Oklahoma City Zoology Trust
Regular MeetingOklahoma City, OK · June 24, 2026
Agenda
OKLAHOMA CITY ZOOLOGICAL TRUST
Meeting Agenda
Zoo Administration Building, Savanna Conference Room
June 24, 2026 - 4:30 p.m.
By The City of Oklahoma City Office of the City Clerk at 3:27 pm, Jun 22, 2026
OKLAHOMA CITY ZOOLOGICAL TRUST MEMBERS
Vicki Howard, Chairperson Camal Pennington, Councilperson, Ward 7
Jon Trudgeon, Vice-Chairperson Dustin Fredrick
Pama Palmer, Secretary Aimee Salalati
David Holt, Mayor Derek Albro
Heather Ross, Surrogate to the Mayor
Craig Freeman, City Manager Dwight Lawson, PhD, Executive Director/CEO
LaShawn Thompson, Surrogate to the City Manager
INFORMATION ABOUT OKLAHOMA CITY ZOOLOGICAL TRUST MEETINGS
The Oklahoma City Zoological Trust meets on the fourth Wednesday of each month at 4:30 p.m. in the Zoo
Administration Building, located at 2000 Remington Place, Oklahoma City, Oklahoma 73111. Free parking
is available in the Zoo parking lot.
It is the policy of the Oklahoma City Zoological Trust to ensure that communications with participants and
members of the public with disabilities are as effective as communications with others. Anyone with a
disability who requires an accommodation, a modification of policies or procedures, or an auxiliary aid or
service in order to participate in this meeting should contact the Zoo at 405-425-0231 as soon as possible, but
not later than 48 hours (not including weekends or holidays) before the scheduled meeting. The Zoo will give
primary consideration to the choice of auxiliary aid or service requested by the individual with disability. If
you need an alternate format of the agenda or any information provided at said meeting, please contact the
Zoo at 405-425-0231 at least 48 hours prior to the scheduled meeting.
ADDRESSING THE OKLAHOMA CITY ZOOLOGICAL TRUST
Citizens may address the Trust on certain items by signing up to speak and providing the agenda item number,
their reason for appearing, and their address, but all comments must be relevant to the item. Citizens may
also address the Trust at the end of the agenda under “Citizens to be heard.” Please contact the Zoo at 405-
425-0231 at least 48 hours prior to the meeting, and leave a message that includes your name, the agenda item
number, and the reason you would like to speak. Staff will submit requests received to the Chair. Please limit
your comments to three (3) minutes or less.
The Chair or presiding officer may, in his or her discretion, prohibit a person from addressing the Trust, or
have any person removed from the Auditorium, if that person commits any disorderly or disruptive behavior.
Disorderly conduct includes, but is not limited to, any of the following: speaking without being recognized by
the Chair or presiding officer; continuing to speak after notice that the speaker’s allotted time has expired;
presenting comments or material not relevant to the item under discussion; failing to comply with the lawful
instructions of the Chair or presiding officer; or engaging in other conduct, activity, or speech that delays,
disturbs, interferes, or disrupts the effective or timely conduct of the meeting, or is otherwise violent,
threatening, abusive, obscene, or jeopardizes the safety of self or others. A person may also be subject to
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arrest and removal from the Auditorium for violation of Oklahoma City Municipal Code 2020, § 3081 –
Disorderly conduct and/or violation of 21 Okla. Stat. § 280 – Willfully Disturbing, Interfering with or
Disrupting State Business, Agency Operations or Employees.
TRUST ACTIONS
Official action can be taken only on items which appear on the agenda. The Trust may adopt, approve, ratify,
deny, defer, recommend, amend, strike, or continue any agenda item. Other actions may also be taken.
When more information is needed to act on an item, the Trust may refer the matter to the Executive
Director/CEO or the Municipal Counselor. The Trust may also refer items to standing committees of the
Trust for additional study.
Under certain circumstances, items are deferred to a specific later date or stricken from the agenda entirely.
CONSENT DOCKET
Items listed under “Consent Docket” are usually approved as a group with the proper motion from a member
of the Trust. Members of the Trust may request discussion or separate action on any item on the Consent
Docket.
For more information about the Oklahoma City Zoological Trust, please call 405-424-3344.
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AGENDA
I. Meeting Minutes
A. Minutes of May 27, 2026, Oklahoma City Zoological Trust Meeting ........................... Pages 4-7
II. Staff and/or Committee Updates
A. Financial Report of May, 2026 .......................................................................................... Pages 8-11
III. Items for Individual Consideration
A. Approve Amendment No. 1, Project No. MZ-0081, Stingray Touch
Pool Experience and Exhibit, Holland Basham Architects ........................................ Pages 12-18
B. Adopt a resolution waiving competitive bidding and authorizing the
open market purchase and/or lease of light design, installation and
production for the Oklahoma City Zoo and Botanical Garden’s
SAFARI LIGHTS, estimated cost $250,000.00, June 24, 2026 through
June 23, 2027 ...................................................................................................................... Pages 19-21
C. Adopt a resolution ratifying and approving an Administrative Services
Agreement and an Excess Loss Insurance Placement Addendum with
Healthcare Solutions Group, Inc. A 90 Degree Benefits Company, and
Utilization Management Agreement and Business Associate
Agreement with Medical Care Analysts, Inc., estimated cost
$143,578.80, effective July 1, 2026 .................................................................................. Pages 22-84
IV. Items from Trustees
V. Staff Reports
A. Executive Director’s Report
VI. Citizens to Be Heard
VII. Adjournment
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JOURNAL OF
TRUST PROCEEDINGS
MAY 27, 2026
Trustees Present: Vicki Howard, Chairperson
Jon Trudgeon, Vice-Chairperson
Pama Palmer, Secretary
LaShawn Thompson, Surrogate to the City Manager
Camal Pennington, Councilperson, Ward 7
Dustin Fredrick
Derek Albro
Staff Present: Dwight Lawson, Executive Director/CEO
Trevor Leonard, Chief Operations Officer
Rebecca McReynolds, Chief Financial Officer
Greg Heanue, Chief Marketing Officer
Tammy Burnett, Chief Human Resources Officer
Rebecca Snyder, Chief Mission Programs Officer
Dahrenda Mitchell, Director of Guest Services and Membership
Matt Word, Director of Information Technology
Mandy Heaps, OZS Executive Director
Kate Winters, Executive Assistant
Others Present: Bailee Richards, Assistant Municipal Counselor, City of Oklahoma City
Agenda Topics
I. Approve Minutes
A. Minutes of April 22, 2026
MOVED TO APPROVE. Moved by Trustee Jon Trudgeon. Seconded by Trustee Derek Albro.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Derek Albro.
II. Receive Staff and/or Committee Updates
A. Financial Reports of April, 2026.
CFO, Rebecca McReynolds, provided the financial report of April, 2026.
MOVED TO RECEIVE. Moved by Trustee Jon Trudgeon. Seconded by Trustee Dustin Fredrick.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
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Oklahoma City Zoological Trust
May 27, 2026
Page 2 of 4
III. Items for Individual Consideration
A. Approve Oklahoma City Zoological Trust Budget for the Fiscal Year 2026-2027.
CFO, Rebecca McReynolds, provided information over the 2026-2027 Budget.
MOVED TO APPROVE. Moved by Trustee Dustin Fredrick. Seconded by Trustee Pama Palmer.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
B. Receive Preliminary Report, Project MZ-0081, Stingray Touch Pool Experience and Exhibit; and authorize prepa-
ration of final plans and specifications.
CEO, Dwight Lawson, explained the Preliminary Report for Project MZ-0081, Stingray Touch Pool Experience
and Exhibit.
MOVED TO RECEIVE. Moved by Trustee Pama Palmer. Seconded by Trustee Dustin Fredrick.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
C. Approve Contract for Architectural Services, Project MZ-0080, Cat Forest Renovation, SHR Studios.
CEO, Dwight Lawson, presented the contract for Cat Forest Renovation with SHR Studios.
MOVED TO APPROVE. Moved by Trustee Jon Trudgeon. Seconded by Trustee Derek Albro.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
D. Approve Contract for Architectural Services, Project MZ-0082, Penguin Exhibit and Multi-Event Center, Frank-
furt-Short-Bruza Associates, P.C. dba Mantra XD.
CEO, Dwight Lawson, presented the contract for Penguin Exhibit and Muli-Event Center with Frankfurt-Short-
Bruza Associates, P.C. dba Mantra XD.
MOVED TO APPROVE. Moved by Trustee Derek Albro. Seconded by Trustee Pama Palmer.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
E. Approve Lease Agreement with Oklahoma Department of Wildlife Conservation.
CEO, Dwight Lawson, spoke on the Lease Agreement with the Oklahoma Department of Wildlife Conservation.
MOVED TO APPROVE. Moved by Trustee Jon Trudgeon. Seconded by Trustee Dustin Fredrick.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
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Oklahoma City Zoological Trust
May 27, 2026
Page 3 of 4
F. Approve Request for Proposals be advertised for Solar Array System.
CEO, Dwight Lawson, provided information over the Request for Proposals for the Solar Array System.
MOVED TO APPROVE. Moved by Trustee Jon Trudgeon. Seconded by Trustee Dustin Fredrick.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
G. Adopt a resolution waiving competitive bidding and authorizing the open market purchase of Customer Relation-
ship Management (“CRM”) Solution for the Oklahoma City Zoo and Botanical Garden’s Ticketing and Member-
ship Platform with Totem Systems, Inc. dba Humanitru, estimated total cost $137,000, May 27, 2026 through May
26, 2029; and approve the Professional Services Agreement.
CEO, Dwight Lawson, explained the resolution waiving competitive bidding and presenting the Professional Ser-
vices Agreement with Humanitru. The Director of Information Technology, Matt Word, further spoke about the
agenda item.
MOVED TO ADOPT. Moved by Trustee Jon Trudgeon. Seconded by Trustee Pama Palmer.
AYES: Trustees Vicki Howard, Jon Trudgeon, Pama Palmer, LaShawn Thompson, Camal Pennington, Dustin
Fredrick, Derek Albro.
IV. Items from Trustees
A. Trustees Camal Pennington and Jon Trudgeon praised the Zoo and the staff for hosting Legislature Night. Trustee
LaShawn thanked the Zoo for hosting the City’s Employee Appreciation Night and Trustee Vicki Howard ex-
pressed her thanks to the Zoo staff for their hard work.
V. Staff Reports
A. Animal Care – New animals including Apollo, our new green anaconda, who is on habitat in the Herpetariam, and
our new tiger, Barong getting settled in Cat Forest. An African Painted Dog underwent surgery for broken mandi-
ble.
B. Capital Projects – Updates on Stingray Bay, Cat Forest, and Solar Array was shared.
C. Conservation, Education, & Science – Monarch Tagging update was shared including a fall 2025 report over tagged
monarchs with radio transmitters. 5 monarchs were tagged in the fall and 40 first generation monarchs were tagged
in the spring. This is new technology where we can watch in real time where the butterflies fly.
D. Human Resources – Turnover is currently at 22.12% and information over the volunteer program was shared
including events during National Volunteer Appreciation Week.
E. PR & Marketing – Satisfaction survey scores remain high and we surpassed our April’s attendance goal by 1%.
Mobile phone data information was shared. The Oklahoma Animal Coalition with the OKC Zoo had a presence at
the State Capital on May 6th. Passport Perk program has been very well received. Three more Sip & Stroll dates in
June for guests to attend and the library program starts June 2nd.
F. OZS – Gala is next Friday, June 5th. Sponsorship goal has been surpassed and we currently only have two tickets
available. Silent Auction will go live next week.
VI. Citizens to be Heard.
A. None.
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Oklahoma City Zoological Trust
May 27, 2026
Page 4 of 4
VII. Adjournment
There being no further business to come before the Trust, the Chairperson declared the meeting adjourned at 6:12pm.
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MEMO
To: Oklahoma City Zoological Trust
From: Dwight Lawson, Rebecca McReynolds
Date: June 24, 2026
FY-26 Financial Summary as of May 31, 2026
FY- 26 FY- 26 Variance FY- 25 Variance Act- Variance
Attendance: Actuals Budget Amount Variance % Actuals Last Year %
Current Month 134,862 143,400 (8,538) -6.0% 164,940 (30,078) -18.2%
Year to date 1,110,174 968,800 141,374 14.6% 1,000,222 109,952 11.0%
Operating Revenue:
Current Month $2,573,831 $2,419,609 $154,222 6.4% $2,524,900 $48,931 1.9%
Year to date 17,592,554 15,931,009 1,661,545 10.4% 15,036,493 2,556,061 17.0%
Per-Capita Revenue for the month was $19.08. Year to date per capita revenue is $15.85 which is $0.60 less than the budget of $16.44.
