Back to top

AMENDMENT TO VARIOUS AGREEMENTS BETWEEN UNITED HEALTHCARE INSURANCE COMPANY AND ADMINISTAFF OF TEXAS, INC.

Insurance Agreement

AMENDMENT TO VARIOUS AGREEMENTS BETWEEN UNITED

          HEALTHCARE INSURANCE COMPANY AND ADMINISTAFF OF TEXAS, INC. | Document Parties: ADMINISTAFF INC \DE\ | UNITED HEALTHCARE INSURANCE COMPANY You are currently viewing:
This Insurance Agreement involves

ADMINISTAFF INC \DE\ | UNITED HEALTHCARE INSURANCE COMPANY

. RealDealDocs™ contains millions of easily searchable legal documents and clauses from top law firms. Search for free - click here.
Title: AMENDMENT TO VARIOUS AGREEMENTS BETWEEN UNITED HEALTHCARE INSURANCE COMPANY AND ADMINISTAFF OF TEXAS, INC.
Date: 2/22/2005
Industry: Business Services    

AMENDMENT TO VARIOUS AGREEMENTS BETWEEN UNITED

          HEALTHCARE INSURANCE COMPANY AND ADMINISTAFF OF TEXAS, INC., Parties: administaff inc \de\ , united healthcare insurance company
50 of the Top 250 law firms use our Products every day

 

<PAGE>

                                                                   Exhibit 10.26

 

*** INDICATES MATERIAL HAS BEEN OMITTED PURSUANT TO A CONFIDENTIAL TREATMENT

REQUEST FILED WITH THE SECURITIES AND EXCHANGE COMMISSION. A COMPLETE COPY OF

THIS AGREEMENT HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE

COMMISSION.

 

                 AMENDMENT TO VARIOUS AGREEMENTS BETWEEN UNITED

          HEALTHCARE INSURANCE COMPANY AND ADMINISTAFF OF TEXAS, INC.

 

WHEREAS, United HealthCare Insurance Company ("United HealthCare") and

Administaff of Texas, Inc. ("Administaff") entered into certain agreements

establishing a minimum premium arrangement ("Minimum Premium Arrangement") for

the provision of medical and dental benefits to Administaff Inc.'s employees;

and

 

WHEREAS, those agreements were the Security Deposit Agreement (effective

December 21, 2001), the Minimum Premium Administrative Services Agreement ("MP

Services Agreement") (effective January 1, 2002), and the Minimum Premium

Financial Agreement ("MP Financial Agreement") (effective January 1, 2002); and

 

WHEREAS, United HealthCare and Administaff have agreed to amend the Agreements;

 

NOW THEREFORE, the Security Deposit Agreement, the MP Services Agreement and MP

Financial Agreement are amended as follows effective as of the dates indicated

below:

 

The Security Deposit Agreement

 

1.     Section 1 of the Security Deposit Agreement is amended to delete the third

sentence and substitute the following:

 

      Effective December 31, 2003, the required Security Deposit shall be

      Seventeen Million, Five Hundred Thousand and No/100 Dollars ($17,500,000).

      On or before January 31, 2004, United HealthCare shall remit to

      Administaff the excess of the actual Security Deposit as of December 31,

       2003 over the required $17,500,000.

 

2.     Effective June 20, 2003, Section 1 of the Security Deposit Agreement is

amended to add the following as a new paragraph at the end of Section 1.

 

      Upon Administaff's request, United HealthCare and Administaff will

      negotiate in good faith the terms of an agreement under which a premium

      stabilization reserve or its equivalent ("PSR") held by United HealthCare

      would be substituted for all or some of the Security Deposit provided for

      herein. Any such PSR would, when combined with the remaining Security

      Deposit, if any, provide United HealthCare the same overall level of risk

      protection as the Security Deposit existing at the time of such PSR

      negotiation.

