Exhibit 10.13.1
Execution Copy
LTC – GLICNY/UFLIC
SECOND AMENDMENT TO RETROCESSION
AGREEMENT
THIS SECOND AMENDMENT TO
RETROCESSION AGREEMENT dated as of December 17, 2008 (this
“Amendment”), is made by and between GENWORTH LIFE
INSURANCE COMPANY OF NEW YORK (formerly GE CAPITAL LIFE ASSURANCE
COMPANY OF NEW YORK) an insurance company organized under the laws
of the State of New York (“Company”) and UNION FIDELITY
LIFE INSURANCE COMPANY, an insurance company organized under the
laws of the State of Illinois (“Reinsurer”).
RECITALS
WHEREAS, Company and Reinsurer
entered into a Retrocession Agreement with respect to certain long
term care insurance policies reinsured by the Company, dated as of
April 15, 2004 (the “Agreement”); and
WHEREAS, Company and Reinsurer
desire to amend, in the manner set forth in this Amendment, the
provisions of the Agreement;
NOW, THEREFORE, for and in
consideration of the premises and the covenants contained herein
and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereby
agree as follows:
AMENDMENTS
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1.
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Definitions . Unless otherwise defined herein, capitalized
terms used herein shall have the same meaning given to them in the
Agreement, as amended hereby.
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2.
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Effective
Date of Amendment . This
Amendment shall be effective as of January 1, 2008 (the
“Effective Date”) as to all rights and obligations of
the parties affected thereby accruing under the
Agreement.
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3.
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Sections
3.4, 7.6 and 17.11 .
Sections 3.4, 7.6 and 17.11 are amended by the addition of the
following sentence at the end of each:
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“Company shall provide
Reinsurer with copies of its routine and/or ongoing evaluation of
the Reinsured Policies including information pertaining to customer
service, operations and/or claims and including dashboards,
scorecards and/or other metrics, as provided to Company’s
management, at the same intervals, but in no event on less than a
quarterly basis.”
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4.
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Section 3.1(a) . Section 3.1(a) of the Agreement is
amended by the addition of the following language:
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“The parties mutually agree to
the service level agreements for Services performed by Company as
set forth in Schedule E-2, attached hereto and incorporated herein
(the “Company SLAs”). As used herein and in Schedule
E-2, the term “Services” shall have the same meaning as
“Business Overhead Services,” as that term is defined
in the Agreement.
The Company SLAs more fully describe
many of the activities to be performed by Company and the form of
information and data to be provided by Company to Reinsurer in
providing the Services. However, not all Services, standards, and
service level agreements to be performed under the Agreement can be
practicably recited herein. Accordingly, nothing herein is intended
to limit the scope of Services set forth in the Agreement or to
preclude the parties, by mutual written agreement, from modifying,
deleting or adding service level agreements in the future
consistent with the Services. In particular, but without
limitation, all provisions pertaining to “Standard for
Service,” “Compliance with Applicable Law” and
the descriptions of “Services” remain in effect without
modification. Further, and for the avoidance of doubt, all
Agreement provisions remain in effect, and the parties intend for
these Company SLAs to apply in conjunction with the terms of the
Agreement.”
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5.
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Section 6.1 . Section 6.1 of the Agreement is hereby
amended to replace all references to “Schedule E” with
“Amended and Restated Schedule E” dated January 1,
2008 and by the addition of the following language:
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“The payment of Service
Charges by the Reinsurer to Company is also subject to the terms of
the Service Charge Withholds and Direct Reimbursements provisions
of the Amended and Restated Schedule E.”
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6.
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Schedule
E . Schedule E to the
Agreement – Expense Allowances – is hereby deleted in
its entirety and replaced by the attached “Amended and
Restated Schedule E” dated January 1, 2008.
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7.
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Schedule
E-2 . A new
“Schedule E-2 – Service Level Agreements” is
hereby added to the Agreement immediately following Schedule
E-1.
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8.