Other Revenue:
Current Month $182,837 $119,227 $63,610 53.4% $182,253 $584 0.3%
Year to date 3,290,163 3,059,844 230,319 7.5% 3,151,355 $138,808 4.4%
Operating Expenses:
Current Month 2,289,504 2,161,282 $128,222 5.9% 2,516,166 ($226,662) -9.0%
Year to date 24,568,253 24,794,633 (226,380) -0.9% 22,336,855 2,231,398 10.0%
Operating Profit (Loss):
Current Month $467,165 $377,554 $89,611 23.7% $190,987 $276,178 144.6%
Year to date ($3,685,536) ($5,803,780) 2,118,244 -36.5% ($4,149,006) 463,470 -11.2%
Sales Tax Revenue:
Current Month $1,610,935 $1,599,342 $11,593 0.7% $1,581,590 $29,345 1.9%
Year to date 17,021,818 16,621,188 400,630 2.4% 16,553,146 468,672 2.8%
Net Income (Loss):
Current Month $2,078,099 $1,976,896 $101,203 5.1% $1,772,577 $305,522 17.2%
Year to date 13,336,282 10,817,408 2,518,874 23.3% 12,404,139 932,143 7.5%
Annual YTD Budget
Capital/Other: Budget Expenses Remaining %
Capital Improvements $500,000 $350,117 $149,883 30.0%
Remaining to
OZS Fundraising: Annual Budget YTD Income Goal %
2026 Events/Fundraising/Endowments $3,823,546 $2,919,559 $903,987 23.6%
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OKLAHOMA CITY ZOOLOGICAL TRUST
FY 2025-26 Capital Projects
Department Project Name Budget YTD Exp Balance Status
Carnivore Predator Pass Trees 7,000.00 - 7,000.00 Not Started
Grounds/Hort Power Washer 5,000.00 3,995.00 1,005.00 Complete
Grounds/Hort Green Works 10,000.00 8,611.35 1,388.65 Complete
Grounds/Hort Irrigation 11,430.00 13,000.00 (1,570.00) Complete
Grounds/Hort Tree Installation 30,000.00 - 30,000.00 In Process
Housekeeping Trash cart replacement 35,000.00 36,400.00 (1,400.00) Complete
IT New Plaza Sound System 35,000.00 37,115.01 (2,115.01) Complete
Sam Moore Aviary Painting and Siding
Maintenance Replacement 9,800.00 7,447.01 2,352.99 In Process
Maintenance Bat Floor Replacement 12,000.00 - 12,000.00 In Process
Maintenance Club Car Lithium Battery Upgrades 20,500.00 25,039.95 (4,539.95) Complete
Maintenance Concrete Path Repair/Replacement 50,000.00 46,535.00 3,465.00 In Process
Maintenance Boardwalk and Handrail Replacement/Repair 75,000.00 83,957.19 (8,957.19) Complete
Maintenance Maintenance Perimeter Fence Replacement 80,500.00 77,425.04 3,074.96 Complete
Maintenance HVAC 100,000.00 3,391.00 96,609.00 In Process
Marketing Haunt the Zoo Props 18,000.00 7,200.00 10,800.00 Complete
Contingency 770.00 - 770.00
Total CIP Budget 500,000.00 350,116.55 149,883.45
Other: Contingency Fund $500,000
Department Project Name Budget YTD Exp Balance Status
Birds Bald Eagle Shelter 5,000.00 - 5,000.00 In Process
Birds Mesh Netting Over Avian Habitats 9,750.00 - 9,750.00 Not Started
Maintenance Lotus Handrails 10,000.00 9,571.33 428.67 Complete
Maintenance Tram Floor & Seat Replacement 8,867.71 17,735.42 (8,867.71) Complete
Zoo Supply Line
Maintenance Pressure Valve Reducer 52,228.00 52,228.00 - Complete
Maintenance Replace Barricades 4,146.63 4,146.63 - Complete
Maintenance Crane Fence Extension 4,323.39 4,323.39 - Complete
Security Bollard - Zoo Drive 3,010.61 3,010.61 - Complete
Elephants Elephant Kubota 28,416.22 28,526.22 (110.00) Complete
Security Security Keypad 8,328.07 8,328.07 - Complete
Maintenance CZ Slide Landing Pad 12,900.00 12,900.00 - Complete
Maintenance CZ /Lotus Pump Houses 15,000.00 15,000.00 - Complete
Birds Raptor Ridge Shade Project 39,200.00 42,499.97 (3,299.97) Complete
Maintenance Lion overlook glass, Cheetah glass 33,093.00 55,963.00 (22,870.00) Complete
Primates Great Escape ADA Doors 11,840.00 11,840.00 - Complete
Maintenance Misting Fans 20,000.00 15,967.80 4,032.20 Complete
Primates Primates Firetrol 9,500.00 10,313.89 (813.89) Complete
Maintenance Reverse ATM housing 1,470.00 1,470.00 - Complete
Maintenance Mongoose Netting 30,000.00 - 30,000.00 Not Started
Maintenance Safari Carts (two) 36,000.00 - 36,000.00 In Process
Carnivore Cat Forest Floors 56,682.00 58,644.51 (1,962.51) In Process
Maintenance Tram Batteries 42,000.00 13,329.60 28,670.40 In Process
Elephants Elephant Safety Netting 13,700.00 26,560.28 (12,860.28) In Process
Vet Services Sterilizer Machine 19,651.01 19,651.01 - Complete
Vet Services Ultrasound Machine 58,335.12 - 58,335.12 In Process
Ambassador Faux Log Shade Structure 7,850.00 - 7,850.00 In Process
IT Camera Monitoring 7,000.00 - 7,000.00 In Process
- -
Total CIP Contingency Budget 548,291.76 412,009.73 136,282.03
Balance Available: (48,291.76)
Grants Budget Expenses Balance Status
Grant Advancing Empathy Grant 47,880.00 - 47,880.00 In Process
Grant Ocelot SAFE Project 20,000.00 - 20,000.00 In Process
Grant Confiscated Wildlife Grant 150,000.00 - 150,000.00 Awarded - FY2025
Total 217,880.00 - 217,880.00
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OKLAHOMA CITY ZOOLOGICAL TRUST
INCOME STATEMENT SUMMARY
FOR THE ELEVEN MONTHS ENDING 5/31/2026
CURRENT MONTH YEAR TO DATE
ACTUAL BUDGET LAST YR ACTUAL BUDGET LAST YR
REVENUES:
ADMISSIONS $1,184,147 $1,102,792 $1,073,246 $6,612,543 $6,085,640 $5,400,437
ANIMAL SHOW ADMISSIONS 0 0 37,423 61,449 48,445 152,985
ANIMAL FEEDINGS 50,501 42,673 46,801 297,924 255,540 271,125
FOOD & BEVERAGE/VENDING 332,436 177,524 295,199 1,261,543 1,189,698 1,292,668
CONCERTS 35,000 35,000 0 377,544 345,000 255,666
RIDES 48,608 71,342 81,414 420,458 427,219 381,156
MERCHANDISE COMMISSION 100,706 109,279 103,708 662,702 654,401 599,049
ATTRACTIONS 92,762 100,889 92,774 578,420 592,165 538,237
EDUCATION 66,781 73,138 63,742 1,051,889 876,981 762,626
PROMOTIONS 227,652 239,211 213,070 2,548,685 2,463,620 2,529,705
MEMBERSHIP 417,682 457,624 495,118 3,570,627 2,932,594 2,730,810
OTHER 17,557 10,136 22,406 148,770 59,706 122,029
TOTAL OPERATING REVENUE 2,573,831 2,419,609 2,524,900 17,592,554 15,931,009 15,036,493
COST OF GOODS SOLD
GROSS MARGIN $2,573,831 $2,419,609 $2,524,900 $17,592,554 $15,931,009 $15,036,493
100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
OPERATING EXPENSES:
SALARIES 1,094,955 1,117,887 1,562,013 12,331,924 12,843,687 11,288,416
BENEFITS 317,926 304,994 365,383 3,476,978 3,415,874 3,152,799
SUPPLIES 134,302 124,014 57,638 1,167,286 899,980 713,426
UTILITIES 56,999 99,697 55,393 877,651 828,321 736,372
OUTSIDE SERVICES 362,042 189,525 184,169 2,548,836 2,285,377 2,279,322
ANIMAL CARE 120,565 95,305 89,877 940,323 1,085,700 939,024
OTHER 202,714 229,861 201,694 3,225,255 3,435,694 3,227,495
TOTAL OPERATING EXPENSE 2,289,504 2,161,282 2,516,166 24,568,253 24,794,633 22,336,855
OTHER REVENUES:
LEASES 0 0 0 1,443,974 1,357,505 1,386,051
CONTRIBUTIONS 22,810 19,227 18,653 151,060 482,339 114,727
INTEREST 160,027 100,000 163,600 1,695,129 1,220,000 1,650,577
TOTAL OTHER REVENUE 182,837 119,227 182,253 3,290,163 3,059,844 3,151,355
OPERATING INCOME (LOSS) 467,165 377,554 190,987 (3,685,536) (5,803,780) (4,149,006)
TRANSFERS
NET INCOME (LOSS) $467,165 $377,554 $190,987 ($3,685,536) ($5,803,780) ($4,149,006)
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OKLAHOMA CITY ZOOLOGICAL TRUST
BUDGET ANALYSIS
FOR THE ELEVEN MONTHS ENDING 5/31/2026
CURRENT MONTH YEAR TO DATE
ACTUAL BUDGET LAST YR ACTUAL BUDGET LAST YR
REVENUES:
GUEST EXPERIENCE $1,809,160 $1,604,498 $1,730,565 $9,895,039 $9,253,109 $8,635,657
GROUP EVENTS 35,000 35,000 0 377,544 345,000 255,666
OTHER 729,672 780,109 794,336 7,319,971 6,332,901 6,145,170
TOTAL OPERATING REVENUE 2,573,831 2,419,609 2,524,900 17,592,554 15,931,009 15,036,493
OPERATIONAL EXPEND BY DIVISION:
ADMINISTRATIVE 371,417 335,953 395,041 4,569,682 4,915,276 4,423,290
ANIMAL 479,967 442,732 641,806 5,301,197 5,383,143 5,010,014
MARKETING & INTERPRETIVE SVC 167,556 254,881 225,678 2,429,333 2,458,736 2,375,526
BUILDING & GROUNDS 618,597 565,715 608,428 6,029,605 6,017,404 5,476,876
EDUCATION 103,942 122,118 117,315 1,238,568 1,380,764 978,254
VISITOR SERVICES 345,199 268,212 326,043 3,091,604 2,658,490 2,346,215
VETERINARY 202,827 171,671 201,855 1,908,264 1,980,821 1,726,680
TOTAL OPERATING EXPENSE 2,289,504 2,161,282 2,516,166 24,568,253 24,794,633 22,336,855
NET OPERATING REVENUE 284,327 258,327 8,734 (6,975,699) (8,863,624) (7,300,362)
OTHER REVENUE:
SALES TAX FUND REVENUE 1,610,935 1,599,342 1,581,590 17,021,818 16,621,188 16,553,146
CONTRIBUTIONS 22,810 19,227 18,653 151,060 482,339 114,727
OTHER REVENUE 160,027 100,000 163,600 3,139,103 2,577,505 3,036,628
TOTAL OTHER REVENUE 1,793,772 1,718,569 1,763,843 20,311,981 19,681,032 19,704,501
NET REVENUE BEFORE DEPRECIATION
AND CAPITAL EXPENDITURES $2,078,099 $1,976,896 $1,772,577 $13,336,282 $10,817,408 $12,404,139
OPERATING REVENUE/EXPENSE RATIO 112.42% 111.95% 100.35% 71.61% 64.25% 67.32%
Page 11 of 84
TO: Chair and Trustees of the Oklahoma City Zoological Trust
FROM: Dwight Lawson, Executive Director/CEO
DATE: June 24, 2026
SUBJECT: Approve Amendment No. 1, Project MZ-0081, Stingray Touch Pool
Experience and Exhibit, Holland Basham Architects.
Background: On September 24th, 2025, the Trust approved an agreement with Holland
Basham Architects for a design and all other architectural services related to
design an interactive exhibit including a touch pool and associated life
support system facility, including partial demolition of the existing concrete
grotto structure providing an area of approximately 8,150 square feet next to
the existing lake at the Oklahoma City Zoo and Botanical Garden.
The original scope of work included a partially enclosed exhibit space,
however, it has been determined to be in the best interest to fully enclose the
exhibit as well as a design of a more complex LSS system.
Original Contract: Not to exceed $285,000 for architectural services.
Amendment No. 1: Not to exceed $100,000 for architectural services.
Amended Contract: Not to exceed $385,000 for all services.
Recommendation: Approve Amendment.
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AMENDMENT NO. 1 TO CONTRACT FOR ARCHITECTURAL SERVICES
This amendment is made and entered into by and between the Oklahoma City Zoological
Trust, a municipal trust, herein called “Trust”, and Holland Basham Architects, herein called
"Architect".
WITNESSETH:
WHEREAS, the Trust and the Architect entered into an agreement on September 24, 2025
as follows:
Project No. MZ-0081
Stingray Touch Pool Experience and Exhibit; and
WHEREAS, the Trust engaged the Architect to provide for design and all other architectural
services related to design an interactive exhibit including a touch pool and associated Life Support
System (LSS) facility, including partial demolition of the existing concrete grotto structure providing
an area of approximately 8,150 square feet next to the existing lake at the Oklahoma City Zoo and
Botanical Garden ("project"); and
WHEREAS, the original scope of work included a partially enclosed exhibit space, however,
it has been determined to be in the best interest of the Trust to fully enclose the exhibit; and
WHEREAS, the Architect will also provide additional design of a more complex LSS
system, and a quarantine pool with a dedicated LSS system; and
WHEREAS, the estimated construction cost is $5,000,000; and
WHEREAS, the total compensation to be paid to the Architect for this Contract and
Amendment shall be as follows:
For the original contract:
Not to exceed $285,000 for architectural services
For Amendment No. 1:
Not to exceed $100,000 for architectural services
Total Amended Contract:
Not to exceed $385,000 for all services (an increase of $100,000); and
WHEREAS, both parties agree to amend said contract.
NOW, THEREFORE, the parties agree as follows:
TS 10/22/18
Architectural Services Contract Amendment Page 1
Page 13 of 84
I. Amend Paragraph 2. Architectural Services. to read as follows:
Architectural Services. The Architect is hereby engaged and employed by the Trust to
perform in accordance with good architectural practices and in the best interest of the Trust
in accordance with the professional standard of care all of the work as set out herein
(including Amendment No. 1 work related to preparation of the Preliminary Report, Final
Plans and Specifications, Bidding, Construction Administration, and As-Built Services for
the project); including Exhibit A, and including but not limited to the following:
II. Amend Paragraph 5. Compensation to read as follows:
Compensation. The aggregate total compensation for all architectural services under this
Contract shall not exceed a total fee of $385,000 (an increase of $100,000), which includes:
for Basic Services an amount not to exceed $355,000 (an increase of $100,000), and for
Reimbursable Expenses an amount not to exceed $22,000, as specifically set forth in Exhibit
B, attached hereto and incorporated herein; and for Additional Services, as set forth in Exhibit
B-1, an amount not to exceed $8,000.
V. Amend EXHIBIT A – SCOPE OF WORK by addition of the following “Exhibit A –
Scope of Work (added by Amendment No. 1)”:
Exhibit A – Scope of Work
(Added by Amendment No. 1)
Task 2 - Through program verification and scope definition with the Zoo, the project has grown in
scope and complexity to include a fully enclosed exhibit space, more complex LSS system, and the
addition of a quarantine pool with dedicated LSS system.
Task 3 - To be completed in accordance with the Basic Services portion of the contract.
Task 4 - To be completed in accordance with the Basic Services portion of the contract.
Task 5 - To be completed in accordance with the Basic Services portion of the contract.
VI. Amend EXHIBIT B – COMPENSATION to read as follows:
EXHIBIT B
COMPENSATION
PROJECT NO. MZ-0081
STINGRAY TOUCH POOL EXPERIENCE AND EXHIBIT
Under the terms of this Contract, the Architect agrees to perform the work and services described in
this Contract. The Trust agrees, in accordance with the limitations and conditions set forth in the
Contract, to pay an amount not to exceed $385,000 (an increase of $100,000), which includes: for
Basic Services an amount not to exceed $355,000 (an increase of $100,000), and for Reimbursable
TS 10/22/18
Architectural Services Contract Amendment Page 2
Page 14 of 84
Expenses, an amount not to exceed $22,000, as specifically set forth in this Exhibit B; and for
Additional Services, as set forth in Exhibit B-1, an amount not to exceed $8,000.
B.I. Basic Work and Services
Compensation for basic services may not exceed $355,000 (an increase of $100,000), and in no
event may the Architect receive compensation in excess of the amount listed for each task for
performance of its basic services.
The Architect may receive up to the following amounts of the not to exceed amounts for services
rendered upon the completion of the following tasks. Partial payments of the not to exceed amounts
for each task may be invoiced for incremental work completed. Not to exceed amounts below are
accumulative for successive tasks.
Task 1A an amount not to exceed:
$30,600 Completion and recommendation by the
Executive Director for approval by the Trust of
the conceptual design report for the project.
Task 1B an amount not to exceed:
$43,350 Completion and recommendation by the
Executive Director for approval by the Trust of
the preliminary report for the project.
Task 2 an additional amount not to exceed:
$213,740 (an increase of $76,040) Completion and acceptance by the Trust of the
final plans and specifications for the project.
Task 3 an additional amount not to exceed:
$3,840 (an increase of $1,290) Award of the construction contract to the
successful Bidder.
Task 4 an additional amount not to exceed:
$55,500 (an increase of $19,800) Upon completion and final acceptance by the
Trust of the completed project. Said amount is
to be paid proportionately to the level of
completion of project construction. The
proportionate amount is to be consistent with
the Construction Contractor’s percentage of
completion.
Task 5 an additional amount not to exceed:
$7,970 (an increase of $2,870) Upon satisfactory completion and acceptance of
the as-built drawings.
TS 10/22/18
Architectural Services Contract Amendment Page 3
Page 15 of 84
B.II. Reimbursable Expenses
The City agrees to pay reimbursable expenses in an amount not to exceed $22,000. Reimbursable
expenses are in addition to the compensation for professional services and include actual
expenditures made by Architect in the interest of the project, with the prior approval of the Executive
Director, and include the following:
1. Expenses for Travel and car rental, lodging and per diem.
Reimbursable expenses are limited to the actual cost for expenditures and shall not include any
anticipated profits, overhead expenses, salaries and/or such other costs.
