMPANY Accepted: Group Authorized Signature Authorized Signature A64 6 COPY I. AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR FAYETTEVILLE PUBLIC LIBRARY GROUP NUMBER 090042 Schedule A of the Blue Cross and Blue Shield Dental Group Contract is amended to show the rates effective May 1, 1991. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Dental $8.48 $29.71 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Dental Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, AR 72201 COPY 4 AMENDMENT TO THE BLUE CROSS AND BLUE SHIELD DENTAL GROUP CONTRACT FOR FAYETTEVILLE PUBLIC LIBRARY Group Number 090042 Schedule A of the Blue Cross and Blue Shield Dental Group Contract is amended to show the rates effective May 1, 1991 . Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Dental $8.48 $29.71 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is. received by the Plan. Subsequent charges shall, be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Dental Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 COLD)Y TO THE BLUE CROSS AND BLUE SHIELD DENTAL GROUP CONTRACT FOR FAYETTEVILLE PUBLIC LIBRARY Group Number 090042 Schedule A of the Blue Cross and Blue Shield Dental Group Contract is amended to show the rates effective May 1, 1990. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Dental $7.83 $27.43 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Blue Cross and Blue Shield Dental Group Contract. George K. Mitchell President and Chief Executive Officer ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201 cOY SCHEDULE A CHARGES FOR EACH ENROLLED EMPLOYEE SHALL BE AS FOLLOWS: Monthly C Per Covered Em (Group No. ONE PERSON COVERAGE harge D1 oyee 090042) FAMILY COVERAGE Blue Cross --Blue Shield $7.83 $27.43 Dental Services Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Company. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. A64 7 copy •. PROXY I hereby appoint the Board of Directors ("Board") of Arkansas Blue Cross and Blue Shield, A Mutual Insurance Company ("Company"), as my proxy to act on my behalf at all meetings of members of the Company. This appointment shall include such persons as the Board may designate by resolution to act on its behalf. This proxy gives the Board, or its designee, full power to vote for me on all matters that may be voted upon at any meeting. The annual meeting of Members is held each year at the home office of the Company located at 601 Gaines Street, Little Rock, Arkansas on the third Monday of March, at 1:00 p.m. If the third Monday of March is a legal holiday, then the meeting will be at the same time and place on the next day after, which is not a legal holiday. Special meetings may be called upon notice mailed not less than ten (10) nor more than sixty (60) days prior to such meeting. This proxy, unless revoked, shall remain in effect during my membership in the Company. I may revoke this proxy in writing by advising the Company of such at least five (5) days prior to any meeting. I may also revoke my proxy by attending and voting in person at any Members' meeting. Address - By: �.�, 7-ici <� ..� GROUP NAME Group Number Signature and Title' , Dated this ! / day of << 19 "! J A64 8 COPY ADDENDUM TO DENTAL GROUP CONTRACT A64 FEE SCHEDULE OF DENTAL PROCEDURES LIST OF MAXIMUM DENTAL PROCEDURE ALLOWANCES FOR THE FULL SCHEDULE OF DENTAL SERVICES INCLUDED IN THIS CONTRACT PREVENTIVE - P RESTORATIVE - R ORTHODONTIC - D APPROVED TREATMENT PLAN - A.T.P.