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Schedule
F . Schedule F,
“Part II – Monthly Settlement Report”
Item 4.; “Part III – Quarterly Settlement
Report” Item 4.; and “Part IV – Annual
Settlement Report” Item 4, are deleted and replaced
with:
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A.
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Policy
Maintenance
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$
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B.
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Claims
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$
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Total Expense
Commission (A+B)
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$
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2
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9.
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Ratification . Company and Reinsurer each hereby acknowledge
and agree that, except as expressly amended or modified by this
Amendment, the terms and provisions of the Agreement are ratified
and confirmed and remain in full force and effect.
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10.
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Execution in
Counterparts . This
Amendment may be executed in any number of counterparts, each of
which when so executed shall be deemed to be an original and all of
which when taken together shall constitute one and the same
agreement. Delivery of an executed counterpart of a signature page
to this Amendment by facsimile shall be effective as delivery of a
manually executed counterpart of this Amendment.
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11.
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Severability . Any provision of this Amendment that is
prohibited or unenforceable in any jurisdiction shall, as to such
provision and such jurisdiction, be ineffective to the extent of
such prohibition or unenforceability without invalidating the
remaining provisions of this Amendment or affecting the validity or
enforceability of such provision in any other
jurisdiction.
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12.
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Amendments . This Amendment shall be subject to and may be
entered into only upon receipt of any required regulatory
approvals.
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IN WITNESS WHEREOF, the parties
hereto have caused this Amendment to be duly executed by their
respective officers thereunto duly authorized as of the day and
year first above written.
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GENWORTH
LIFE INSURANCE COMPANY OF NEW YORK
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UNION
FIDELITY LIFE INSURANCE COMPANY
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By:
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By:
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Name:
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Kelly L.
Groh
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Name:
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Lakshman
Shanmugan
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Title
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Sr. Vice
President & CFO
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Title
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Vice
President & Chief Financial Officer
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Date:
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December 18,
2008
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Date:
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12/18/2008
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3
AMENDED AND RESTATED SCHEDULE
E
January 1,
2008
EXPENSE ALLOWANCE
The Expense Allowance will be
calculated monthly and billed to Reinsurer in the next Monthly
Settlement Report due to Reinsurer.
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1.
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Expense
Allowance Calculation .
The Expense Allowance equals the Monthly Reinsured Policy
Maintenance Reimbursement plus the Monthly Reinsured Claims
Reimbursement, calculated as follows:
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a.
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Monthly
Reinsured Policy Maintenance Reimbursement for any given month
equals:
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(Monthly Reinsured Policy Count for
such month Multiplied by Policy Maintenance Factor) Divided by
12
Monthly Reinsured Policy Count for
the above calculation shall be calculated as follows:
Beginning Monthly Policy Count: The
number of Reinsured Policies in effect on the first day of the
applicable calendar month
Ending Monthly Policy Count: The
number of Reinsured Policies in effect on the last day of the
applicable calendar month
Monthly Reinsured Policy Count:
(Beginning Monthly Policy Count plus Ending Monthly Policy Count)
Divided by 2
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b.
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Monthly
Reinsured Claims Reimbursement for any given month
equals:
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(Monthly Reinsured Claim Count for
such month Multiplied by Claims Factor) Divided by 12
Monthly Reinsured Claim Count for
the above calculation shall be calculated as follows:
Beginning Monthly Claim Count: The
number of Open and Pending Claims in effect on the first day of the
applicable calendar month
Ending Monthly Claim Count: The
number of Open and Pending Claims in effect on the last day of the
applicable calendar month
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Monthly Reinsured Claim Count:
(Beginning Monthly Claim Count plus Ending Monthly Claim Count)
Divided by 2
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2.
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Policy
Maintenance Factor . The
“Policy Maintenance Factor” in effect as of
January 1, 2008, through December 31, 2008, is $29.54.