[Remainder of this page intentionally left blank]
TS 10/22/18
Architectural Services Contract Amendment Page 4
Page 16 of 84
Page 17 of 84
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 9/23/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER
NAME: Deanne Beltz-Sund
FNIC PHONE FAX
P.O. Box 45279 (A/C, No, Ext): 402-861-7000 (A/C, No):
E-MAIL
Omaha NE 68145-0279 ADDRESS: deanne.beltz@fnicgroup.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : XL Specialty Insurance Co 37885
HOLLBAS-01
INSURED INSURER B : The Phoenix Insurance Co 25623
Holland Basham Architects, Inc.
INSURER C : The Standard Fire Insurance Co. 19070
119 So. 49th Ave.
Omaha NE 68132 INSURER D : Travelers Property Casualty of America 25674
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1514853364 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
B X COMMERCIAL GENERAL LIABILITY Y Y 6805Y09941A 6/27/2025 6/27/2026 EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 1,000,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY X JECT
PRO-
LOC PRODUCTS - COMP/OP AGG $ 2,000,000
OTHER: $
C Y Y COMBINED SINGLE LIMIT $ 1,000,000
AUTOMOBILE LIABILITY BA5Y108317 6/27/2025 6/27/2026 (Ea accident)
X ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
D X UMBRELLA LIAB X OCCUR Y Y CUP5Y12825A 6/27/2025 6/27/2026 EACH OCCURRENCE $ 6,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 6,000,000
X RETENTION $ $
DED 10,000
PER OTH-
D WORKERS COMPENSATION Y UBB5496275 6/27/2025 6/27/2026 X STATUTE ER
AND EMPLOYERS' LIABILITY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE
N E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
A Architects/Engineers Y DPR5037945 12/22/2024 12/22/2025 Each Claim $5,000,000
Professional Liability Aggregate $5,000,000
Incl. Pollution Legal Liab.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Oklahoma City and any of it public trusts participating in this project are additional insured for general liability, automobile liability and umbrella
liability, if required by written contract executed prior to loss. Waiver of Subrogation for general liability, automobile liability, umbrella liability, Professional liability
and workers compensation applies to The City of Oklahoma City and any of it public trusts participating in this project, if required by written contract executed
prior to loss.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
The City of Oklahoma City
And its Participating Trusts
420 W. Main St., Suite 700 AUTHORIZED REPRESENTATIVE
Oklahoma City OK 73102
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 18 of 84
TO: Chair and Trustees of the Oklahoma City Zoological Trust
FROM: Dwight Lawson, Executive Director/CEO
DATE: June 24, 2026
SUBJECT: Resolution waiving competitive bidding and authorizing the open market
purchase and/or lease of light design, installation and production services for
the Oklahoma City Zoo and Botanical Garden’s Safari Lights, estimated cost
$250,000.00, June 24, 2026 through June 23, 2027.
Background: An immediate need to purchase light design, installation and production
services to support the Zoo’s Safari Lights annual program has presented itself
and the Zoo’s Purchasing Policies and Procedures allow for Open Market
Purchases to be made with Zoo Trust action by form of resolution when the
purchase exceeds $100,000.
Zoo staff requests the Zoo Trust waive competitive bidding and authorize the
open market purchase and/or lease of light design, installation and
production services for the Oklahoma City Zoo and Botanical Garden’s Safari
Lights.
Recommendation: Resolution be adopted.
Page 19 of 84
RESOLUTION
RESOLUTION WAIVING COMPETITIVE BIDDING AND
AUTHORIZING THE OPEN MARKET PURCHASE AND/OR LEASE
OF LIGHT DESIGN, INSTALLATION AND PRODUCTION
SERVICES FOR THE OKLAHOMA CITY ZOO AND BOTANICAL
GARDEN’S SAFARI LIGHTS, ESTIMATED COST $250,000.00, JUNE
24, 2026 THROUGH JUNE 23, 2027.
WHEREAS, the Oklahoma City Zoo and Botanical Garden (“Zoo”) has a need to
purchase and/or lease light design, installation and production services to support the Zoo’s
SAFARI LIGHTS annual program; and
WHEREAS, the Zoo has a continuing need for these services as a supplement to the
Zoo’s current Services Provider for SAFARI LIGHTS; and
WHEREAS, the Zoo’s Purchasing Policies and Procedures allow Open Market
Purchases to be made with Zoo Trust action by form of resolution when the purchase exceeds
$100,000; and
WHEREAS, the Zoo has an immediate need to find a supplemental Services Provider
that can provide light design, installation and production services, and believes following the
Zoo’s Open Market Procedures will ensure the best price is received; and
WHEREAS, staff will bring agreements to the Zoo Trust for approval if purchases
resulting from the Open Market process exceed $100,000; and
WHEREAS, staff requests the Zoo Trust waive competitive bidding and authorize the
open market purchase and/or lease of light design, installation and production services for
the Oklahoma City Zoo and Botanical Garden’s SAFARI LIGHTS, estimated cost $250,000,
June 24, 2026 through June 23, 2027.
NOW, THEREFORE, BE IT RESOLVED that the Trustees of the Oklahoma City
Zoological Trust waive competitive bidding and authorize the open market purchase and/or lease
Page 20 of 84
of light design, installation and production services for the Oklahoma City Zoo and Botanical
Garden’s SAFARI LIGHTS, estimated cost $250,000.00, June 24, 2026 through June 23, 2027.
ADOPTED by the Trustees of the Oklahoma City Zoological Trust and signed by its Chairperson
this day of , 2026.
ATTEST:
By:
Trust Secretary Chairperson
REVIEWED for form and legality.
Assistant Municipal Counselor
Page 21 of 84
TO: Chair and Trustees of the Oklahoma City Zoological Trust
FROM: Dwight Lawson, Executive Director/CEO
DATE: June 24, 2026
SUBJECT: Adopt a resolution ratifying and approving an Administrative Services
Agreement and an Excess Loss Insurance Placement Addendum with
Healthcare Solutions Group, Inc. A 90 Degree Benefits Company, and
Utilization Management Agreement and Business Associate Agreement
with Medical Care Analysts, Inc., estimated cost $143,578.80, effective July
1, 2026.
Background: The Oklahoma City Zoo Trust’s employee benefits broker has reviewed
the available health plan administration options and recommended
entering into an Administrative Services Agreement and Excess Loss
Insurance Placement Addendum with Healthcare Solutions Group, Inc., a
90 Degree Benefits Company, and a Utilization Management Agreement
and Business Associate Agreement with Medical Care Analysts, Inc., based
on projected administrative cost savings, enhanced transparency in
pharmacy claims administration, and the opportunity to realize additional
savings through pharmacy rebate programs. The Administrative Services
Agreement, Excess Loss Insurance Placement Addendum, Utilization
Management Agreement, and Business Associate Agreement are each
effective July 1, 2026, for an initial term of twelve (12) months and shall
automatically renew for successive renewal terms unless modified,
amended, or terminated by either party in accordance with the applicable
agreement's notice provisions.
Staff is requesting the Trust ratify and approve an Administrative Services
Agreement and an Excess Loss Insurance Placement Addendum with
Healthcare Solutions Group, Inc. a 90 Degree Benefits Company, and
Utilization Management Agreement and Business Associate Agreement
with Medical Care Analysts, Inc., estimated cost $143,578.80 effective July
1, 2026.
Recommendation: Resolution be adopted.
Page 22 of 84
RESOLUTION
RESOLUTION RATIFYING AND APPROVING AN
ADMINISTRATIVE SERVICES AGREEMENT AND AN EXCESS
LOSS INSURANCE PLACEMENT ADDENDUM WITH
HEALTHCARE SOLUTIONS GROUP, INC., A 90 DEGREE BENEFITS
COMPANY, AND UTILIZATION MANAGEMENT AGREEMENT
AND BUSINESS ASSOCIATE AGREEMENT WITH MEDICAL CARE
ANALYSTS, INC., ESTIMATED COST $143,578.80, EFFECTIVE JULY
1, 2026.
WHEREAS, on October 23, 2024, the Oklahoma City Zoological Trust (OCZT)
adopted a resolution to receive recommendations from the OCZT benefits broker for matters
related to the Oklahoma City Zoo and Botanical Garden employee health plan options; and
WHEREAS, the OCZT's employee benefits broker has reviewed the available health
plan administration options and recommended entering into an Administrative Services
Agreement and Excess Loss Insurance Placement Addendum with Healthcare Solutions
Group, Inc., a 90 Degree Benefits Company, and a Utilization Management Agreement and
Business Associate Agreement with Medical Care Analysts, Inc., based on projected
administrative cost savings, enhanced transparency in pharmacy claims administration, and the
opportunity to realize additional savings through pharmacy rebate programs; and
WHEREAS, the Administrative Services Agreement, Excess Loss Insurance
Placement Addendum, Utilization Management Agreement, and Business Associate
Agreement are each effective July 1, 2026, for an initial term of twelve (12) months and shall
automatically renew for successive renewal terms unless modified, amended, or terminated by
either party in accordance with the applicable agreement's notice provisions; and
WHEREAS, the resolution authorizes the Zoo’s Executive Director/CEO to act upon
health plan recommendations in the amount not to exceed $100,000; and
WHEREAS, the agreements presented for OCZT approval exceed $100,000; and
Page 23 of 84
WHEREAS, according to the Purchasing Policies and Procedures, any purchase over
$100,000 must be forwarded to the OCZT for approval.
NOW, THEREFORE, BE IT RESOLVED that the Trustees of the Oklahoma City
Zoological Trust ratify and approve an Administrative Services Agreement and an Excess Loss
Insurance Placement Addendum with Healthcare Solutions Group, Inc., a 90 Degree Benefits
Company, and Utilization Management Agreement and Business Associate Agreement with
Medical Care Analysts, Inc., estimated cost $143,578.80 effective July 1, 2026.
Page 24 of 84
ADOPTED by the Trustees of the Oklahoma City Zoological Trust and signed by its Chairperson
this day of , 2026.
ATTEST:
By:
Trust Secretary Chairperson
REVIEWED for form and legality.
Assistant Municipal Counselor
Page 25 of 84
ADMINISTRATIVE SERVICES AGREEMENT
This Administrative Services Agreement and accompanying exhibits and appendices which are attached hereto and
incorporated herein (collectively referred to as the “Agreement”) is made and entered into this 1st day of July, 2026
(the “Effective Date”), by and between Oklahoma City Zoological Trust a public trust organized and existing under
the laws of the state of Oklahoma with its principal place of business at 2000 Remington Place, Oklahoma City, OK
73111 (hereinafter referred to as the “Plan Sponsor”) and HealthCare Solutions Group, Inc. a 90 Degree Benefits
Company, a corporation duly organized and existing under the laws of the state of Oklahoma with its principal place
of business at 325 N. Main St; Muskogee, OK 74401 (hereinafter referred to as the “Plan Supervisor”).
WHEREAS, it is agreed that this Agreement will automatically renew each year unless modified, amended or
terminated herein as outlined hereafter;
WHEREAS, the Plan Sponsor is a public trust that sponsors a self-funded employee welfare benefit plan (the “Plan”),
as amended;
WHEREAS, the Plan Sponsor desires to make available a program of health care benefits under the Plan and fund
said Plan from the general assets of the employer or from a separate trust, funded through salary reductions and/or
other plan or employer assets;
WHEREAS, the Plan Sponsor wishes to contract with an independent third party to perform certain services with
respect to the Plan as enumerated below;
WHEREAS, the Plan Supervisor desires to contract with the Plan Sponsor to perform certain services with respect to
the Plan as enumerated below;
WHEREAS, the parties intend that the Plan Supervisor shall not be deemed a “fiduciary” of the Plan within the
meaning of ERISA and Plan Supervisor shall have no discretionary authority or final determinative capability with
regard to benefit determinations; and
THEREFORE, in consideration of the premises and mutual covenants contained herein, the Plan Sponsor and the Plan
Supervisor enter into this Agreement for administrative services for the Plan.
1
Page 26 of 84
ARTICLE I. DEFINITIONS
For purposes of this Agreement, the following words and phrases have the meanings set forth below, unless the context
clearly indicates otherwise and wherever appropriate, the singular includes the plural and the plural includes the
singular.
1.1 Adjudicate means, with respect to all claims submitted to the Plan, process (electronically or manually) and
pay, deny or pend for additional information.
1.2 Claim means a request by a Claimant for payment or reimbursement for Covered Services from the Plan.
1.3 Claimant means any person or entity submitting expenses for payment or reimbursement from the Plan.
1.4 Claims Payment Account means an account established by and owned by the Plan Sponsor for payment or
reimbursement for Covered Services, which Account shall be an asset of the Plan Sponsor.
1.5 Claims Runout means Claims that are incurred but unreported and/or unpaid as of the effective date of
termination of this Agreement.
1.6 COBRA means the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended.
1.7 Covered Services means the care, treatments, services, supplies, or amounts described in the Plan Document
as eligible for payment or reimbursement from the Plan.
1.8 Employer means Plan Sponsor (unless otherwise stated), and any successor organization, subsidiary, or
affiliate of such Employer that assumes the obligations of the Employer, the Plan, and this Agreement.
1.9 ERISA means the Employee Retirement Income Security Act of 1974, as amended.
1.10 Health Care Providers means physicians, dentists, hospitals, or other medical practitioners or medical care
facilities that are duly licensed and authorized to receive payment or reimbursement for Covered Services
provided under the terms of the Plan.
1.11 Paid Claims means claims for benefits solely funded by the Plan Sponsor and submitted for processing to the
Plan Supervisor and for which payment has been issued to the Claimant or assignee.
1.12 Plan means the self-funded employee welfare benefit plan, which is the subject of this Agreement and which
the Plan Sponsor has established and maintains pursuant to the applicable Plan Document.
1.13 Plan Administrator means the person or organization responsible for the functions and management of the
Plan. The Plan Administrator may employ persons or firms to process claims and perform other Plan-
connected services. If a Plan Administrator is not appointed in the Plan Document, then the Plan
Administrator is the Plan Sponsor.
1.14 Plan Document means the instrument or instruments that set forth and govern the duties of the Plan Sponsor
and eligibility and benefit provisions of the Plan which provide for the payment or reimbursement of Covered
Services, as may be amended from time to time. The term Plan Document includes the Summary Plan
Description, unless explicitly stated otherwise.. In the event of any conflict or inconsistency between the
Summary Plan Description and the Plan Document, the terms of the Plan Document will control, when
permitted by law.
1.15 Plan Participant is any employee of Employer eligible for enrollment, and his or her covered dependents,
who are properly enrolled in and entitled to benefits from the Plan. Persons eligible for enrollment are those
who meet the Plan's eligibility requirements.
2
Page 27 of 84
1.16 Plan Sponsor means the organization, person, or entity identified as the Plan Sponsor in the introduction to
this Agreement. This term also includes the Plan Sponsor’s designee, unless otherwise indicated.
1.17 Plan Year means the period of time specified as such in the Plan Document.
1.18 Utilization Management means the review and evaluation of medical necessity and appropriateness of the
use of health care services, procedures or facilities utilized by a Covered Person under the terms of the Plan,
as well as any other services that a vendor of Utilization Management services defines as falling within the
scope of this term, upon and after execution of an agreement between the Plan and such Utilization
Management vendor.
3
Page 28 of 84
ARTICLE II. PURPOSE OF AGREEMENT AND RELATIONSHIP OF PARTIES
2.1 The purpose of this Agreement is to state the terms and conditions by which the Plan Supervisor will provide
administrative services to the Plan Sponsor as it relates to administration of the Plan(s).
2.2 The parties acknowledge that:
(a) This is a contract for administrative services only as specifically set forth herein.
(b) The Plan Supervisor shall not be obligated to disburse more in payment under this Agreement than the
Plan Sponsor shall have made available in the Claims Payment Account.
(c) This Agreement shall not be deemed to be a contract of insurance under any laws or regulations. The
Plan Supervisor does not insure, guarantee or underwrite liability. The Plan Supervisor has no
responsibility, and the Plan Sponsor has total responsibility, for payment of claims arising under the Plan
and all expenses incidental to the Plan.