* (Prior Authorization Required For Coverage) BY REPORT - BR* (Narrative Description Required) The amounts in this schedule are not intended to fix the value of services performed by dentists. Dentists may charge their usual fees for services. MAXIMUM CODE PROCEDURE COVERAGE ALLOWANCE DIAGNOSTIC 00100 Clinical Oral Examination 00110 Initial oral examination P $21 00120 Periodic oral examination P 17 00130 Emergency oral examination p 21 00200 Radioaraohs 00210 Intraoral - complete series P 49 (including bitewings) 00220 Intraoral Periapical - single P 13 first film 00230 Intraoral Periapical - each P 11 additional film (4 maximum number of services) 00240 Intraoral - occlusal, film P 21 00250 Extraoral - first film p 21 00260 Extraoral - each additional film p 16 A64 8/92 1 COPY • 00270 Bitewings - single film P 13 00272 Bitewings - two films p 18 00274 Bitewings - four films p 22 00290 Posterior -anterior and lateral P 43 skull and facial bone, survey film 00310 Sialography p BR* 00320 Temporomandibular joint arthrogram, P BR* including injection 00321 Temporomandibular joint, film P 59 00330 Panoramic - maxilla and mandible film P 39 00340 Cephalometric film p 42 00400 Tests and Laboratory Examinations 00460 Pulp vitality tests (includes all P 18 all teeth tested on same date of service) 00470 Diagnostic casts p 26 00471 Diagnostic photographs P 11 01100 Dental Prophylaxis 01110 Prophylaxis, Adults P 32 01120 Prophylaxis, Children p 23 01200 Topical Fluoride Treatments (office procedure, coverage through age 18) 01201 Topical application of fluoride P 31 (including prophylaxis) - child 01203 Topical application of fluoride P 11 (excluding prophylaxis) - child 01300 Other Services 01351 Sealant - per tooth F 17 01500 Space Maintenance - Passive Appliances (14 Years of age and under) 01510 Fixed - unilateral type P 110 01515 Fixed - bilateral type P 155 01520 Removable unilateral type P 150 01525 Removable bilateral type P 160 01550 Recementation of space maintainer p 24 02100 Amalaam Restoration (polishing bases included) 02110 Amalgam - one surface, primary P 31 A64 8/92 2 copy Fl 02120 Amalgam - two surfaces, primary P 44 02130 Amalgam - three surfaces, primary P 54 02131 Amalgam - four or more surfaces, p 65 primary 02140 Amalgam - one surface, permanent P 34 02150 Amalgam - two surfaces, permanent p 47 02160 Amalgam - three surfaces, permanent P 59 02161 Amalgam - four or more surfaces, P 71 permanent 02200 silicate Restorations 02210 Silicate cement per restoration P 34 02330 Resin - one surface, anterior P 42 02331 Resin - two surfaces, anterior p 52 02332 Resin - three surfaces, anterior P 65 02335 Resin, four or more surfaces or P 80 involving incisal angle, anterior 02336 Composite resin crown, anterior - P 80 primary 02380 Resin - one surface, posterior - p 48 primary 02381 Resin - two surfaces, posterior - P 56 primary 02382 Resin - three or more surfaces, p 71 posterior - primary 02385 Resin - one surface, posterior - P 52 permanent 02386 Resin - two surfaces, posterior - P 67 permanent 02387 Resin - three or more surfaces, p 73 posterior - permanent 02500 02510 Inlay Restorations Inlay - metallic, one surface R BR* 02520 Inlay - metallic two surfaces R 305 02530 Inlay - metallic, three surfaces R 325 02540 Onlay - metallic, per tooth R 340 (in addition to inlay) 02610 Inlay - porcelain/ceramic - R 165 one surface A64 8/92 Copy I a 0?620 Inlay - porcelain/ceramic - R 330 two surfaces 02630 Inlay - porcelain/ceramic - R 340 three surfaces 02700-02800 Crowns - Single Restoration Only 02710 Crown resin (laboratory) R 145 02720 Crown - resin with high R 375 noble metal 02721 Crown - resin with R 340 predominantly base metal 02722 Crown - resin with noble metal R 360 02740 Crown - porcelain/ceramic substrate R 385 02750 Crown - porcelain fused to high R 405 noble metal 02751 Crown - porcelain fused to R 355 predominantly base metal 02752 Crown - porcelain fused to R 370 noble metal 02790 Crown - full cast high noble R 360 metal 02791 Crown - full cast predominantly R 310 base metal 02792 Crown - full cast noble metal R 335 02810 Crown - 3/4 cast metallic R 385 02900 Other Restorative Services 02910 Recement inlay P 24 02920 Recement crown P 26 02930 Prefabricated stainless steel P 80 crown - primary tooth 02932 Prefabricated resin crown P 79 C?940 Fillings (sedative) p 22 02950 Core buildup - including any pins P 62 02951 Pin retention - per tooth, in P 17 addition to restoration 02952 Cast post and core in addition P 160 to crown 02954 Prefabricated post and core in P 93 addition to crown 02962 Labial veneer (porcelain laminate), R A.T.P.