 

The MP Financial Agreement

 

<PAGE>

 

1.     Effective April 1, 2002, section 1(s) of the MP Financial Agreement is

amended by adding the following sentence at the end:

 

      The additions, deletions and substitutions agreed to by the Employer and

      the Company shall be reflected on Exhibit D.

 

2.     Effective January 1, 2004, the MP Financial Agreement is amended by adding

a new section 2(e) to provide as follows:

 

      (e)    Removal of Dental Benefits. Effective January 1, 2004, the Agreement

            shall not include or provide dental benefits under the Minimum

            Premium Arrangement, and shall be construed to be so amended,

            including the following changes: (i) the definition of "Health

            Benefits" in section 1(i) shall not include dental benefits, (ii)

            the Maximum Monthly Employer Benefit Obligation described in section

            1(m) shall be calculated without including the Dental Policy, (iii)

            "Policy" as defined in section 1(s) shall not include the Dental

            Policy or any other policy providing dental benefits to Employees,

            (iv) "Non-MP Policy as defined in section 1(p) shall not include the

            Dental Policy or any other policy providing dental benefits to

            Employees, and (v) the MP Premium described in section 3(a) shall be

            calculated without including the Dental Policy. The Company shall

            cause the dental benefits to be so removed in a manner consistent

            with funding and accounting actions required upon termination of the

            Agreement as set forth in Exhibit A, including the Company's (I)

            funding of dental claims incurred under the Dental Policy prior to

            January 1, 2004, but paid on or after such date, (II) issuance of a

            final accumulated surplus/deficit accounting with respect to the

            Dental Policy as a Final Termination Review within 195 calendar days

            of December 31, 2003, and (III) adjustment of the IBNR Reserve in a

            manner consistent with the Final Termination Review with respect to

            the Dental Policy; provided that the Company shall issue an

            accumulated surplus/deficit accounting with respect to the Dental

            Policy as an Initial Termination Review by February 15, 2004.

 

      (f)    After December 31, 2003, the Dental Policy (or any policy providing

            dental benefits) shall not be included in any determination of

            Accumulated Surplus or Accumulated Deficit or in any Initial or

            Final Termination Review required under Exhibit A, except for the

            Initial and Final Termination Reviews with respect to the Dental

            Policy described in section 2(e).

 

3.     Section 1(m) of the MP Financial Agreement is amended effective January 1,

2003, by deleting the provisions of section 1(m) in their entirety and

substituting the following provision:

 

                                       2

<PAGE>

 

      (m)    "Maximum Monthly Employer Benefit Obligation" for an Arrangement

            Month shall be the amount determined in Exhibit D hereto. The

            Maximum Monthly Employer Benefit Obligation for an Arrangement Month

            (other than the first Arrangement Month of an Arrangement Quarter)

            shall be increased by the amount by which the Maximum Employer

            Benefit Obligation in the prior Arrangement Month exceeded the

            Health Benefits Paid in that Month.

 

4.     Section 3(a) of the MP Financial Agreement is amended effective January 1,

2003, by deleting the provisions of section 3(a) in their entirety and

substituting the following:

 

      (a)    MP Premium. The MP Premium for the Policies for the Arrangement

            Month shall be the amount determined pursuant to Exhibit D hereto.

            The MP premium is due on the first day of the Arrangement Month to

            which it applies. As provided in section 1(v) of the Agreement, the

            MP Premium may include any adjustments authorized in Exhibit E of

            the MP Administrative Services Agreement in respect of previous

            Arrangement Months including any additions, terminations or changes

            in coverage not known at the beginning of the Arrangement Month to

             which such MP Premium applies.

 

5.     Effective January 1, 2004, Exhibit A to the MP Financial Agreement is

amended by deleting section 1 and substituting the following:

 

      The Policies. The Employer has entered into a Minimum Premium Arrangement

      covering certain of the Company's insurance policies or HMOs. The

      Arrangement covers those Policies identified in section 1(s) of the

      Agreement. The Company has also issued Non-MP Policies to the Employer

      which policies are not subject to the Minimum Premium Arrangement; these

      policies are identified in Exhibit B.