(d) The Plan Sponsor acknowledges and agrees that the Plan Supervisor will not be deemed to be a legal or
tax advisor as a result of the performance of any of its duties under this Agreement, including but not
limited to claims processing, COBRA or HIPAA administration, or payment or calculation of any
applicable taxes, fees, or other assessments, or compliance with any state or federal laws including but
not limited to ERISA, the Consolidated Appropriations Act, No Surprises Act, and Mental Health Parity
and Addiction Equity Act. Under this Agreement, Plan Supervisor may perform actions that promote
Plan Sponsor’s compliance with certain laws; in such instance, Plan Sponsor remains legally responsible
for compliance, while Plan Supervisor remains contractually responsible for performing the duties
explicitly written within this Agreement. The Plan Supervisor makes no representation concerning the
content or application of federal, state, or local laws, rules or regulations applicable to the Plan. The Plan
Sponsor must seek its own counsel for legal advice and guidance.
(e) Except as specifically set forth herein, this Agreement shall inure to the benefit of and be binding upon
the parties hereto and their respective legal representatives and successors; provided, however, neither
party may assign this Agreement or any or all of its rights or obligations hereunder (except by operation
of law) without the prior written consent of the other, which consent may not be unreasonably withheld.
(f) The work to be performed by the Plan Supervisor under this Agreement may, at its discretion, be
performed directly by it or wholly or in part through a subsidiary or affiliate of the Plan Supervisor or
under an agreement with an organization, agent, advisor, or other person of its choosing. Unless the
Plan Sponsor objects to the entity chosen, the Plan Supervisor may delegate certain portions of its work
under this Agreement to any other entity. The Plan Sponsor retains final authority to decide whether said
organization, agent, advisor, or other person may be retained or utilized.
(g) The Plan Supervisor represents that it is duly licensed as a Plan Supervisor to the extent required under
applicable law and agrees to maintain such licensure at all times while this Agreement is in effect.
(h) The Plan Supervisor will possess, at all times while this Agreement is in effect, an in-force fidelity bond
or other insurance as may be required by state and federal laws for the protection of its clients.
(i) The Plan Supervisor agrees to comply with any applicable state or federal statutes or regulations
regarding its operations.
4
Page 29 of 84
ARTICLE III. RESPONSIBILITIES OF THE PLAN SUPERVISOR
The Plan Supervisor will provide the following administrative services for the Plan on behalf of the Plan Sponsor:
3.1 Administer the enrollment of eligible individuals and termination of Plan Participants as directed by the Plan
Sponsor, subject to the provisions of this Agreement.
3.2 Maintain Plan records based on eligibility information submitted by the Plan Sponsor as to the dates on which a
Plan Participant’s coverage commences and terminates.
3.3 Maintain Plan records of Plan coverage applicable to each Plan Participant based on information submitted by
the Plan Sponsor.
3.4 Maintain Plan records regarding payments of Claims, denials of Claims, and Claims pending.
3.5 Adjudicate Claims incurred by Plan Participants according to the terms of the Plan Document and this
Agreement. These Claims will be adjudicated in accordance with accepted industry practices and the Plan
Supervisor will use an industry-recognized method of determining usual, customary, and reasonable charges, if
and as applicable.
3.6 Process with due diligence and according to the terms and conditions of the Plan Document all Claims, requests,
information, and other responsibilities consistent with this Agreement as outlined herein, including COBRA and
HIPAA administration, as outlined in Exhibit VIII.
3.7 Unless otherwise stated, adjudicate Claims incurred by Plan Participants according to the terms of the Plan
Document as construed by the Plan Sponsor or Plan Administrator. The Plan Supervisor shall adhere to the
administrative guidelines and standard provisions as set forth in the Plan Document and as established by the
Plan Sponsor, unless instructed differently by the Plan Sponsor. Any such instructions given by the Plan Sponsor
must be communicated to the Plan Supervisor in writing.
3.8 Unless otherwise stated, claims will be adjudicated in accordance with agreed-upon parameters, set forth within
the terms of the applicable Plan Document, including – if applicable – the determination of usual, customary,
and reasonable charges.
3.9 The Plan Supervisor reserves the right to charge an additional administration fee for adjudicating Plan provisions
requiring special claims handling or considerable manual intervention, by mutual agreement of both Parties in
writing. The Plan Supervisor reserves the right to acknowledge or decide, as set forth above, the validity of a
Claim or the need for additional information within any time period specified by applicable laws or agreements.
If additional information is needed, the Plan Supervisor will send through the U.S. Mail to the appropriate
persons (with a copy to the Plan Participant) an Explanation of Benefits denying the claim pending receipt of
requested information. The fact that a written request for additional information has been made will be shown
on the Explanation of Benefits form. When all necessary documents and Claim form information have been
received, and if the Claim has been approved, a Claim check or draft shall be remitted on the next dispersal date
after funding by the Plan Sponsor and Plan Participants shall be notified in writing through the U. S. Mail of
ineligible Claims received, indicating the specific Plan provisions attributable to the declination of the Claims
pursuant to the written Claims review and appeal procedure in the Plan.
3.10 The Plan Supervisor reserves the right to increase the fees outlined within this Agreement in the event that the
Plan Sponsor materially alters the Plan Document during the term of this Agreement. A material alteration is
one that amends the Plan Document in such a way that it requires the Plan Supervisor to expend additional
resources to properly perform its functions under this Agreement. Such increased fee must be agreed upon in
writing by both parties; either party reserves the right to terminate this Agreement in accordance with Article
VII if the parties cannot agree on an increased fee.
5
Page 30 of 84
3.11 Provide third-party recovery services, including subrogation and reimbursement, as described within the Plan
Document. The Plan Supervisor shall perform the necessary services with respect to obtaining recoveries,
including, but not limited to, identifying claims, sending questionnaires, providing and receiving documentation,
as applicable. The Plan Supervisor has the discretion to utilize the services of a third party in connection with
such matters. Plan Sponsor acknowledges that waiver or reduction of a recovery may be necessary as a result of
the particular facts or law applicable to the recovery. The Plan Supervisor shall refer requests for negotiation or
waiver of a claim to the Plan Sponsor for final determination. The Plan Supervisor reserves the right to retain a
nominal percentage of the net recovery to the Plan Sponsor to compensate the Plan Supervisor for increased
administrative fees associated with ensuring recoveries.
3.12 Expedite Claim Review and Resolution. Unless otherwise stated, the Plan Supervisor will refer any doubtful or
disputed claims to the Plan Sponsor for a final decision. In the event that the Plan Supervisor makes an initial
determination that a claim is not eligible for payment under the Plan, and the claimant (or authorized
representative or beneficiary) requests a review of such determination, the Plan Supervisor shall refer such
request to the Plan Sponsor together with the relevant records in the possession of the Plan Supervisor. The Plan
Sponsor shall then make a full and fair review of the claim denial as required by law and shall notify the claimant
in writing of its decision on review in accordance with the time limits and other requirements of applicable law.
The Plan Sponsor acknowledges that the Plan Supervisor does not represent or warrant that all determinations
made by the Plan Supervisor will be accurate, and the Plan Sponsor expressly reserves for itself the ultimate
authority as to claims determinations.
3.13 Notify the Plan Participant if any benefits are denied for services submitted on a Claim form. After receiving a
notice of denial, a Plan Participant may appeal to the Plan Supervisor in accordance with the provisions of the
Plan Document. The Plan Participant may also ask the Plan Supervisor to provide the Plan Participant with any
records that would aid the Plan Participant in an appeal. The Plan Supervisor will review the denial in accordance
with the terms of the Plan Document and render a decision. Should the Plan Participant further appeal a decision
via an appeal to the Plan Sponsor, the Plan Supervisor shall assist the Plan Sponsor by providing to the Plan
Sponsor the information necessary properly conduct its review.
3.14 In processing Claims in accordance with the Plan Document, the Plan Supervisor shall provide notice in writing
when a Claim for benefits has been denied, setting forth the reasons for the denial, the right to a full and fair
review of the denial under the terms of the Plan Document and applicable law, and otherwise satisfying
applicable regulatory requirements governing notice of a denied Claim.
3.15 Process, issue, and distribute Claims checks or drafts that the Plan Supervisor determines may be due in
accordance with the terms of the Plan Document to Plan Participants, Health Care Providers, or others as may
be applicable.
3.16 In the event that the Plan Supervisor pays a Claim in good faith but in error, the Plan Supervisor shall make good
faith attempts to recover any overpayments. If the Plan Supervisor is unable to recover the overpayment, the
claim may be referred to a collection agency or other organization at the request and expense of the Plan Sponsor.
In no event may the Plan Sponsor hold the Plan Supervisor liable for reimbursement of overpayments made in
error but in good faith by the Plan Supervisor, unless specified elsewhere in this Agreement.
3.17 Unless otherwise stated, investigate claims when appropriate. This includes, but is not limited to, referring claims
to professional consultants at the expense of the Plan. In addition, the Plan Supervisor may obtain, to the extent
permitted by law, from any provider or from hospitals in which a provider’s care is provided, such information
and records relating to a Plan Participant as the Plan Supervisor may require to properly adjudicate a Claim. The
Plan Sponsor or its designee shall have the final authority to authorize or disallow benefit payments.
3.18 In accordance with the terms of the Plan Document, coordinate benefit coverage when benefits are being
provided under two (2) or more group benefit plans or group health care programs as described in the Plan
Document.
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3.19 Execute the Plan’s responsibility, on the Plan’s behalf, to return funds to the excess loss carrier if and when
reimbursement of funds is received by Plan Supervisor and/or the Plan, via subrogation, reimbursement, or other
claims recovery; after the excess loss carrier has reimbursed the Plan and in accordance with agreement(s)
between the Plan and the approved excess loss carrier, if applicable.
3.20 Load eligibility data within three (3) business days of receipt. The Plan Supervisor will accept emergency
additions and/or terminations from the Plan Sponsor on an as-needed basis. The Plan Supervisor shall not pay
claims for any person unless included in the eligibility data received from Plan Sponsor or as advised by the Plan
Sponsor. If applicable, all payments for services performed by a Preferred Provider Organization will be made
directly to the provider. With regard to services performed by an out-of-Network provider, as defined in the
applicable Policy or network agreement, when filing proof of loss, the Plan Participant may request in writing
that the payment be made to the provider pursuant to an assignment of benefits. In the event there is not an
assignment of benefits, all other payments shall be payable to the Plan Participant, or to the estate, except that if
the person is a minor or otherwise not competent to give a valid release, payment may be made payable to his
parent, guardian or other person as specified by a valid court order.
3.21 Document claim payments made to providers and submit the required applicable tax form for the purpose of
reporting to the Internal Revenue Service.
3.22 Furnish to any provider or any Plan Participant, on request, a Claim form to make a claim for payment for
services under the Plan.
3.23 If applicable, apply for, on behalf of the Plan Sponsor, a Health Plan Identifier, as defined and regulated by the
Centers of Medicare and Medicaid Services (CMS).
3.24 When applicable, utilize the Health Plan Identifier assigned to the Plan Sponsor in standard transactions,
including any required by applicable federal law or regulations.
3.25 The Plan Supervisor will notify the Plan Sponsor of the amount required to be prospectively deposited to the
Claims Payment Account to pay the Claims liability as these Claims are paid weekly. The Plan Supervisor will
notify the Plan Sponsor of the amount required to be prospectively deposited to the Claims Payment Account to
pay the Claims liability as these Claims occur as outlined above.
3.26 Respond to Claims inquiries by a Plan Participant, the estate of a Plan Participant, an authorized member of a
Plan Participant’s family unit, or an authorized Health Care Provider in accordance with the requirements of
Article IX and the Business Associate Agreement that is incorporated herein as Appendix D.
3.27 Maintain all patient information and other protected or individually identifiable health or health care information
in the strictest confidence in accordance with applicable state and federal laws and any and all regulations issued
thereunder, and in accordance with Article IX and the Business Associate Agreement that is incorporated herein
as Appendix D.
3.28 If applicable, capture and provide data for IRS Form 5500 filings to the Plan Sponsor.
3.29 Provide a standard set of reports detailing Claims processing for the previous month, Such reports will be
provided to the Plan Sponsor within ten days following the end of the previous month. Any additional reports
not part of the standard reports furnished by the Plan Supervisor must be mutually agreed on by the Plan Sponsor
and the Plan Supervisor, as described in Exhibit III.
3.30 The Plan Supervisor shall issue identification cards to each individual who enrolls in the Plan, unless otherwise
agreed upon by the Plan Supervisor and the Plan Sponsor.
3.31 Utilization Management Services. As outlined in Exhibit IV, the Plan Supervisor will provide Utilization
Management services for the Plan, including pre-certification of hospital stays, concurrent review of hospital
stays, discharge planning or retrospective reviews, hospital bill audits, large case management, and any other
managed care programs as agreed to between the Plan Sponsor and the Plan Supervisor.
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3.32 Maintain a Claim file on every Claim reported to it by Plan Participants. Such files and all Plan-related
information shall be made available to the Plan Sponsor for consultation, review, and audit upon reasonable
notice and request, during regular business hours on business days and at the office of the Plan Supervisor. Any
such audit will be at the sole expense of the Plan Sponsor.
3.33 Upon termination of this Agreement, all Claim files, reports, magnetic tapes, and Plan-related documentation
will be remitted to the Plan Sponsor. Until that time, such records will be maintained at the principal
administrative office of the Plan Supervisor or its secure storage facilities for at least seven (7) years following
the termination of a Plan Year. At the end of the seven (7) year period or termination of this Agreement, if earlier,
the Plan Supervisor shall notify the Plan Sponsor that these records will be destroyed unless the Plan Sponsor
requests, in writing, that all or some of the records be forwarded to the Plan Sponsor.
3.34 The Plan Supervisor will review information supplied on a disability claim form, or similar statement, from a
Health Care Provider. If a determination is made that the disability is the result of, or compensable under any
applicable worker’s compensation law(s), the claim will be referred to the Plan Sponsor for action as a worker’s
compensation claim and treated accordingly. If a determination is made that the disability is a result of, or due
to, third party liability, or is the responsibility of another payor, the Plan Supervisor will consult the Plan
regarding coordination of benefits, reimbursement, and/or subrogation, in accordance with the terms of the
applicable Plan Document and this Agreement. The Plan Supervisor shall promptly adjust and settle such claims
in accordance with accepted industry standards and shall notify the claimant of the disposition of the claim within
the time period required by law. The Plan Supervisor will request periodic updates from the physician as the
condition mandates.
3.35 Refer any doubtful or disputed Claims to the Plan Sponsor for a final decision.
3.36 Summary of Benefits and Coverage (SBC) preparation. In accordance with PPACA, the Plan Sponsor is required
to provide Plan Participants with a Summary of Benefits and Coverage. The Plan Sponsor may elect to have the
Plan Supervisor provide SBC preparation services. The SBC will be drafted in accordance with the PPACA-
mandated form and regulations. If SBC preparation is elected, the Plan Supervisor requires notice of any Plan
changes (90) days prior to the applicable plan year.
3.37 External Review and Independent Review Organizations (IROs). The Plan Supervisor has contracted with three
(3) Utilization Review Accreditation Commission (“URAC”) accredited IROs. The cost of the IRO review will
be the responsibility of the Plan Sponsor.
