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Document Preview Administrative Service Agreement |
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Title: |
Administrative Service Agreement |
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Entities: |
UICI; Uici |
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Date: |
2001 |
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Size: |
Preview shows 7KB of 32KB total |
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Price: |
$39 |
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ID: |
#114294 |
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National Motor Club of America, Inc., a Texas corporation ("NMC").
WHEREAS, MEGA and its affiliates are providing insurance products to
NMC; and
WHEREAS, the parties wish to enter into this Agreement to redefine and
expand the terms of their various duties and operations;
NOW, THEREFORE, MEGA and NMC do mutually agree as follows:
I.
Each party agrees that there is adequate consideration for this
Agreement based upon the foregoing and the mutual covenants herein contained.
This Agreement shall be effective as of January 1, 2001 and terminate on
December 31, 2002, unless sooner terminated pursuant to Article XVI.
II.
This Agreement relates to insurance policies, insurance certificates or
blanket coverages for NMC's auto club members (the "Members") as well as
insurance policies, certificates or blanket coverages issued in the future under
this Agreement. MEGA hereby agrees to issue life, accident and health insurance
policies, certificates or blanket coverage to NMC for the benefit of NMC's
Members in all states set forth on Exhibit A attached hereto pursuant to
memberships issued by NMC from time to time during the term of this Agreement.
III.
The premium rates for MEGA insurance policies, certificates or blanket
coverages will be in accordance with the experience on these insurance products
and commencing January 1, 2001 shall be (i) two dollars and fifty-two cents
($2.52) per Member per year for the Non-Gold Crown Plan, (ii) eight dollars and
fifty-two cents ($8.52) per Member per year for the Gold Crown Plan, and (iii)
twenty-four dollars and twenty-four cents ($24.24) per Member per year for the
Gold Crown Plan Plus With All Accidents Coverage, (iv) seven dollars and eighty
cents ($7.80) per Member per year for the Platinum Plan, (v) twenty-three
dollars and four cents ($23.04) per Member per year for the Platinum Plan Plus
with all Accidents Coverage. These premiums may be adjusted as provided in
Article XV. Such premiums shall be payable to MEGA by NMC (i) in whole for the
entire membership year with respect to NMC members who pay their annual
membership dues in one lump sum on the fifteenth day of the calendar month
following receipt by NMC of such dues payment, (ii) one-twelfth per month with
respect to NMC members who pay their annual membership dues in monthly
installments on the fifteenth day of each calendar month following receipt by
NMC of such dues payments, (iii) one-fourth per quarter with respect to NMC
members who pay their annual membership dues
-1-
{PAGE} 2
in quarterly installments on the fifteenth day of each calendar month following
receipt by NMC of such dues payments, and (iv) one-half semi-annually with
respect to NMC members who pay their annual membership dues in semi-annual
installments on the fifteenth day of each calendar month following receipt by
NMC of such dues payments. The amount of premiums payable by NMC with respect to
each Member shall be based upon the applicable premium rate for the applicable
plan at the time the annual, semi-annual, quarterly or monthly membership dues
payment is received by NMC.
IV.
The procedure to be followed by NMC and MEGA with respect to the
handling of such business shall be as follows:
a. A monthly report in a form mutually agreed upon by MEGA and
NMC will be filed by NMC with MEGA for each calendar month on
or before the fifteenth day of the next month listing new
memberships issued by NMC during the month and the portions of
the dues that are payable to MEGA based on the new memberships
less the amount of the premium portion of any membership dues
refunded by NMC upon cancellation of any NMC memberships.
b. Within two (2) business days after NMC is notified of a claim,
NMC will furnish the claim form to the member for completion.
c. MEGA is responsible for the processing and adjudication of the
insurance claims submitted by members of NMC under the
insurance policies issued by MEGA to NMC. NMC hereby agrees
that MEGA shall have complete authority and responsibility for
the adjudication of the claims under such policies. NMC
further agrees that MEGA's claims decisions shall be final.
V.
NMC and MEGA shall comply with all applicable laws and regulations of
any regulatory agency having jurisdiction over their respective businesses which
in the case of NMC shall include, but not be limited to, the solicitation of its
motor club memberships including, by way of illustration and not limitation, the
licensing of all persons engaged and authorized to carry out such solicitation,
if so required by a state.
VI.
MEGA shall keep copies of all bank account records pertaining to
insurance coverage issued pursuant to this Agreement, and shall furnish NMC upon
demand at NMC's expense with copies of the records which pertain to NMC members.
VII.
NMC shall handle all correspondence of a routine nature and other
general clerical and administrative functions necessary for satisfactory general
administration of the various insurance coverages and service to its various
members, and shall maintain files relating thereto. NMC shall within two (2)
business days of its receipt forward to MEGA all Insurance Department
complaints, inquiries and lawsuits received by it relating to insurance
coverages issued under this Agreement, and in addition upon request shall
provide all information from its records which will assist MEGA in its response
to any such complaints, inquiries or lawsuits. MEGA shall within two (2)
business days of its receipt forward to NMC copies of all insurance department
complaints,
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