 

6.     Effective January 1, 2004, Exhibit A to the MP Financial Agreement is

amended by adding a new Appendix II, and by deleting the first sentence in

section 2.a and substituting the following:

 

      A monthly composite rate for the Policies and the Non-MP Policies

      collectively ("Monthly Payable Rate") is established for each Arrangement

      Quarter as provided in this Exhibit A, and effective January 1, 2004, as

      further provided in Appendix II to this Exhibit.

 

7.     Effective January 1, 2004, Exhibit A to the MP Financial Agreement is

amended by adding the following provisions after the first paragraph of section

4.a:

 

      In addition, effective January 1, 2004, in setting the Monthly Payable

      Rate, the Company shall take into account an Accumulated Deficit or

      Accumulated Surplus no earlier than the first Arrangement Quarter

      beginning 90 days after the

 

                                        3

<PAGE>

 

      Quarterly Review. In the case of an Accumulated Deficit, the Company shall

      recover such Accumulated Deficit over no fewer than *** successive

      Arrangement Quarters beginning at least 90 days after the Quarterly

       Review; provided, however, that if the Accumulated Deficit as of the end

      of an Arrangement Quarter that is the subject of the Quarterly Review

      exceeds *** of the "Aggregate Premiums" for such Arrangement Quarter, the

      Company may recover such Accumulated Deficit over fewer than ***

      Arrangement Quarters. For this purpose, "Aggregate Premiums" for an

      Arrangement Quarter shall be the product of (A) the Monthly Payable Rate

      for such quarter, (B) the number of Employees covered under the Policies

      and Non-MP Policies as of the 15th of the last month of the preceding

      Arrangement Quarter, and (C) three (3).

 

8.     Effective October 1, 2003, section 6.h of Exhibit A to the MP Financial

Agreement is amended by deleting the second and third sentences thereof and

substituting the following sentence:

 

      The Expense Percentage for the Policies and the Non-MP Policies is set

      forth in Exhibit D to the Agreement.

 

9.     Effective January 1, 2003, the MP Financial Agreement is amended by adding

new Exhibit D, attached hereto.

 

MP Services Agreement

 

1.     Effective January 1, 2004, the MP Services Agreement is amended by

deleting section 6(b)(iii) and substituting the following:

 

      except as provided in Exhibit F to the Agreement, each Employee is offered

      concurrently no more than *** option in addition to the Company's dental

      benefit plan (where offered);

 

2.     Effective January 1, 2004, section 6 of the MP Services Agreement is

amended to add the following sentence at the end of subsection (b).

 

      For purposes of this section (6)(b), "the Plan" shall mean the plan of

      benefits provided by the Employer under both the Policies and the Non-MP

      Policies.

 

3.     Effective January 1, 2004, the MP Services Agreement is amended by

deleting section 8(b) and substituting the following:

 

      In the event that a state or other jurisdiction, in accordance with

      existing or future law, imposes upon the Company the duty to act as agent

      for collection of any Tax imposed on the Plan or the Employer or with

      respect to any aspect of the Plan, a Policy, a Non-MP Policy, the MP

      Financial Agreement, or the Agreement, the Employer will pay over any such

      amount to the Company when requested to do so by the Company, subject to

      receipt by the Employer from the Company of

 

                                       4

<PAGE>

 

      prompt notice concerning such matter and exercise by the Employer of its

      rights as stated under subsection 8(a) above.

 

4.     Effective January 1, 2004, Exhibit F of the MP Services Agreement is

amended to add the following to the end of section A:

 

      For purposes of this Exhibit F, "Employees" shall include employees of the

      Employer covered under Non-MP Policies as well as the Policies.