Beginning on January 1, 2009, and thereafter on each
anniversary of such date during the term of this Agreement, the
Policy Maintenance Factor in effect for the following twelve-month
period shall be adjusted to equal one hundred and two percent
(102%) of the Policy Maintenance Factor in effect for the
immediately preceding twelve-month period. (For example, the Policy
Maintenance Factor in effect for the twelve-month period commencing
on January 1, 2009, shall equal $30.13, or $29.54 Multiplied
by 1.02, rounded to two decimal places.)
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3.
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Claims
Factor . The
“Claims Factor” in effect as of January 1, 2008,
through December 31, 2008, is $1,005.92. Beginning on January
1, 2009, and thereafter on each anniversary of such date during the
term of this Agreement, the Claims Factor in effect for the
following twelve-month period shall be adjusted to equal one
hundred and two percent (102%) of the Claims Factor in effect for
the immediately preceding twelve-month period. (For example, the
Claims Factor in effect for the twelve-month period commencing on
January 1, 2009, shall equal $1,026.04 or $1,005.92 Multiplied
by 1.02, rounded to two decimal places.)
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4.
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Charges for
Special Projects :
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Special Projects are certain
projects described below as “Additional Projects” or
“Requested Projects” (together, “Special
Projects”) eligible for payment by the Reinsurer pursuant to
the Agreement. Costs and expenses for Additional Projects or
Requested Projects shall be paid by Reinsurer in accordance with
the provisions set forth herein. The costs and expenses for
ordinary course system maintenance and development projects are
subsumed in the Expense Allowance referenced in Section 1,
above, and accordingly, the costs and expenses for such items are
not chargeable to the Reinsurer as a Special Project.
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a.
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Additional
Projects .
“Additional Projects” are operational or technology
changes required for the Reinsured Policies to maintain legal and
regulatory compliance with Applicable Law and the mandates of
Governmental Authorities with jurisdiction. With respect to
Additional Projects, Company shall provide to Reinsurer:
(i) written documentation of the legal, regulatory or
compliance requirement for which the operational or technology
change is being made, and (ii) a good faith estimate of the
associated costs and expenses for implementation of such
operational or technology change. Costs and expenses for Additional
Projects shall be billed to and paid by Reinsurer based upon the
proportionate share of in-force Reinsured Policies to the total
number of in-force Company long term care insurance policies during
the period when the charges are incurred. Costs and expenses for
Additional Projects shall be directly billed to and paid by
Reinsurer, in accordance with the provisions set forth herein,
after such costs and expenses are incurred by Company, its
Subsidiaries or Affiliates.
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b.
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Requested
Projects .
“Requested Projects” are projects or changes pertaining
to the Reinsured Policies for which the Reinsurer makes a specific
written request to Company and for which the parties reach a mutual
written agreement with respect to costs and expenses. The full
amount of costs and expenses for Requested Projects shall be
directly billed to and paid by Reinsurer after such costs and
expenses are incurred by Company; provided, however, if
(a) Reinsurer’s requested project can be limited solely
to the Reinsured Policies and (b) Company expands the project
to include policies other than the Reinsured Policies then, in such
instance, costs will be apportioned in the same manner as for an
Additional Project.
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5.
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Dispute
Resolution . The parties
shall (and shall cause their respective designated representatives
to) negotiate in good faith to resolve all disagreements hereunder
as promptly as practicable. Disputes which the parties are unable
to resolve, if any, shall be resolved in accordance with the
provisions of Article XV of the Agreement. Pending resolution of
the dispute, Reinsurer will pay the costs and expenses as outlined
above. If the outcome of the dispute resolution process is a
determination that: (i) the project does not constitute an
Additional or Requested Project; or (ii) that
Reinsurer’s proportionate share of costs and expenses was
lower than the amount charged by Company, then Company shall,
within thirty (30) days, reimburse Reinsurer, as applicable,
for amounts already paid for the ineligible project or the
differential in the costs and expenses previously paid by Reinsurer
and the lower proportionate share of costs and expenses, and in
either case, with interest at the rate set forth in
Section 3.01(b) from the time of Reinsurer’s payment
until the date of reimbursement. Further, notwithstanding the
provisions of Section 15.4(f) of Article XV of the Agreement,
and with respect to an Additional or Requested Project only, the
losing party in any arbitration shall pay the prevailing
party’s attorney’s fees and costs.