* laboratory --photographs and x-rays required 02980 Crown repair, (narrative required) P BR* A64 8/92 601?( • ENDODONTICS S. 03100 Pulp Capping 03110 Pulp Cap - direct (excluding final P 19 restoration) 03200 Pulpntomv 03220 Therapeutic pulpotomy (excluding P 42 final restoration) 03300 and follow-up care) 03310 Anterior (excluding final restoration) p 200 03320 Bicuspid (excluding final restoration) p 255 03330 Molar (excluding final restoration) p 320 03351 Apexification/recalcification initial p BR* visit (apical closure/calcific repair of perforations, root resorption, etc.) 03352 Apexification/recalcification-interim p BR* medication replacement (apical closure/calcific repair of perforations, root resorption, etc.) 03353 Apexification/recalcification-final p BR* visit (includes completed root canal therapy - apical closure/calcific repair of perforations, root resorption, etc.) 3400 Periapical Services 03410 Apicoectomy - periradicular surgery- R 165 anterior, separate surgical procedure (first root) 03421 Apicoectomy - periradicular surgery- R 165 bicuspid (first root) 03425 Apicoectomy - periradicular surgery- R 165 molar (first root) 03426 Apicoectomy - periradicular surgery - R 93 each additional root 03430 Retrograde filling (per root) R 80 03450 Root amputation (per root) R 100 A64 8/92 COPY St . 03900 Other Endodontic Procedures 03920 Hemisection (including any root R 105 removal) 03950 Canal preparation and fitting of R 92 prefor.ed dowel or post s. 04200 Surgical Services (including usual post operative services) 04210 Gingivectomy or gingivoplasty - R 235 per quadrant 04211 Gingivectomy or gingivoplasty - R 60 per tooth 04220 Gingival curettage, surgical (per R 110 quadrant). Narrative required. 04240 Gingival flap procedure, including R 230 root planning - per quadrant 04249 Crown lengthening, hard and soft R BR* tissue 04260 Osseous surgery (including flap R 410 entry and closure) per quadrant 04261 Bone replacement graft - single site R 310 (including flap entry, closure and donor site) 04262 Bone replacement grafts - multiple R 380 sites (including flap entry and closure) 04270 Pedicle soft tissue graft procedure R 265 04271 Free soft tissue grafts (including R 325 donor site) 04300 Adjunctive Periodontal Services 04341 Periodontal scaling and root R 89 planing, per quadrant (complete - 6 point - perio charting, x-rays and documentation of time involved required) 04345 Scaling in the presence of gingival R 44 inflammation (gross scale, entire mouth) 04910 Periodontal maintenance procedures - R 46 (following active therapy; date of completion of periodontal service required) A64 8/92 6 COPY PRRQSTHQDONTICS - REMOVABLE 05100 Complete Dentures - 05110 Complete upper R 435 05120 Complete lower R 435 05130 Immediate upper R 480 05140 Immediate lower R 480 05200 Partial Dentures - including six months post - delivery care 05211 upper partial - resin base R 305 (including any conventional clasps, rests and teeth) 05212 Lower partial - resin base R 305 (including any conventional clasps, rests and teeth) 05213 Upper partial - cast metal base with R 550 resin saddles, (including any conventional clasps, rests and teeth) 05214 Lower partial - cast metal base with R 550 resin saddles (including any conventional clasps, rests and teeth) 05281 