 

5.     Effective June 20, 2003, Exhibit F of the MP Services Agreement is amended

by adding the following new section 8:

 

      8.     Process for Considering Alternative Vendors in Special Markets

 

      a.     Effective January 1, 2004, the special procedures for alternate

            vendors described in this section 8 shall apply to the following

            markets ("Special Markets"):

 

            i.     ***

 

            ii.    ***

 

            iii.   ***

 

             iv.    ***

 

            v.     ***

 

            vi.    ***

 

      b.     The Employer and the Company shall discuss in detail whether and

            upon what terms the offering of vendors other than the Company

            ("Alternate Vendors") in the Special Markets would be a viable

            alternative to the current approach in any or all of the Special

            Markets, including but not limited to, the following:

 

                  i.     pricing, product and other competitive information;

 

                   ii.    the specific advantages expected to be gained from

                        offering an Alternate Vendor;

 

                  iii.   the anticipated process and terms for introducing and

                        offering an Alternate Vendor's product, including price,

                        contribution, product and benefit plan design

                        differences, and employee vs Client selection process;

                        and

 

                  iv.    whether some combination of different or additional

                        Company offerings would best serve the Employer,

 

                                       5

<PAGE>

 

      c.     Following these discussions, the Employer may offer an Alternate

            Vendor in a Special Market without regard to notice and cure

            provisions of section 5 of this Exhibit F. Any vendor changes made

            by the Employer pursuant to this section shall be memorialized in an

            amendment to this Exhibit F. Taking into account the discussions

            with the Employer, the Company's existing offerings, and the size

            and product distribution of the existing membership in the Special

            Market, the Company shall elect one of the following:

 

                   i.     Continue to offer to the Employer an *** and/or ***

                        option at the Client level. (All co-employees of a

                        Client would be offered ***.);

 

                  ii.    Continue to offer to the Employer an *** and/or ***

                        option at the employee level, where Clients may elect

                        more ***.

 

                  iii.   Discontinue offering any option to the Employer in the

                        Special Market.

 

       d.     If the Employer offers one or more Alternate Vendors in a Special

            Market, this change in product offering may result in changes in the

            Monthly Payable Rate, Quoted Premiums or premiums of Non-MP

            Policies; provided however that any such rate or premium change for

            a Special Market would not be effective before the later of (i) the

            date the Alternate Vendor's coverage becomes effective and (ii) the

            first of the month following 30 days advance written notice of such

            rate or premium change by the Company to the Employer.

 

UNITED HEALTHCARE                             ADMINISTAFF OF

INSURANCE COMPANY                             TEXAS, INC.

 

By: /s/ Simeon Schindelman                     By: /s/ Richard Rawson

    ------------------------------                -----------------------------

          Authorized Signature                            Authorized Signature

 

  Name: Simeon Schindelman                      Name: Richard Rawson

 

  Title: President, Small Business              Title: President

 

  Date:11/9/04                                  Date: December 3, 2004

 

                                       6

<PAGE>

 

                                    EXHIBIT A

 

                                    APPENDIX II

 

               METHODOLOGY FOR ESTABLISHING MONTHLY PAYABLE RATES

 

1.     Paragraph 2 of Exhibit A of the MP Financial Agreement provides that the

      Company will establish for each Arrangement Quarter the Monthly Payable

       Rate, a monthly *** rate for the Policies and the Non-MP Policies

      collectively (for purposes of this Appendix II, the "MPR"), which rate

      will then be used to establish the monthly premiums for the Policies and

      Non-MP Policies. Certain components of the Company's methodology for

      det


 
SITE SEARCH

AGREEMENTS / CONTRACTS

Document Title:

Entire Document: (optional)

Governing Law:(optional)


Try our advanced search >>
 

CLAUSES

Search Contract Clauses >>

Browse Contract Clause Library>>

Get Email Updates
Email:
This is only a partial view of this document. We have millions of legal documents and clauses drafted by top law firms. learn more search for free browse for free learn more