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6.
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Service
Charge Withholds and Direct Reimbursements . The following Service Charge Withholds and
Direct Reimbursements provisions apply in the event of
Company’s failure to perform as set forth in the Amended and
Restated Schedule E-2:
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a.
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Service
Charge Withhold for TAGGED Company SLA Deficiencies
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i.
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For TAGGED
Company SLAs to be performed periodically on a frequency greater
than annually:
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Upon a determination by the JMC that
Company failed to meet a TAGGED Company SLA timeliness or content
standard as to a particular TAGGED Company SLA for two consecutive
reporting periods, then, until Cured, the Reinsurer may withhold
the Service Charge. Once Cured, the Reinsurer shall remit withheld
Service Charges with the next monthly Service Charge payment
due.
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ii.
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For TAGGED
Company SLAs to be performed on an annual basis or upon the
occurrence of an ad hoc event including those set forth in
Legal/Compliance Services:
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Upon a determination by the JMC that
Company failed to meet a TAGGED Company SLA timeliness or content
standard as to a particular TAGGED Company SLA and that Company
failed to take the action or provide the content required by the
SLA within five (5) business days from the stated TAGGED
Company SLA due date, then the Reinsurer may withhold the next
three monthly Service Charge payments. The Reinsurer shall remit
those withheld Service Charges with the next monthly Service Charge
payment due.
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i.
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Subject to
determination by the JMC, Company shall reimburse Reinsurer for any
amounts assessed to or incurred by the Reinsurer in fines,
penalties, assessments or other costs solely and directly related
to Company’s failure to perform a Company SLA. The Reinsurer
shall take reasonable steps to defend, resist and mitigate against
the imposition of any fine, penalty, assessment or other
costs.
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ii.
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The Reinsurer
may offset or otherwise withhold from Service Charges owed to
Company, the amounts determined by the JMC as having been assessed
to or incurred by the Reinsurer for which Company is responsible
pursuant to this Section.
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c.
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Administrative Matters
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i.
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The Reinsurer
shall provide Company with prompt written notice if it asserts a
timeliness or content deficiency of a TAGGED Company SLA, or if it
believes a Direct Reimbursement is warranted, with a copy to the
JMC. If the parties agree that a deadline has been missed or that
content is not adequate, corrective action shall be promptly taken
by the responsible Company functional area.
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ii
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The role of the
JMC with respect to Direct Reimbursements or Service Charge
Withholds shall be: (1) to conduct a good faith review of an
asserted deficiency, taking into account whether a failure on the
part of the Reinsurer to provide necessary, complete or correct
information to Company on a timely basis contributed to the
asserted deficiency; and (2) to determine whether a deficiency
has occurred and/or whether a Direct Reimbursement or Service
Charge Withhold is warranted. The JMC shall be provided with
written notification of any missed TAGGED Company SLAs and/or any
Service Charge Withholds or Direct Reimbursements being claimed and
a meeting of the JMC shall be convened within ten (10) business
days from the date written notification is given. A majority of all
members of the JMC shall be considered a quorum and a simple
majority of the JMC members present shall be sufficient for a
determination of whether or not a deficiency occurred or whether or
not a Direct Reimbursement or a Service Charge Withhold is
warranted. Disagreements not resolved by the JMC shall be subject
to the dispute resolution provisions set forth in Article XV of the
Agreement.
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iii
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Except as set
forth herein, no Direct Reimbursement shall be paid or Service
Charge may be withheld until the JMC has determined that a Direct
Reimbursement or withhold is warranted; provided, however, that the
Reinsurer shall be allowed to offset a Direct Reimbursement or
withhold Service Charges in accordance with the terms of this
Service Charge Withholds and Direct Reimbursements provision in
advance of a determination by the JMC: (1) if a meeting of the
JMC is not convened in accordance with Section (c)(ii) hereof due
to the unavailability of Company’s JMC members and the
Reinsurer has not agreed, in its discretion, to an extension of the
deadline to meet; (2) in the event of a tie vote; and/or
(3) during the pendency of the dispute resolution process.