Removable unilateral partial denture - R 260 one piece cast metal, (including clasps and pontics) 05400 Adjustments to Removable Prostheses. (including six 05410 Complete denture - upper R 27 05411 Complete denture - lower R 27 05421 Partial denture (upper) R 27 05422 Partial denture (lower) R 27 05500 Repairs to Complete Dentures 05510 Repair broken complete base P 56 05520 Repair missing or broken teeth - P 34 complete denture (each tooth) 05600 Repairs to Partial Dentures 05610 Repair resin saddle or base P 42 05620 Repair cast framework P 59 05630 Repair or replace broken clasp P BR* 05640 Replace broken teeth - per P 34 tooth A64 8/92 7 COPY If I 05650 a Add tooth to existing partial P 52 denture 05660 Add clasp to existing partial P 105 denture 05700 Denture Rebase and Reline Procedures 05710 Rebase upper denture R 180 05711 Rebase complete lower denture R 180 05720 Rebase upper partial denture R 155 05721 Rebase lower partial denture R 155 05730 Reline upper complete denture R 90 (office reline) 05731 Reline lower complete denture R 90 (office reline) 05740 Reline upper partial denture R 65 (office reline) 05741 Reline lower partial denture R 65 (office reline) 05750 Reline upper complete denture R 155 (laboratory) 05751 Reline lower complete denture R 155 (laboratory) 05760 Reline upper partial denture R 155 (laboratory) 05761 Reline lower partial denture R 155 (laboratory) PROSTHODONTICS FIXED - (EACH ABUTMENT AND EACH PONTIC CONSTITUTE A UNIT IN A BRIDGE) 06200 Bridge Pontics 06210 Pontic - cast high noble metal R 365 06211 Pontic - cast predominantly base metal R 310 06;_2 Pontic - cast noble metal R 325 06240 Pontic - porcelain fused to high R 390 noble metal 06241 Pontic - porcelain fused to R 355 predominantly base metal 06242 Pontic - porcelain fused to noble R 355 metal 06250 Pontic - resin processed to high R 375 noble metal 06251 Pontic - resin processed to R 340 predominantly base metal 06252 Pontic - resin processed to noble metal R 360 A64 8/92 LtJ Copy •9 . 65OQ Retainers 06520 Inlay metallic - two surfaces R 295 06530 Inlay metallic - three or more R 325 surfaces 06540 Inlay metallic - (onlaying cusps) R 340 06545 Retainer - cast metal for acid etch R BR* fixed prosthesis 06700 Bridge Retainers - Crowns 06720 Crown - resin processed to high R 375 noble metal 06721 Crown - resin processed to R 340 predominantly base metal 06722 Crown - resin processed to noble R 360 metal 06750 Crown - porcelain fused to high R 405 noble metal 06751 Crown - porcelain fused to R 355 predominantly base metal 06752 Crown - porcelain fused to noble R 370 metal 06780 Crown - 3/4 cast high noble metal R 340 06790 Crown - full cast high noble metal R 360 06791 Crown - full cast predominantly R 310 base metal 06792 Crown - full cast noble metal R 315 6900 Other Fixed Prosthetic Services 06930 Recement bridge P 37 06970 Cast post and core in addition R 155 to bridge retainer 06971 Cast post as a part of bridge R 140 retainer 06972 Prefabricated post and core in R 93 addition to bridge retainer 06980 Bridges repair (narrative required) P BR* ORAL SURGERY 07100 Extractions - includes local anesthesia and routine post -operative care 07110 Single tooth extraction P 39 07120 Each additional tooth P 35 07130 Root removal - exposed roots P 40 A64 8/92 0 07200 Surgical Extractions - P and routine post -opera 07210 Surgical removal of erupted tooth R 80 requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth 07220 Removal of impacted tooth - R 110 soft tissue 07230 Removal of impacted tooth - partially R 130 bony 07240 Removal of impacted tooth - R 165 completely bony 07241 Removal of impacted tooth - R 210 completely bony, with unusual surgical complications 07250 Surgical removal of residual tooth R 87 roots (cutting procedure) 07260 oral