3.38 Facilitate Consolidated Appropriations Act and No Surprises Act compliance. The Plan Supervisor shall:
(a) Make available information regarding in-network provider rates for covered items and services, out-of-
network allowed amounts and billed charges for covered items and services, and negotiated rates and
historical net prices for covered prescription drugs in three separate machine-readable files;
(b) Maintain and distribute current network provider directories, and establish procedures to verify and
correct information and to respond to Plan Participant and provider inquiries;
(c) Provide information to Plan Participants regarding continuity of care, as applicable;
(d) Provide telephone and website price comparison guidance;
(e) Provide website disclosures of (1) limitations on cost-sharing with respect to “surprise bills”; (2) any
other requirements on non-network providers regarding the amounts the provider may charge a Plan
Participant after receiving payment from the Plan, and any applicable cost sharing payment; (3) the
requirements of the portion of the law relating to surprise billing; and (4) and information on contacting
appropriate state and federal agencies in the case that a Plan Participants believes that the provider has
inappropriately balance billed the Plan Participants in violation of law;
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(f) Facilitate and manage an applicable open negotiation period between the Plan and a provider, subject to
the Plan Sponsor’s direction regarding negotiated settlements; and
(g) Facilitate and manage an applicable Independent Dispute Resolution process, if validly requested for a
given disputed claim.
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ARTICLE IV. RESPONSIBILITIES OF THE PLAN SPONSOR
The Plan Sponsor will:
4.1 Maintain current and accurate Plan eligibility and coverage records, verify Plan Participant eligibility, and
submit this information every in a timely manner to the Plan Supervisor. This information shall be provided
in a format reasonably acceptable to the Plan Supervisor and include the following for each Plan Participant:
name, address, Social Security number, date of birth, type of coverage, sex, relationship to employee, changes
in coverage, date coverage begins or ends, and any other information necessary to determine eligibility and
coverage levels under the Plan. The Plan Sponsor assumes the responsibility for the erroneous disbursement
of benefits by the Plan Supervisor in the event of error or neglect on the Plan Sponsor’s part of providing
eligibility and coverage information to the Plan Supervisor, including, but not limited to, failure to give timely
notification of ineligibility of a former Plan Participant. Eligibility information may be communicated via
electronic eligibility file, transmitted to the Plan Supervisor by the Plan Sponsor.
4.2 Unless otherwise stated, the Plan Sponsor acknowledges that it serves as Plan Administrator and fiduciary
(as those terms are defined by ERISA),and shall have discretionary authority and control over the
management of the Plan, and sole discretionary authority and responsibility for the administration of the Plan.
The Plan Supervisor does not serve either as Plan Administrator or as a Named Fiduciary of the Plan. All
functions, duties and responsibilities of the Plan Supervisor are governed exclusively by this Agreement and
the Plan Document. The Plan Sponsor will resolve all Plan ambiguities and disputes relating to the Plan
eligibility of a Plan Participant, Plan coverage, denial of Claims, or any other Plan interpretation questions.
The Plan Supervisor will administer and adjudicate Claims in accordance with the terms of the Plan
Document but will have no discretionary authority to interpret the Plan Document. If adjudication of a Claim
requires interpretation of ambiguous Plan language, and the Plan Sponsor has not previously indicated to the
Plan Supervisor the proper interpretation of the language, then the Plan Sponsor will be responsible for
resolving the ambiguity or any other dispute. In any event, the Plan Sponsor’s decision as to any Claim
(whether or not it involves a Plan ambiguity or other dispute) shall be final and binding.
4.3 Conduct and control all enrollment meetings, maintenance of enrollment records, and distribution of
enrollment materials. Pertinent enrollment information will be sent to the Plan Supervisor as agreed to by
and between the parties.
4.4 Fund the Claims Payment Account and grant the Plan Supervisor drafting authority with respect to such
Account. The Plan Supervisor shall notify the Plan Sponsor of the amount necessary to pay Claims
adjudicated from the previous week and the Plan Sponsor will deposit amounts necessary to pay such claims
within five (5) business days or as agreed upon by and between the parties of such notification by the Plan
Supervisor. The Claims Payment Account shall be set up by the Plan Sponsor who shall execute and deliver
to the Plan Supervisor, and a depository selected by the Plan Sponsor, any and all documents necessary to
empower the Plan Supervisor or its vendor to act as signatory on such account.
4.5 Not require the Plan Supervisor, under any circumstances, to issue payment for Claims, excess loss
premiums, or any other costs arising out of the subject matter of this Agreement, unless the Plan Sponsor has
previously deposited sufficient funds to cover such payment.
4.6 Provide the Plan Supervisor with written notice of any and all revisions or changes to the Plan Document.
4.7 Provide and timely distribute all notices and information required to be given to Plan Participants, maintain
and operate the Plan in accordance with applicable law, maintain all recordkeeping, and file all forms relative
thereto pursuant to any federal, state, or local law, unless this Agreement specifically assigns such duties to
the Plan Supervisor.
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4.8 Pay, or promptly upon request reimburse the Plan Supervisor within thirty (30) days for any applicable taxes,
assessments, registration fees, service charges, and other expenses related to Plan Sponsor’s or the Plan’s
compliance with applicable law, including but not limited to the Consolidated Appropriations Act, No
Surprises Act, or Mental Health Parity and Addiction Equity Act.
4.9 Comply with all applicable law and any agreements to which the Plan Sponsor is a party or to which the Plan
Supervisor is a party on behalf of the Plan Sponsor.
4.10 Warrant and represent that the only entities that participate, or will participate, in the Plan are in the Plan
Sponsor’s controlled group of corporations, as that term is defined within ERISA.
4.11 Review the statement for the fees charged by the Plan Supervisor as applicable, which has been prepared in
accordance with the Fee Schedule and which is attached hereto and incorporated herein and marked as
Appendix A.
4.12 Maintain excess loss insurance with a carrier approved by the Plan Supervisor, which approval shall not be
unreasonably withheld, and notify the Plan Supervisor of any termination, expiration, lapse, or modification
of this insurance, if applicable within thirty (30) calendar days of such event.
4.13 Not hold the Plan Supervisor responsible if the Plan is deemed noncompliant with PPACA or regulations
promulgated thereunder as the result of the particular benefits offered within the Plan.
4.14 Not copy, sell, transfer, or otherwise use the language in this Agreement to create other documents or for any
purposes except those in furtherance of the purposes of this Agreement.
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ARTICLE V. CLAIMS AUDIT
5.1 At the Plan Sponsor’s expense, the Plan Sponsor shall have the right to audit any Claims paid by the Plan
Supervisor on behalf of the Plan Sponsor on the premises of the Plan Supervisor, during regular business
hours.
5.2 Any errors identified and/or amounts identified as owed to the Plan Sponsor as the result of the audit shall
be subject to review and approval by the Plan Supervisor prior to any reimbursements to the Plan Sponsor.
Overpayments shall be credited to the Claims Payment Account.
5.3 Any and all Claims records or other information reviewed by the Plan Sponsor or any third-party auditor
shall be treated as confidential and shall be used strictly within the parameters of the audit. In accordance
with and pursuant to Oklahoma law, Plan Supervisor shall be held harmless from any action, cost, expense
or liability, including reasonable attorneys’ fees, which may arise out of the disclosure of any confidential
information obtained through such audit and shall execute an agreement to this effect prior to conducting
such audit. This indemnity shall survive termination of this Agreement.
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ARTICLE VI. PROPRIETARY INFORMATION
6.1 The Plan Supervisor agrees to treat all proprietary information concerning the Plan Sponsor’s operations and
the Plan as confidential.
6.2 The Plan Supervisor owns and shall own all rights, title and interest in and to the systems, procedures,
methodologies and practices used by it in connection with the Claims processing, Claims payment and
utilization monitoring functions of the Plan, together with any applicable provider network, the negotiated
fees, terms and discounts with providers, Claims processing, Claims history and utilization data and
information (collectively, the “Plan Supervisor Proprietary Information”), all of which is proprietary,
confidential, and a trade secret of the Plan Supervisor. The Plan Sponsor shall have no right, title or interest
in or to the Plan Supervisor Proprietary Information. The Plan Sponsor is subject to the Oklahoma Open
Records Act, 51 O.S. § 24A.1, et seq.
6.3 The Plan owns all rights, title, and interest in and to the underlying Plan data and records of claims of all Plan
Participants and Beneficiaries (the “Plan Data”). The Plan Supervisor shall have access to and shall maintain
all Plan Data while this Agreement is in effect and during any period of Claims Runout. The Plan Supervisor
shall retain such Plan Data until the Plan Supervisor receives a request from the Plan Sponsor for transmittal,
or for a period of seven (7) years after the date of termination, whichever occurs first. The Plan Sponsor, and
the Plan itself, shall have access to all Plan Data and a copy of all Plan Data in a form and format that is
mutually agreed upon by the Plan Supervisor and the Plan Sponsor, and it shall be delivered to the Plan at no
cost, no more than once per year and once upon termination of this Agreement.
6.4 Neither party shall disclose proprietary information to any other entity without the prior written consent of
the party that holds the right, title and interest in the information. Nothing in this Article shall prohibit the
disclosure of any information required by law, but in the event of any such disclosure, the disclosing party
shall immediately notify the other party in writing, describing the circumstances of and extent of the
disclosure. This provision shall survive termination of this Agreement.
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ARTICLE VII. TERMINATION AND MODIFICATION OF AGREEMENT
7.1 At any time during the effective term of this Agreement, either the Plan Sponsor or the Plan Supervisor may
amend or change the provisions of this Agreement. These amendments or changes must be agreed upon in
advance in writing by both the Plan Sponsor and the Plan Supervisor. However, in the event of a material
alteration to the Plan Document, as provided in Article III, a reasonable fee increase may be affected with
written agreement.
7.2 This Agreement may be terminated by either the Plan Sponsor or the Plan Supervisor at any time without
cause, upon giving a sixty (60) calendar day advance written notice to the other party unless both parties
agree to waive such advance notice, or with a thirty (30) calendar day notice, as stated below. At the option
of the party initiating the termination, the other party may be permitted a cure period (of a length determined
by the party initiating the termination) to cure any default.
In the event the Plan Sponsor fails to adhere to the terms of this section, the Plan Sponsor shall be assessed
sixty (60) days of administration fees according to the Fee Schedule, in addition to run-out fees as per the
Runout Agreement, if applicable.
7.3 The Plan Supervisor may, at its option, terminate this Agreement upon the occurrence of any one or more of
the following events with thirty (30) calendar days advance written notice to the Plan Sponsor:
(a) The Plan Sponsor fails to fund the Claims Payment Account;
(b) A temporary or permanent receiver is appointed by any court for all or substantially all of the Plan Sponsor’s
assets, the Plan Sponsor makes a general assignment for the benefit of its creditors, or a voluntary or
involuntary petition under any bankruptcy law is filed with respect to the Plan Sponsor and it is not dismissed
within thirty (30) days of such filing;
(c) The Plan Sponsor fails to pay administration fees or other fees for the services performed by the Plan
Supervisor in accordance with this Agreement and Appendix A;
(d) The Plan Sponsor engages in any unethical business practice or conducts itself in a manner which in the
reasonable judgment of the Plan Supervisor is in violation of any federal, state, or other government statute,
rule, or regulation;
(e) The Plan Sponsor, through its acts, practices, or operations, exposes the Plan Supervisor to any existing or
potential investigation or litigation; or
(f) The Plan Sponsor permits its excess loss insurance to lapse, whether by failure to pay premiums or otherwise.
7.4 The Plan Sponsor may, at its option, terminate this Agreement upon the occurrence of any one or more of
the following events with thirty (30) calendar days advance written notice to the Plan Supervisor:
(a) A temporary or permanent receiver is appointed by any court for all or substantially all of the assets of the
Plan Supervisor, the Plan Supervisor makes a general assignment for the benefit of its creditors, or a voluntary
or involuntary petition under any bankruptcy law is filed with respect to the Plan Supervisor and it is not
dismissed within thirty (30) days of such filing;
(b) The Plan Supervisor engages in any unethical business practice or conducts itself in a manner that the Plan
Sponsor reasonably determines to be in violation of any federal, state, or other government statute, rule, or
regulation;
(c) The Plan Supervisor, through its acts, practices or operations, exposes the Plan Sponsor to any existing or
potential investigation or litigation.
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ARTICLE VIII. CLAIMS RUNOUT
8.1 If applicable and as agreed to by and between the parties, the Plan Supervisor shall pay the Claims Runout
following the date of termination of this Agreement (the “Runout Period”). Following termination of this
Agreement, the terms of this Agreement shall continue to apply with respect to the processing and payment
of such Claims Runout and any fees due to the Plan Supervisor as per the Runout Agreement, including the
indemnification provision and the Business Associate Agreement (Appendix D). The Plan Supervisor shall
forward any claims received after the Runout Period to the Plan Sponsor or other person or entity designated
by the Plan Sponsor; however, the Plan Supervisor shall not be obligated to continue forwarding claims more
than ninety (90) calendar days after the end of the Runout Period.
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ARTICLE IX. HIPAA
9.1 The Plan Sponsor agrees that the Plan will be in compliance with all requirements involving the use or
disclosure of protected health information as provided for in 45 C.F.R. Part 164. The duties and
responsibilities of the Plan Supervisor in connection with the requirements imposed by HIPAA and
regulations promulgated thereunder will be set forth in Appendix D.
9.2 In the event the Plan submits claims or eligibility inquiries or any other HIPAA Covered Transaction as
defined in 45 CFR Part 160 and 162 to the Plan Supervisor through electronic means, the Plan and the Plan
Supervisor shall comply with all applicable requirements of HIPAA and the Plan and the Plan Supervisor
shall require any of their respective agents or subcontractors to comply with all applicable requirements of
HIPAA.
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ARTICLE X. MISCELLANEOUS
10.1 This Agreement, together with all addenda, exhibits, and appendices supersedes any and all prior
representations, conditions, warranties, understandings, proposals, or other agreements between the Plan
Sponsor and the Plan Supervisor hereto, oral or written, in relation to the services and systems of the Plan
Supervisor, which are rendered or are to be rendered in connection with its assistance to the Plan Sponsor in
the administration of the Plan. This Agreement, together with all addenda, exhibits, and appendices,
constitutes the entire Administrative Services Agreement of whatsoever kind or nature existing between the
parties.
10.2 The Plan Supervisor reserves the right to engage the services of subcontractors in its performance of any
services performed hereunder with the consent of the Plan Sponsor. Plan Sponsor will not unreasonably
withhold consent.
10.3 This Agreement may be executed in two or more counterparts, each and all of which shall be deemed an
original and all of which together shall constitute but one and the same instrument.
10.4 Neither party may assign any of its rights or obligations under this Agreement without the written consent of
the other party.
10.5 All notices required to be given to either party by this Agreement shall, unless otherwise specified in writing,
be deemed to have been given three (3) days after deposit in the U.S. Mail, first class postage prepaid,
certified mail, return receipt requested.
10.6 No forbearance or neglect on the part of either party to enforce or insist upon any of the provisions of this
Agreement shall be construed as a waiver, alteration, or modification of the Agreement.
10.7 Exclusivity. The Plan Sponsor warrants that the Plan Supervisor will exclusively handle these matters for the
Plan Sponsor during the pendency of this Agreement.
10.8 Governing Law. This Agreement is entered into and governed by and construed in accordance with the laws
of Oklahoma.
10.9 Severability. All provisions of this Agreement are severable, and the unenforceability or invalidity of any of
the provisions shall not affect the validity or enforceability of the remaining provisions. The remaining
provisions will be construed in such a manner as to carry out the full intention of the parties. Section titles
or references used in this Agreement shall not have substantive meaning or content and are not a part of this
Agreement.
10.10 Dispute Resolution. All disputes under this Agreement shall be settled by arbitration pursuant to the rules of
the American Arbitration Association. Arbitration may be commenced at any time by either party giving
written notice to the other party that such dispute has been referred to arbitration under this Section. The
arbitrator shall be selected by the joint agreement of the Plan Sponsor and Plan Supervisor, but if they do not
agree within twenty (20) business days after the date of the notice referred-to above, the selection will be
made pursuant to the rules maintained by the Association. Any award rendered by the arbitrator will be
conclusive and binding upon the parties and is to be accompanied by a written opinion of the arbitrator giving
the reasons for this award. This provision for arbitration will be specifically enforceable by the parties. The
decision of the arbitrator will be final and binding and there will be no right of appeal. Each party will pay
its own expenses of arbitration and the expenses of the parties will be equally shared unless, if in the opinion
of the arbitrator, any claim or any defense or objection was unreasonable, in which case the arbitrator may
assess, as part of his award, all or any part of the arbitration expenses of the other party (including reasonable
attorneys’ fees) and of the arbitrator against the party raising such unreasonable claim, defense or objection.