Similarly, if Company is the prevailing party in an arbitration,
the Reinsurer shall pay Company interest pursuant to
Section 7.7 of the Agreement from the date the payment was
originally due, if not withheld, until the date of payment.
Further, notwithstanding the provisions of Section 15.4(f) of
Article XV of the Agreement, and with respect to a Service Charge
Withhold described in this Section (c)(iii) only, the losing party
in any arbitration shall pay the prevailing party’s
attorney’s fees and costs.
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iv.
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The Reinsurer
shall provide Company with a detailed calculation of any Service
Charge Withholds under subsection A., above, or Direct
Reimbursements under subsection B., above, being made in a
reporting period.
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v.
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“Cured” means that for a TAGGED
Company SLA subject to a Service Charge Withhold, Company has
(1) provided all information required by the TAGGED Company
SLA (even though the required deadline(s) was/were missed) or
remedied the content deficiency(ies), as the case may be, for the
reporting period(s) for which the information was due, and
(2) met all requirements of the TAGGED Company SLA in the
subsequent reporting period. The Reinsurer may agree in writing or
the JMC may determine that it is not necessary for Company to
remedy a deficiency which remains outstanding if fulfillment of the
requirements of the TAGGED Company SLA in the current reporting
period is adequate for the purposes of the Reinsurer.
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vi.
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“Service
Charge” for the Long Term Care Retroceded Business means: The
COH Service Charge, as set forth in the Business Services
Agreement, and the Reinsured Policy Maintenance
Reimbursement.
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vii.
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Nothing herein
shall be interpreted to relieve Company of its obligation to
perform any Company SLA, including, but not limited to, while any
matter is under review by the JMC.
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viii.
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Notwithstanding
Section 7.7 of the Agreement, the Reinsurer shall not owe any
interest on any amount withheld under this Service Charge Withholds
and Direct Reimbursements provision, except as set forth in Section
(c)(iii) above.
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9
SCHEDULE E-2
SERVICE LEVEL AGREEMENTS
In General
The following Company Service Level
Agreements (“Company SLAs”) apply to all Services
performed by all functions and operations:
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(i)
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Perform
Services accurately;
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(ii)
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Meet the
timeliness standards enumerated for each Service. The deadlines
listed represent requirements in effect as of November 1,
2008. The Reinsurer will provide Company with written notice of
deadlines that routinely vary from year to year (e.g. financial
closings, annual statement, etc.) at least thirty (30) days
prior to the deadline. Other deadline changes may be made at the
direction of the Reinsurer with the consent of Company, which
consent shall not be unreasonably withheld. If a less-than-annual
deadline falls on a non-business day, the action required shall be
due the next business day. If an annual deadline falls on a
non-business day, the action required shall be due the prior
business day;
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(iii)
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Answer
questions from and provide information to Reinsurer’s staff
and/or representatives, as is reasonable;
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(iv)
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Provide audit
support for Reinsurer’s personnel (including parent of
Reinsurer), independent auditors, and regulators by providing data,
process explanations, access to all personnel and answers to
related questions, as is reasonable;
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(v)
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Include within
the Services, the applicable activities that would be undertaken by
Company if the business was not reinsured; and
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(vi)
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Perform
Services with the same rigor and priority as Company uses to
conduct its own businesses not subject to the Agreement.
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(vii)
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In the event of
failure of Company to perform in accordance with a Company Service
Level Agreement designated as “ TAGGED ” in this
Schedule E-2 (“TAGGED GNA SLA”), a Service Charge
Withhold will be made in accordance with the provisions of the
Amended and Restated Schedule E.
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By Function
Services are shown below by
functional area but performance of Services and the Company SLAs is
not limited by any such categ
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