antral fistula closure (and/ R BR* or antral root recovery) 07270 Tooth reimplantation and/or R 110 stabilization of accidentally evulsed or displaced tooth and/ or alveolus 07280 Surgical exposure of impacted or R 135 unerupted tooth for orthodontic reasons - including wire attachment when indicated OTHER SURGICAL PROCEDUR 07281 Surgical exposure of impacted or unerupted tooth to aid eruption 07285 Biopsy of oral tissue (hard) 07286 Biopsy of oral tissue (soft) 07300 07310 07320 07340 A64 8/92 Per quadrant - in conjunction with extractions Per quadrant - not in conjunction with extractions R Vestibuloplasty - ridge R extension (secondary epithelialization) 10 75 70 80 LE 220 S 07350 07400 Vestibuloplasty - ridge extension R A.T.P.* (including soft tissue grafts, muscle reattachments, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue) 07410 Radical excision - lesion diameter R 77 up to 1.25 cm. 07420 Radical excision - lesion diameter R BR* over 1.25 cm. Removal of Tumors. Cysts and Neoplasms 07430 Excision of benign tumor - lesion R 130 diameter up to 1.25 cm. 07431 Excision of benign tumor - lesion R BR* diameter over 1.25 cm. 07440 Excision of malignant tumor - R 155 lesion diameter up to 1.25 cm. 07441 Excision of malignant tumor - R BR* lesion diameter over 1.25 cm. 07450 Removal of odontogenic cyst or R 125 tumor - up to 1.25 cm. diameter 07451 Removal of odontogenic cyst or R BR* tumor - over 1.25 cm. diameter 07460 Removal of non-odontogenic cyst R 200 or tumor - up to 1.25 cm. diameter 07461 Removal of non-odontogenic cyst or R BR* tumor - over 1.25 cm. diameter 07465 Destruction of lesion(s) by physical R BR* or chemical methods Excision of Bone Tissue 07470 Removal of exostosis - maxilla R A.T.P.* or mandible 07500 Surgical Incision 07510 Incision and drainage of abscess - R 57 intraoral soft tissue 07520 Incision and drainage of abscess - R 85 extraoral soft tissue 07530 Removal of foreign body, skin R 120 or subcutaneous alveolar tissue 07540 Removal of reaction - producing R 130 foreign bodies -- musculoskeletal system A64 8/92 11 COPY 0550 07560 07600 07610 07620 07630 07640 07650 07660 07670 07680 Sequestrectomy for osteomyelitis R Maxillary sinusotomy for removal R of tooth fragment or foreign body Treatment of Fractures - Simple Maxilla - open reduction, teeth R immobilized (if present) Maxilla - closed reduction, teeth R immobilized (if present) Mandible - open reduction, teeth R immobilized (if present) Mandible - closed reduction, immobilized (if present) Malar and/or zygomatic arch open reduction Malar and/or zygomatic arch closed reduction Alveolus - stabilization of open reduction splinting Facial bones - complicated reduction R with fixation and multiple surgical approaches teeth R R R teeth, R 130 BR* 850 610 850 610 850 610 610 BR* 07700 Treatment of Fractures -Compound 07710 Maxilla - open reduction R 1, 200 07720 Maxilla - closed reduction R 900 07730 Mandible - open reduction R 1,200 07740 Mandible - closed reduction R 900 07750 Malar and/or zygomatic arch - R 1' 200 open reduction 07760 Malar and/or zygomatic arch - R 850 closed reduction 07770 Alveolus - stabilization of teeth R 900 - open reduction splinting 07780 Facial bones - complicated reduction R BR* with fixation and multiple surgical approaches 7800 Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions 07810 Open reduction of dislocation R 850 07820 Closed reduction of dislocation R 610 07830 Manipulation under anesthesia R 610 07840 Condylectomy R 905 07850 Surgical discectomy R 1,500 07860 Arthrotomy R A.T.P.* 07880 Occlusal Orthotic appliance R BR* (includes maintenance and adjustment) A64 8/92 12 copy 07900 Other Oral Suraerw Repair of Traumatic Wounds 07910 Suture of recent small wounds R 46 up to 5 cm .07911 Complicated suture - up to 5 cm R 73 07912 Complicated suture - over 5 cm R 155 07920 Skin grafts (identify defect R A.T.P.