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10.11 Force Majeure. Neither party will be liable for any failure or delay in performance of its obligations
hereunder by reason of any event or circumstance beyond its reasonable control, including but not limited to
acts of God, war, riot, strike, labor disturbance, fire explosion, telephone network failure(s), flood or shortage
or failure of suppliers. If any delay in performance under this section continues for more than thirty (30)
consecutive days, the unaffected party will have the right to terminate this agreement with ten (10) days prior
written notice to the affected party, unless the affected party is able to remedy its circumstances within the
ten (10) day notice period.
10.12 Indemnification.
(a) The Plan Supervisor will indemnify, defend, and hold the Plan Sponsor and its respective directors,
officers and employees harmless from and against any and all claims, suits, actions, liabilities, losses,
fines, penalties, damages, and expenses of any kind including, but not limited to, court costs and
attorney’s fees, that the Plan Sponsor may suffer or incur as a result of any dishonest, fraudulent, willful
misconduct, negligent, or criminal act or omission of the Plan Supervisor or its employees, or by a breach
of confidentiality or right of privacy of any Plan Participant by the Plan Supervisor except for acts taken
at the specific direction of the Plan Sponsor. Should the Plan Supervisor be called upon to indemnify the
Plan Sponsor, it may at its discretion choose to handle any defense efforts necessary to counter claims
against the Plan Supervisor and/or the Plan Sponsor which would give rise to, and necessitate, said
indemnification. The Plan Supervisor shall be entitled to rely, without investigation or inquiry, upon
any written communication(s) of the Plan Sponsor or agents of the Plan Sponsor. This indemnity does
not extend to any acts or omissions other than those enumerated in this paragraph. This indemnity shall
survive termination of this Agreement. The remedy for payments made in error will be to seek recovery
from the Plan Participant or the provider of services.
(b) In accordance with and pursuant to Oklahoma law, Plan Supervisor and its respective directors, officers
and employees shall be held harmless from and against any and all claims, suits, actions, liabilities,
losses, fines, penalties, damages, and expenses of any kind including, but not limited to, court costs and
attorney’s fees, that the Plan Supervisor may suffer or incur as a result of any dishonest, fraudulent,
grossly negligent, or criminal act or omission of the Plan Sponsor or its employees, or by the Plan
Sponsor’s breach of confidentiality or right of privacy of any Plan Participant except for acts taken at
the specific direction of the Plan Supervisor. The Plan Sponsor shall be entitled to rely, without
investigation or inquiry, upon any written communication(s) of the Plan Supervisor or agents of the Plan
Supervisor. This indemnity does not extend to any acts or omissions other than those enumerated in this
paragraph. This indemnity shall survive termination of this Agreement.
(c) The Plan Sponsor may not hold the Plan Supervisor liable for any actual, perceived, or alleged instance
of Plan Sponsor’s noncompliance with any applicable law, nor for any damages, taxes, or other
assessments that may be levied upon Plan Sponsor or awarded to a third party as a result. Plan Sponsor
retains all compliance responsibilities related to the Plan Sponsor’s business and any health plan for
which Plan Sponsor is a settlor, and nothing in this Agreement may be construed otherwise.
(d) The Plan Supervisor will not be liable for any damages, assessments, or other contractual or other issues
arising between the Plan sponsor and any vendor of the Plan Sponsor, even in the event the Plan
Supervisor has suggested, introduced, or otherwise endorsed the particular vendor. Contracting with
vendors and ensuring that such contracts are adhered to is ultimately the responsibility of the Plan
Sponsor.
10.13 Damages. In no event shall the Plan Supervisor be liable for special or consequential damages, even if the
Plan Supervisor was advised of, or has agreed to, the possibility of such damages. This provision is
controlling over any conflicting language in any agreement between Plan Sponsor and the Plan Supervisor.
10.14 Survival. The Parties agree that Articles 3, 4, 5 and 10 shall survive termination of this Agreement.
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10.15 Integration. The parties acknowledge that they have read this Agreement in its entirety and understand and
agree to be bound by its terms and conditions. This Agreement constitutes a complete and exclusive
statement of the understanding between the parties with respect to its subject matter. This Agreement
supersedes and overrides any and all other prior communications and agreements between the parties,
whether written or oral. Any prior agreements, promises, negotiations or representations related to the subject
matter not expressly set forth in this Agreement are of no force and effect. This Agreement is intended to
work in concert with a Business Associate Agreement entered into by the parties to this Agreement.
10.16 Third Party Beneficiaries. The Plan Supervisor and the Plan Sponsor specifically acknowledge and agree that
no parties shall be third party beneficiaries under this Agreement. The parties further agree that nothing under
this Agreement shall impose upon the Plan Supervisor any obligation to any other party including, but not
limited to, beneficiaries under the Plan or covered employees or their assignees.
10.17 Intellectual Property. Plan Sponsor may not reuse, redistribute, or otherwise claim the language contained
within this Agreement as its own intellectual property. Plan Sponsor may not use this Agreement for any
purpose other than that for which it is specifically designed.
10.18 Authority. Each party represents and warrants to the other that the signatory identified beneath its name
below has the authority to execute this Agreement on its behalf. The parties, intending to be legally bound,
have executed and delivered this Agreement as of the date set forth.
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APPENDIX C – SERVICE EXHIBITS
The Administrative Services Agreement, Appendixes, and Exhibits set forth below, effective as of July 1, 2026, (the
“Effective Date”), are attached hereto, incorporated herein, and collectively referred to as the “Agreement.”
In addition to Articles I through X of the Administrative Services Agreement, the following Exhibits for specific
services are selected by the parties to the Agreement to be part of the Agreement and are outlined below.
Fees applicable to the Agreement are set forth in Appendix A – Fees and Services, which is attached hereto and
incorporated herein.
Exhibit I Eligibility, Enrollment, Data Exchange and Billing
Exhibit II PPO Access and Administration
Exhibit III Reporting
Exhibit IV Cost Reduction and Savings Programs
Exhibit V Subrogation
Exhibit VI Pharmacy Benefit Management
Exhibit VII Stop-Loss Negotiation & Administration
Exhibit VIII Cobra/HIPAA Administration
Exhibit IX Run-Out Administration
Exhibit X Plan Document/Summary Plan Description
Exhibit XI Prompt Payment Discounts
These Exhibits and fee schedules applicable to selected services set forth herein are effective as of the Effective
Date.
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EXHIBIT I – ELIGIBILITY, ENROLLMENT, DATA EXCHANGE AND BILLING
1.1 Plan Supervisor will provide demographic information (as described in Article III) and if applicable, current
benefit elections, based upon timely receipt of such information from the Plan Sponsor. Participant and
benefit information, whether electronic or hard copy, must be in a format that is reasonably acceptable to the
Plan Supervisor.
1.2 Maintain Eligibility Records. Plan Supervisor shall maintain Plan records based upon eligibility information
submitted by the Plan Sponsor in an electronic or printed format and any changes in the manner described in
Article III. Plan Supervisor also shall maintain Plan records based on eligibility information submitted by the
Plan Sponsor as to the dates on which a Plan Participant’s coverage commences and terminates.
1.3 Plan records shall be maintained in accordance with generally accepted standards of insurance bookkeeping.
The Commissioner of the Department of Insurance shall be entitled to inspect all books and records of the
Plan Supervisor for the purpose of examinations and audits.
1.4 Data File Exchange. Plan Supervisor will exchange file formats and data files with third parties at Plan
Sponsors request. Such exchanges may occur during Open Enrollment, or on a periodic or recurring basis
throughout the Plan Year.
1.5 Consolidated Billing. Plan Supervisor will present all benefit bills to Plan Sponsor in a single monthly
statement, accompanied by a detailed list bill. Upon remittance by Plan Sponsor, Plan Supervisor will be
responsible for payments to carriers and other vendors, and will resolve credits, corrections, additions,
terminations, and notifications with each carrier and vendor partners for those carriers that Plan Supervisor
is the agent of record. Plan Supervisor also will be responsible for exchanging file formats and updating
carrier and other vendors’ eligibility.
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EXHIBIT II – PPO ACCESS AND ADMINISTRATION
2.1 Preferred Provider Organizations (PPO). Coordinate Preferred Provider Organization (PPO) services for the
Plan Sponsor. The Plan Supervisor will submit payment on behalf of the Plan Sponsor to the vendor.
2.2 Service Area Access. Plan Supervisor will provide Plan Sponsor with access to the network for Covered
Services rendered in the Service Area (“Service Area Access”). Each Benefit Plan that selects the network
for the Service Area shall utilize the network as its primary network.
2.3 Repricing Services. Plan Supervisor will coordinate the repricing of claims for the Plan Sponsor.
2.4 Out of Area Access. Plan Supervisor will provide Plan Sponsor with access to the network for Covered
Services rendered outside the Covered Person’s primary network service area.
2.5 Financial Responsibility of Payment to Providers. Plan Sponsor shall fund claims payable for the provision
of medical services on behalf of Covered Individuals that portion of the contracted rate that exceeds the
Copayment, Coinsurance and Deductible amounts specified in the applicable benefit Plan and which is not
otherwise excluded or limited by such Benefit Plan.
2.6 Decline to Access. Plan Supervisor acknowledges that Plan Sponsor may choose to not access the network
in a given instance and instead process the claims as “out of network” and in accordance with the terms of
the applicable Benefit Plan. Plan Supervisor shall not be financially responsible for payment of these claims.
2.7 Plan Sponsor shall be deemed to be the payer for network agreement purposes and will be responsible for
abiding by the terms of the applicable network agreement(s). Payment, and costs incurred by virtue of
provider services, dispute resolution, and conflicts due to network agreements shall be borne solely by the
Plan Sponsor.
2.8 If Plan Sponsor chooses not to access a Network Agreement at any time, and compensates a provider utilizing
a non-network rate, the Plan Sponsor shall be solely responsible for fees and costs arising from that decision.
Plan Supervisor will never be called upon to advance its own funds towards the payment of any provider.
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EXHIBIT III – REPORTING
Plan Supervisor will provide to Plan Sponsor the following reports as outlined below:
3.1 Weekly claims funding invoices evidencing claims submitted by providers for payment; weekly check
registers evidencing payment made by plan to providers; monthly or quarterly cumulative aggregate
deductible to paid claims report; monthly or quarterly summary of benefits paid report by dollar amounts;
monthly or quarterly specific stop- loss report and; any other reports requested by Plan Sponsor which Plan
Supervisor agrees to produce and which both parties agree to in writing.
3.2 The reports outlined above will be delivered to Plan Sponsor’s designated representative.
3.3 Weekly reports will be delivered by email on a designated day as mutually agreed upon by Plan Sponsor and
Plan Supervisor. Monthly or quarterly reports will be delivered by email no later than the 10th of the month
following the completion of the reporting period.
3.4 Reports will be produced in a format mutually agreed to by and between both parties.
3.5 Reports will be delivered as mutually agreed by and between both parties.
3.6 Plan Sponsor will provide a list of contact(s) to whom reports will be delivered, when reports are to be
delivered, and to whom which report(s) should be sent.
3.7 Plan Supervisor will provide a contact(s) which may be contacted for a report, which will be produced and
provided within a reasonable timeframe.
3.8 Customized reporting will be available at the Plan Sponsor’s request. A separate fee may be charged for
customized reporting based on the complexity of the report requested. The Plan Supervisor will provide a
quote at the time of request and a mutual agreement between both parties will be required before
programming begins.
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EXHIBIT IV – COST REDUCTION AND SAVINGS PROGRAMS
4.1 Coordinate certain inpatient and outpatient hospital and professional fee negotiation services for the Plan
Sponsor. A separate fee will be charged for this service. The separate fee for fee negotiation services will
be payable by the Plan Sponsor to the Plan Supervisor.
4.2 Plan Supervisor will review with the Plan all cost containment options and will, in writing, agree upon which
services Plan Sponsor desires to utilize;
4.3 Plan Supervisor will, when it becomes aware of additional cost containment services, advise the Plan of these
opportunities and the associated costs involved in writing;
4.4 If Plan elects to utilize any of the services outlined herein, Plan Supervisor shall not be liable for any violation
of the terms of use.
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EXHIBIT V – SUBROGATION
5.1 The Plan Sponsor and Plan Supervisor hereby agree that Plan Supervisor will perform certain services in
connection with the Plan regarding subrogation and reimbursement rights of the Plan for the fees stated
herein.
5.2. Plan Supervisor shall outsource the recovery services for subrogation/reimbursement of Claims paid by the
Plan to The Phia Group.
5.3 Subrogation services shall include direct recovery on behalf of the Plan against third parties and
reimbursement services shall include recovery of Plan funds from those Covered Persons who have recovered
damages from third parties; (including identification of potential subrogation and reimbursement claims,
follow up questionnaires to Covered Persons and Health Care Providers, provision of a copy of subrogation
forms signed by the Employee to the Plan Sponsor, provision of updated reviews of subrogation efforts,
additional research as necessary, notification to Health Care Providers, Covered Persons, and their authorized
representatives, settlement of claims with prior authorization from the Plan Sponsor, and other acts necessary
to effectuate recovery of Plan funds).
5.4 The Plan Sponsor shall pay direct costs incurred by The Phia Group if written approval is given in advance
by Plan Sponsor for subrogation and reimbursement services, including, but not limited to costs of
consultants, outside legal counsel, and other professionals.
5.5 If necessary to retain outside legal counsel for recovery of Plan funds, the Plan Sponsor shall have sole
discretion to select and retain legal counsel.
5.6. Plan Sponsor and Plan Supervisor acknowledge that negotiation or waiver of a subrogation/reimbursement
claim may be necessary as a result of state or federal law or the specific facts and circumstances of the
disputed Claim. The Plan Supervisor shall refer any requests for negotiation or waiver of a claim to the Plan
Sponsor for final settlement.
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EXHIBIT VI – PHARMACY BENEFIT MANAGEMENT
6.1 Pharmacy Benefit Management. Plan Supervisor will trade eligibility with the pharmacy vendor partner and
will accept detailed pharmacy claim data. Plan Supervisor will analyze pharmacy expenditures and offer care
management and cost containment ideas for the benefit of Plan Sponsor and Plan Participants. It will further
coordinate Prescription Benefit Management (PBM) services as needed.
6.2 Identification Cards. Plan Supervisor will provide one I. D. Card per Employee and an additional card for
family coverage upon enrollment as part of its Pharmacy Benefit Management services. A fee may apply if
the Plan Supervisor is required to mail the cards to individual employees’ homes or an alternative address or
for reprint of all ID Cards due to a change made by the Plan Sponsor. Replacement cards will be issued as
necessitated by coverage changes or Employee needs.
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EXHIBIT VII – STOP-LOSS ADMINISTRATION
7.1 Notify the excess loss insurance company of any potential large Claims which may become a Claim under
the excess loss coverage. On behalf of the Plan, the Plan Supervisor will file in a timely manner any Claims
for benefits under the excess loss policies.
7.2 Promptly pay on behalf of the Plan Sponsor any premium and other notices received from the excess loss
insurance company concerning the policy.
7.3 Responsibilities of Plan Supervisor. To the extent specified below, Plan Supervisor shall provide the services
for, and shall assist the Plan Sponsor in the analysis of their stop-loss coverage, if any, as follows:
(a) Provide supporting claims documentation to support renewal action.
(b) Interpret and analyze claim information in order to make suggestions for possible plan design
changes.
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EXHIBIT VIII – COBRA/HIPAA ADMINISTRATION
8.1 It is understood that Plan Supervisor shall not be responsible for the administration of COBRA.
8.2 Plan Supervisor’s Responsibilities (in addition to Article III). To the extent specified below, Plan Supervisor
shall provide the services for, and shall assist the Plan Sponsor in the administration of HIPAA, as follows:
(a) To provide individuals a HIPAA Certificate of Creditable Coverage upon request.
8.3 Indemnification. Plan Supervisor, in performing its obligations under this Agreement, is acting only as an
independent contractor for the Plan Sponsor. For the purposes of ERISA, COBRA and any applicable state
legislation of a similar nature, the Plan Sponsor shall be deemed to be the administrator of the Plan.
The Plan Supervisor is not, nor shall it be deemed to be, the Plan Administrator or Plan Sponsor. Plan
Supervisor has no discretionary authority or control with respect to the Plan and is not a fiduciary of the Plan,
it being understood that Plan Supervisor’s services hereunder are purely administrative functions within the
framework of policies, interpretations, rules, practices and procedures set down by the Plan Sponsor.
It is understood that the legal and tax status of the Plan and COBRA requirements under applicable law are
matters for determination by the Plan Sponsor and that Plan Supervisor has given Plan Sponsor no advice
with respect to the legal and tax status of the Plan or compliance with COBRA and bears no responsibility
therefore.
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EXHIBIT IX – RUN-OUT ADMINISTRATION
9.1 Run-Out Claims. Upon termination of the Administrative Services Agreement, Plan Supervisor will have no
obligation to process claims received ten (10) days prior to the Termination Date, or after the Termination
Date. The Plan Sponsor may request the Plan Supervisor, and the Plan Supervisor may agree, to process
claims incurred prior to the Termination Date, for a pre-determined period of time. The time period during
which the Plan Supervisor will process such claims shall be agreed to by both parties but shall be no less than
ninety (90) days.
9.2 Agreement Breach. Plan Supervisor will not provide claim processing services after termination of the
Agreement if the Agreement was terminated because Plan Sponsor failed to pay Plan Supervisor fees due or
Plan Sponsor did not provide required funding or, at Plan Supervisor’s option, when there is termination for
any other reason under the Agreement.
9.3 Other Agreement Terms. All of the other terms of this Administrative Services Agreement will apply to these
post-termination services as though the Agreement continued to be in effect.
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EXHIBIT X – PLAN DOCUMENT / SUMMARY PLAN DESCRIPTION
10.1 Prepare a draft Plan Document and Summary Plan Description for review and final Approval; Plan
Supervisor or its designee, will, at Plan’s request, prepare and maintain a specimen Plan Document and
Summary Plan Description in a format acceptable to Plan Sponsor and subject to final approval by Plan
Sponsor and Plan Sponsor’s legal counsel.
10.2 Draft will include a corresponding questionnaire / check-list to be used by whomever seeks to complete /
customize a plan document template for use by a benefit plan, whose answers shall be used to populate the
said plan document.
10.3 Prepare Plan Document amendments for review and final approval by Plan Sponsor.
10.4 Plan Sponsor agrees to print applicable documents and disperse them in accordance with applicable law; Plan
Supervisor, or its designee, will furnish a master Summary Plan Description to the Plan Sponsor, either
electronically or in printed form pursuant to Plan Sponsor’s direction.
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RATIFIED AND APPROVED by the Trustees of the Oklahoma City Zoological Trust and signed by its
Chairperson this day of , 2026.
ATTEST:
By:
Trust Secretary Chairperson
REVIEWED for form and legality.
Assistant Municipal Counselor
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CLIENT BUSINESS ASSOCIATE AGREEMENT
Company Name: Oklahoma City Zoological Trust
Client/Group Number(s): M7032
BUSINESS ASSOCIATE AGREEMENT
This Agreement is effective as of the Effective Date by and among Plan, Business Associate and Plan Sponsor. For purposes of this Agreement, all capitalized terms contained
in this Agreement, not otherwise defined herein, shall have the meanings ascribed to them in Schedule A, attached hereto and made a part hereof.
RECITALS:
A. Business Associate provides Administrative Services to Plan.
B. Plan Sponsor sponsors Plan and provides Plan Administrative Services to Plan. In the performance of the Plan Administrative Services, Plan Sponsor requires access to
PHI.
C. HIPAA Rules and Plan require that Business Associate comply and Business Associate is willing to comply with the HIPAA Rules in connection with the performance of
the Administrative Services, all upon the terms and conditions set forth herein.
D. Plan Sponsor also desires that Business Associate disclose and Business Associate is willing to disclose Summary Health Information, enrollment/disenrollment infor-
mation and PHI to Plan Sponsor and Designated Plan Sponsor Employees upon the terms and conditions set forth herein.
NOW THEREFORE, for and in consideration of the premises, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
parties hereby agree as follows:
1. Term.The term of this Agreement shall commence on the Effective Date and shall continue for so long as Business Associate is providing the Administrative Ser-
vices, unless earlier terminated pursuant to this Agreement.
2. Permitted Uses and Disclosures of PHI on Behalf of Plan. Plan and Business Associate hereby agree that Business Associate may, in the performance of the
Administrative Services, use and disclose PHI to health care providers, other business associates of Plan, agents or subcontractors of Business Associate, and others,
in any manner Plan would be permitted or required to use and disclose PHI under the HIPAA Rules if Plan were performing the Administrative Services including
without limitation, for Treatment, Payment and Health Care Operations. Business Associate may de-identify PHI in accordance with § 164.514 of the HIPAA Rules,
and such de-identified information is not subject to the terms of this Agreement. Business Associate recognizes and agrees that when acting as a business associate
hereunder, Business Associate is obligated by law to comply with the applicable provisions of the HIPAA Rules.
3. Permitted Uses and Disclosures of PHI for Business Associate Operations. Plan and Business Associate hereby agree that Business Associate may use PHI,
if necessary, for the proper management and administration of Business Associate or to carry out the legal responsibilities of Business Associate. Business Associate
may disclose PHI for its proper management and administration or to carry out its legal responsibilities if the disclosure is required by law or if Business Associate
obtains reasonable written assurances from the Person to whom PHI will be disclosed that: (a) PHI will be held confidentially and used or further disclosed only
for the purpose for which it was disclosed to such Person or only as required by law; and (b) such Person will notify Business Associate of any instances of which it
becomes aware in which the confidentiality of PHI was breached. Business Associate may also use and disclose PHI to provide Data Aggregation services relating to
the Health Care Operations of Plan.
4. Disclosure of Summary Health Information and Enrollment Information to Plan Sponsor. Plan hereby authorizes and directs Business Associate to
disclose Summary Health Information and information about an individual’s enrollment in or disenrollment from Plan as requested from time to time by Plan
Sponsor. In disclosing Summary Health Information to Plan Sponsor hereunder, Plan hereby authorizes and directs Business Associate to, and Plan Sponsor hereby
agrees Business Associate may, rely solely upon the following representations, warranties and agreements of Plan and Plan Sponsor:
A. Plan Sponsor shall only request Summary Health Information for the purpose of (i) obtaining premium bids from health insurers for providing health insur-
ance coverage under Plan; or (ii) modifying, amending, or terminating Plan.
B. Plan has included all necessary statements in its notice of privacy practices required by the HIPAA Rules to permit Plan and Business Associate to disclose
Summary Health Information to Plan Sponsor.
5. Disclosure of PHI to Designated Plan Sponsor Employees. Plan hereby authorizes and directs Business Associate to disclose PHI to Designated Plan Spon-
sor Employees as requested from time to time by Designated Plan Sponsor Employees. If requested by Plan Sponsor, Plan also authorizes and directs Business
Associate to give Plan Sponsor electronic access to PHI for use by Designated Plan Sponsor Employees. In disclosing PHI to Designated Plan Sponsor Employees
hereunder, Plan hereby authorizes and directs Business Associate, to, and Plan Sponsor hereby agrees Business Associate may, rely solely upon the following repre-
sentations, warranties and agreements of Plan and Plan Sponsor:
A. The Privacy Plan Amendment has been duly adopted by all necessary or appropriate action of Plan and Plan Sponsor and is, or will be, in full force and effect
on the Effective Date. Plan has included all necessary statements in its notice of privacy practices required by the HIPAA Rules to permit Plan and Business
Associate to disclose PHI to Designated Plan Sponsor Employees. Plan Sponsor and Plan shall promptly notify Business Associate of any modification or
amendment to the Privacy Plan Amendment. Plan Sponsor and Plan shall also promptly notify Business Associate of any additions to or deletions from the
Designated Plan Sponsor Employees.
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HIPAA TPA-Client BAA (Rev. 9/2025) 1
CLIENT BUSINESS ASSOCIATE AGREEMENT
B. Plan Sponsor shall ensure that only Designated Plan Sponsor Employees shall use or have the opportunity to use, any electronic access to PHI provided to
Plan Sponsor by Business Associate hereunder.
C. On and after the Effective Date, Plan and Designated Plan Sponsor Employees will comply in all respects with the HIPAA Rules and the Privacy Plan Amend-
ment that are applicable to this Agreement.
D. Designated Plan Sponsor Employees shall request only PHI from Business Associate that is the minimum necessary as required by the HIPAA Rules to per-
form the Plan Administrative Services.
6. Disclosures of PHI to Privacy Officer. Plan hereby authorizes and directs Business Associate to disclose PHI to the Plan’s Privacy Officer for purposes of imple-
menting the HIPAA Rules and as may be requested by the Privacy Officer from time to time. In disclosing PHI to the Plan’s Privacy Officer, Plan hereby authorizes
and directs Business Associate to, and Plan Sponsor hereby agrees Business Associate may, rely solely upon the following representations, warranties and agree-
ments of Plan and Plan Sponsor: All necessary actions under the HIPAA Rules have been performed to permit the Plan’s Privacy Officer to have access to the PHI as
described herein.
7. Minimum Necessary. Business Associate will, in its performance of the functions, activities, services, and operations specified above, make reasonable efforts
to use, to disclose, and to request only the minimum amount of PHI reasonably necessary to accomplish the intended purpose of the use, disclosure, or request.
Business Associate and Plan acknowledge that the phrase “minimum necessary” shall be interpreted in accordance with the HIPAA Rules. Plan shall notify Business
Associate of:
(i) any limitation(s) in the notice of privacy practices of Plan under the HIPAA Rules, to the extent that such limitation may affect Business Associate’s use
or disclosure of PHI;
(ii) any changes in, or revocation of, the permission by an individual to use or disclose his or her PHI, to the extent that such changes may affect Business
Associate’s use or disclosure of PHI; and
(iii) any restriction on the use or disclosure of PHI that Plan has agreed to or is required to abide by under §164.522 of the HIPAA Rules, to the extent that
such restriction may affect Business Associate’s use or disclosure of PHI.
Furthermore, Plan agrees to notify Business Associate prior to Plan’s agreement to any of the forgoing changes, limitations, revocations, or restrictions.
8. Unauthorized Use or Disclosure. Business Associate shall not use or further disclose PHI other than as permitted by this Agreement or as required by law.
9. Privacy and Security Safeguards. Business Associate will develop, implement, maintain and use appropriate safeguards to comply with the HIPAA Rules and
prevent use or disclosure of PHI (including electronic PHI) other than as provided in this Agreement or as required by law.
10. Subcontractors and Agents. Business Associate will ensure that any of its subcontractors and agents (to whom Business Associate provides PHI in connection
with the Administrative Services) agrees to the same restrictions and conditions that apply to Business Associate hereunder, through a written agreement in accor-
dance with §164.502(e)(1)(ii) and §164.308(b)(2), if applicable, of the HIPAA Rules.
11. Compliance with Standard Transactions. If Business Associate conducts, in whole or in part, Standard Transactions for or on behalf of Plan, Business Associate
will comply and will require any of its subcontractors or agents involved with the conduct of such Standard Transactions to comply with each applicable requirement
of 45 CFR Part 162. Business Associate will not enter into or permit its subcontractors or agents to enter into any trading partner agreement in connection with
the conduct of Standard Transactions for, or on behalf of, Plan that: (a) changes the definition, data condition, or use of a data element or segment in a Standard
Transaction; (b) adds any data elements or segments to the maximum defined data set; (c) uses any code or data element that is marked “not used” in the Standard
Transaction’s implementation specification or is not in the Standard Transaction’s implementation specification; or (d) changes the meaning or intent of the Stan-
dard Transaction’s implementation specification.
12. Plan Access to PHI. Upon receipt of a request from Plan, and in accordance with the written policies of Business Associate then in effect, Business Associate will
promptly make available to Plan or, at Plan’s direction, to the individual requesting PHI (or the individual’s personal representative) for inspection and obtaining
copies of any PHI (including electronic copies of PHI in a designated record set as necessary) about said individual that is in Business Associate’s custody or control,
so that Plan may meet its access obligations under §164.524 of the HIPAA Rules.
13. Amendment of PHI. Business Associate will, upon receipt of notice from Plan, and in accordance with the written policies of Business Associate then in effect,
promptly amend or permit Plan access to amend any portion of PHI, so that Plan may meet its amendment obligations under §164.526 of the HIPAA Rules. If
authorized by Plan, Business Associate will, upon receipt of a request from the individual requesting amendment to his PHI, promptly amend such PHI so that Plan
may meet its amendment obligations under §164.526 of the HIPAA Rules.
14. Disclosure Accounting. Except for Excepted Disclosures, Business Associate will record the Disclosure Information for each disclosure of PHI that Business
Associate makes to any Person. Business Associate need not record Disclosure Information or otherwise account for Excepted Disclosures. Upon receipt of a request
from Plan and in accordance with the written policies of Business Associate then in effect, Business Associate will make available to Plan, or at Plan’s direction, to the
individual requesting the disclosure accounting, the Disclosure Information for the six (6) years preceding Plan’s request for the Disclosure Information (except for
disclosures occurring before the Effective Date), so that Plan may meet its disclosure accounting obligations under §164.528 of the HIPAA Rules.
15. Inspection of Books and Records. Business Associate will make its internal practices, books, and records relating to its use and disclosure of PHI under this
Agreement available to the U.S. Department of Health and Human Services for the purposes of determining Plan’s compliance with the HIPAA Rules.
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HIPAA TPA-Client BAA (Rev. 9/2025) 2
CLIENT BUSINESS ASSOCIATE AGREEMENT
16. Reports to Plan. Business Associate will report to Plan promptly any use or disclosure of PHI that violates this Agreement of which Business Associate become
aware, including breaches of unsecured PHI as required by §164.410 of the HIPAA Rules, and any Security Incident of which it becomes aware. Business Associate will
further provide to Plan, in writing, such details concerning the incident in question as Plan may reasonably request.
In addition, Business Associate will report, without unreasonable delay but in no case later than 60 days following discovery of the breach, to the Plan’s Privacy Offi-cial,
any breach of unsecured protected health information. If instructed by Plan, Business Associate will, on behalf of Plan, provide all notifications of breaches of
unsecured protected health information as required in accordance with Subpart D of 45 C.F.R. Part 164, to the extent that the breached unsecured protected health
information was in the possession of Business Associate or a subcontractor or agent of Business Associate. The terms “breach” and “unsecured protected health
information” shall have the meanings scribed to them in the HIPAA Rules.
17. Termination of Agreement for Cause. In the event of a breach of a material term of this Agreement by Business Associate, Plan shall have the right to termi-
nate this Agreement by providing to Business Associate written notice of termination setting forth the details of the incident that is the basis for such termination.