* covered, location, and type of graft) 07940 Osteoplasty (that is, for R 1,685 orthognathic deformities) 07941 Osteotomy - ramus closed R 850 07942 Osteotomy - ramus open R 850 07943 Osteotomy - ramus open with R 970 bone graft 07944 Osteotomy - segmented or subapical R BR* per sextant or quadrant 07945 Osteotomy - body of mandible R 850 07950 Osseous, osteoperiosteal, periosteal R BR* or cartilage graft of the mandible, autogenous or nonautogenous 07955 Repair of maxillofacial soft and R BR* hard tissue defects 07960 Frenulectomy - separate procedure R 120 (frenectomy or frenotomy) 07970 Excision of hyperplastic tissue - R 155 per arch 07971 Excision of pericoronal gingiva R BR* 07980 Sialolithotomy R 250 07981 Excision of salivary gland R BR* 07982 Sialodochoplasty R BR* 07983 Closure of salivary fistula R 225 07990 Emergency tracheotomy R 365 08000 ORTHODONTICS 08100 Minor Treatment for Tooth Guidance 08110 Removable appliance therapy D A.T.P.* 08120 Fixed or cemented appliance therapy D A.T.P.* A64 8/92 13 C�Op�7 S . a . • Y O 08200 Minor Treatment to Coptrol Harmful Habits 08`210 Removable appliance therapy D 08220 Fixed or cemented appliance therapy D 08300 Interceptive Orthodontic Treatment 08360 Removable appliance therapy D 08370 Fixed appliance therapy D Comprehensive Orthodontic Treatment 08400 Treatment of the Permanent Dentition • e 93 155 A.T.P.* A.T.P.* 08460 Class I malocclusion D A.T.P.* 08470 Class II malocclusion D A.T.P.* 08480 Class III malocclusion D A.T.P.* Treatment of the Permanent Dentition 08560 Class I malocclusion D A.T.P.* 08570 Class II malocclusion D A.T.P.* 08580 Class III malocclusion D A.T.P.* 08650 Treatment of the Atypical or D A.T.P.* Extended Skeletal Case 08750 Post Treatment Stabilization D A.T.P.* 09000 Adjunctive General Services Unclassified Treatment 09110 Palliative (emergency) treatment P 24 of dental pain, minor procedures (narrative required) 9200 Anesthesia 09220 General (includes monitoring P 150 procedures, e.g., blood gases, etc.) 09400 Professional Visits 09420 Hospital calls P 61 0 900 Miscellaneous Services 09940 Occlusal guards (narrative required) R A.T.P.* 09951 Occlusal adjustment - limited R A.T.P.* (narrative required) A64 8/92 14 Copy . AMENDMENT TO THE ARKANSAS BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR City of Fayetteville GROUP NUMBER 090041 Schedule A of the Arkansas Blue Cross and Blue Shield Dental Group Contract is amended to show the rates effective May 1, 1993. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE Dental $ 8.85 $31.02 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Arkansas Blue Cross and Blue Shield Dental Group Contract. �8.vi Cr' Robert L. ARKANSAS BLUE A Mutual 601 Little Shoptaw, President CROSS AND BLUE SHIELD, Insurance Company Gaines Street Rock, AR 72201 AMENDMENT TO THE ARKANSAS BLUE CROSS AND BLUE SHIELD GROUP CONTRACT FOR City of Fayetteville Group Number 090041 Schedule A of the Arkansas Blue Cross and Blue Shield Group Contract is amended to show the rates effective May 1, 1993. Charges for each enrolled employee shall be as follows: Monthly Charge Per Covered Employee ONE PERSON FAMILY COVERAGE COVERAGE HEALTH DENTAL TOTAL $113.04 $270.88 8.85 2 121.89 301.90 Initial charges shall be paid on the Effective Date and no coverage shall be in effect until such payment is received by the Plan. Subsequent charges shall be payable on or before the same day as the Effective Date of each month thereafter. This Amendment becomes a part of the Arkansas Blue Cross and Blue Shield Group Contract. Robert L. Sho aw, President ARKANSAS BLUE CROSS AND BLUE SHIELD, A Mutual Insurance Company 601 Gaines Street Little Rock, Arkansas 72201