Business Associate shall have the right to cure any such breach within thirty (30) days from its receipt of said notice of termination (the “Cure Period”). A failure by
Business Associate to cure such breach within the Cure Period shall constitute a breach of this Agreement entitling Plan to terminate this Agreement at any time af-ter
the Cure Period by providing to Business Associate written notice thereof specifying the effective date of termination. Plan, Business Associate and Plan Sponsor hereby
agree that, upon termination of this Agreement, the ASA shall terminate and Business Associate shall have no further obligation to perform the Administra-tive
Services.
18. Obligations upon Termination.
A. Return or Destruction. Upon termination or expiration of this Agreement, Business Associate will, if feasible, return to Plan or destroy all PHI, in whatever form
or medium (including any electronic medium under Business Associate’s custody or control), including all copies of and any data or compilations derived from
and allowing identification of any individual who is a subject of PHI. Business Associate will, in accordance with the written policies of Business Associate then
in effect, complete such return or destruction as promptly as possible after the effective date of the termination or expiration of this Agree-ment. Business
Associate will limit its further use or disclosure of PHI to those purposes that make return or destruction infeasible.
B. Continuing Privacy and Other Obligations. Business Associate’s obligation to protect the privacy of PHI hereunder will be continuous and survive termination
or expiration of this Agreement. The obligations of the parties hereto under Sections 12, 13, 14, 18 and 19 of this Agreement shall survive the termination or
expiration of this Agreement.
19. Indemnification.
A. Indemnification by Plan Sponsor. Plan Supervisor and its representative directors, officers, and employees shall be held harmless from and against any and all
claims, suits, actions, liabilities, losses, afines, penalties, damages, and expenses of any kind including, but not limited to, court costs and attorney's fees,
that the Plan Supervisor may suffer or incur as a result of any dishonest, fraudulent, grossly negligent, or criminal act or omission of the Plan Sponsor or its
employees, or by the Plan Sponsor's breach of confidentiality or right of privacy of any Plan Participant except for acts taken at the specific direction of the
Plan Supervisor. The Plan Sponsor shall be entitled to rely, without investigation or inquiry, upon any written communication(s) of the Plan Supervisor or
agents of the Plan Supervisor. This indemnity does not extend to any acts or omissions other than those enumerated in this paragraph. This indemnity shall
survive termination of this Agreement.
B. Indemnification by Business Associate. Business Associate hereby agrees to indemnify, defend and hold harmless Plan (including, without limitation, its
employees, agents, successors and assigns) from and against any and all claims, causes of action, liabilities, damages, costs, or expenses (including
without limitation, attorneys’ fees, court costs, costs of administrative or other proceedings, and costs of investigation) arising out of or related to a breach
of any of the terms and provisions of this Agreement by Business Associate or any party acting by or through Business Associate (including, without
limitation, Busi-ness Associate’s agents, employees, representatives, contractors or subcontractors).
20. Modification and Amendment. Except as expressly modified or amended herein, all other terms and conditions of the ASA shall remain in full force and effect.
This Agreement shall not be modified or amended in any respect except by a written instrument executed by the parties; provided, that in the event the provisions of
this Agreement shall conflict with the requirements of applicable law concerning the use, handling, disclosure and/or treatment of PHI (including, without
limitation, the HIPAA Rules), as such laws may be modified, amended, or superceded from time to time, this Agreement shall be deemed amended as necessary to
conform to such legal requirements at all times.
21. No Third Party Beneficiaries. This Agreement is entered into by and among Plan, Plan Sponsor and Business Associate for the exclusive benefit of each of the
parties hereto. This Agreement shall not be construed to confer any rights or remedies upon any Person, except the parties hereto and their respective officers,
directors, shareholders, employees, agents, successors and assigns.
22. Conflicts. The terms and conditions of this Agreement will override and control any conflicting terms and conditions in the ASA related to the privacy and security of
PHI.
[Signatures on next page]
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HIPAA TPA-Client BAA (Rev. 9/2025) 3
Page 64 of 84
CLIENT BUSINESS ASSOCIATE AGREEMENT
SCHEDULE A
TO
BUSINESS ASSOCIATE AGREEMENT
For purposes of this Agreement, all capitalized terms contained in this Agreement shall have the following meanings:
“Administrative Services” shall mean the administrative services that Business Associate provides to or on behalf of Plan in connection with administering the benefits
provided by Plan as claims administrator of Plan under the ASA.
“ASA” shall mean one or more administrative services agreements (including any implementation or Enrollment Agreement between Business Associate and Plan Sponsor)
which may be entered into by and between Business Associate and Plan Sponsor, from time to time, pursuant to which Business Associate provides the Administrative
Services, as the same may be modified, amended, renewed or superceded.
“Business Associate” shall mean HealthCare Solutions Group, Inc. dba 90 Degree Benefits, Oklahoma
“Data Aggregation” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“Designated Plan Sponsor Employees” shall mean those persons designated in writing by Plan to Business Associate, on or before the Effective Date, as being includ-
ed within the class of employees or other workforce members under the control of Plan Sponsor designated in the Privacy Plan Amendment that are authorized to use and
disclose PHI in accordance with the Privacy Plan Amendment.
“Disclosure Information” shall mean the information described in §§164.528(b)(2)-(3) of the HIPAA Rules.
“Effective Date” shall mean the effective date of the ASA.
“Excepted Disclosures” shall mean disclosures of PHI by Business Associate set forth in §164.528(a)(1) of the HIPAA Rules.
“Health Care Operations” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164.
“Payment” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“Person” shall include individuals, trusts, estates, corporations (both non-profit and other corporations), partnerships (both limited and general), joint ventures, limited
liability companies, unincorporated associations, and governmental agencies and organizations. Person shall not include Plan, Plan Sponsor or Business Associate.
“PHI” shall mean Protected Health Information that Business Associate receives from, or creates or receives for, or on behalf of Plan in connection with the performance of
the Administrative Services.
“Plan” shall mean one or more group health plans sponsored by Plan Sponsor to which Business Associate provides the Administrative Services.
“Plan Administrative Services” shall mean the plan administrative services performed by Plan Sponsor pursuant to the plan documents of Plan, including the Privacy
Plan Amendment.
“Plan Sponsor” shall mean the entity who sponsors the Plan and who has executed this Agreement (by its duly authorized representative) on the signature line designat-
ed for the Plan Sponsor on the execution page of this Agreement.
“Privacy Plan Amendment” shall mean that amendment to the plan documents of Plan that complies in all respects with the requirements set forth in §164.504(f)(2) of
the HIPAA Rules and for which Plan has received a written certification as required by the HIPAA Rules, on or before the Effective Date.
“Protected Health Information” shall have the meaning set forth in §160.103 of the HIPAA Rules.
“Security Incident” shall have the meaning set forth in §164.304 of the HIPAA Rules. However, unless otherwise requested by Plan, Security Incident does not include
“trivial incidents” that occur on a daily basis and do not represent a material threat to the confidentiality, integrity, or availability of PHI covered by this Agreement (such as
scans or pings of Business Associate’s computers or computer networks).
“Summary Health Information” shall have the meaning set forth in §164.504(a) of the HIPAA Rules.
“Treatment” shall have the meaning set forth in §164.501 of the HIPAA Rules.
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HIPAA TPA-Client BAA (Rev. 9/2025) 5
RATIFIED AND APPROVED by the Trustees of the Oklahoma City Zoological Trust and signed by its
Chairperson this day of , 2026.
ATTEST:
By:
Trust Secretary Chairperson
REVIEWED for form and legality.
Assistant Municipal Counselor
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UTILIZATION MANAGEMENT AGREEMENT
This Utilization Management Agreement ("Agreement") is made by and between
OKLAHOMA CITY ZOOLOGICAL TRUST ("Plan Sponsor"), a public trust organized
under the laws of the State of Oklahoma and MEDICAL CARE ANALYSTS, INC.
(“MCA”), an Oklahoma corporation, by MCA’S acceptance of Plan Sponsor's attached
Application.
In consideration of the mutual covenants contained herein, the adequacy of which is
hereby acknowledged, and intending to be legally bound hereby, Plan Sponsor and
MCA agree as follows:
1. PURPOSE. Plan Sponsor desires to obtain Utilization Management Services and
Other Services for the management of health care claims for the participants of the
Oklahoma City Zoological Trust Employee Medical and Dental Plan. MCA desires to
provide Utilization Management Services and such Other Services as described in
Exhibit I herein as applied for by Plan Sponsor pursuant to this Agreement.
2. TERMS. This Agreement shall commence on the date set forth on the “Application
for Utilization Management Services” and shall be for a period of not less than
twelve (12) months and shall automatically renew for successive twelve (12) month
periods thereafter, provided, however, that either party may terminate this
Agreement by giving notice to the other party at least sixty (60) days prior to annual
date of renewal or requested date of termination.
3. OBLIGATIONS AND SCOPE OF SERVICE OF MCA.
A. MCA agrees that for the Term of this Agreement MCA will provide to Plan
Sponsor the Utilization Management Services and such Other Services
as applied for by Plan Sponsor outlined in Exhibit II with respect to
medical care proposed for covered participants of the Plan. MCA will
perform such services, in accordance with the terms and conditions of the
Plan, using generally recognized criteria and standards for the purpose of
providing Plan Sponsor with a professional, objective assessment as to
its medical necessity for and appropriateness of proposed, ongoing, or
completed medical care to participants. MCA will provide written or
verbal notification of such assessment to the treating provider, facility and
patient with a disclaimer regarding eligibility and guarantee of payment.
MCA and Plan Sponsor agree that final determination as to payment or
denial of payment for any services and/or authorization for delivery of any
health care services shall be the responsibility of the Plan Sponsor.
B. MCA agrees to secure or provide the services of licensed physicians as
reasonably required to act in the capacity of advisors and consultants to
assist in making review determinations.
1
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C. MCA agrees to provide a nationwide toll-free number as well as a telephonic
answering system to be utilized during non-business hours, holidays, and
other closed office situations.
D. MCA agrees to maintain proper licensure as well as professional liability
insurance and Commercial General Liability including, but not limited to,
bodily injury, property damage, products/completed operations and personal
& advertising injury, with minimum limits of one million dollars ($1,000,000)
per occurrence and two million dollars ($2,000,000) general aggregate. A
Certificate of Insurance shall be presented to the Plan Sponsor prior to the
execution of the Agreement
E. MCA agrees to maintain records for eight (8) years or for any greater period
required by law. Such records shall remain confidential and may be reviewed
and audited by the Plan Sponsor, reinsurer, or by agencies or individuals
mutually authorized by the parties, provided that Plan Sponsor and MCA shall
comply with all legal requirements regarding privacy of such data or records
concerning participants.
F. MCA will provide upon request by Plan Sponsor, written records of its
activities under this Agreement, as outlined in Exhibit I. These shall consist of
the standard reports ordinarily and customarily provided by MCA. Special
reports or additional management reports may be provided at the written
request of the Plan Sponsor, after both parties have mutually agreed upon a
reasonable fee for such additional services and reports.
G. These obligations and services shall be known as MCA's "Obligations."
4. OBLIGATION OF PLAN SPONSOR.
A. Plan Sponsor authorizes MCA to act on Plan Sponsor's behalf in performing
Utilization Management Services and such Other Services as applied for by
Plan Sponsor as outlined in Exhibit II herein, allow access to all medical,
financial, and personal data relevant to a medical claim, and other documents
and information pertaining to participants, including but not limited to, any
general statistical or summary data and benefit schedules or plan documents
relative to the particular Utilization Management Services requested.
B. Plan Sponsor shall compensate MCA for their Obligations, as per the Exhibit I
fee schedule herein, within thirty (30) business days following receipt of the
monthly bill from MCA.
2
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C. Plan Sponsor shall also be responsible for and remit to MCA costs incurred
for special reports or services requested and approved by Plan Sponsor, with
payment due thirty (30) days from date of payment request by MCA.
D. Plan Sponsor shall be solely responsible for compliance with all laws
including the Internal Revenue Code.
E. These obligations and services shall be known as Plan Sponsor's
"Obligations”.
5. EXCLUSIVE VENDOR. MCA enters into this Agreement on the basis and with the
understanding that the Plan Sponsor uses the services of MCA as its sole and
exclusive vendor of Utilization Management Services as outlined herein except for
certain Utilization Management Services provided by Plan Sponsor’s Pharmacy
Benefit Manager (PBM).
6. CONFIDENTIALITY.
A. The Plan Sponsor is subject to the Oklahoma Open Records Act, 51 O.S. §
24A.1, et seq. Any communications relating to MCA's Obligations rendered
pursuant to this Agreement for distribution by MCA or the Plan Sponsor to
plan participants, providers, or the general public will be released only after
consultation between MCA and the Plan Sponsor. The only exceptions are
MCA's and the Plan Sponsor's communications to such participant or
provider(s) regarding review decisions or the review procedures to be utilized
under this Agreement.
The data furnished in accordance with this Agreement is confidential
information and any use, disclosure, publication, or revealing by either party
of such data, to any person, organization, firm, or government agency
contrary to law or to the provisions of the Agreement shall obligate the party
failing to hold said data on a confidential basis, in accordance with and
pursuant to Oklahoma law, to indemnify and hold harmless the other party
from any claim, injury, damage, liability, judgment, and expense of revealing
said data occurring during the terms of this Agreement or thereafter, except to
the extent any such loss or damage was caused or contributed to by other
party seeking indemnity.
B. In the event either party is served with a subpoena, request for production of
documents, or similar legal process relating to review decisions or the review
mechanisms to be utilized or modified under this Agreement, such party shall
promptly notify the other party of the services of such process so that such
other party may determine whether any of its confidential data or information
may be included in materials sought by such subpoena, request, or process.
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Such party may, at its own expense, take such legal action as it deems
necessary to preserve the confidentiality of its data or information.
7. INDEMNITY.
A. MCA shall be solely responsible for its review decisions and those of its
employees, agents, or other representatives.
B. The Plan Sponsor shall be solely liable for its payments and decisions and
those of its employees, agents, or other representatives.
C. In accordance with and pursuant to Oklahoma law, MCA shall be held
harmless from and against any and all claims, suits, actions, liabilities, losses,
fines, penalties, damages, and expenses of any kind including, but not limited
to, court costs and attorney’s fees, that MCA may suffer or incur as a result of
any dishonest, fraudulent, grossly negligent, or criminal act or omission of the
Plan Sponsor or its employees.
D. MCA shall indemnify and hold harmless the Plan Sponsor and its directors,
agents, officers, or employees from and defend against any and all claims,
lawsuits, judgments, settlements, and expenses, including reasonable
attorney fees, caused by the negligence or willful misconduct of MCA.
8. SUCCESSORS OR ASSIGNS. This Agreement is binding upon the parties, their
successors, and assigns. Written notice of any change in ownership, management,
etc., shall be promptly given by the party experiencing the change to the other party.
9. NOTICES. Except as otherwise provided herein, all notices under this Agreement
shall be in writing and shall be effective either upon personal delivery or by certified
mail to the last known address of the party to whom notice is to be given.
10. COUNTERPARTS. This Agreement may be executed simultaneously in one (1) or
more counterparts, each of which shall be deemed an original, but all of which
together shall constitute one (1) and the same instrument.
11. SEVERABILITY. In the event that any of the provisions, or portions thereof, of this
Agreement are held to be unenforceable or invalid by any court of competent
jurisdiction, the validity and enforceability of the remaining provisions, or portions
thereof, shall not be affected thereby.
12. GOVERNING LAW AND ARBITRATION. Notwithstanding the place of execution,
this Agreement shall be governed by the laws of the State of Oklahoma. All disputes
arising out of or in connection with this Agreement shall be resolved by the rules of
procedure for arbitration of the American Health Lawyers Association alternative
dispute resolution service.
4
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13. ENTIRE AGREEMENT. This Agreement, including the "Application for Utilization
Management Services" and Exhibits I and II, and any subsequently executed
“Application for Utilization Management Services” contains the entire understanding
between the parties hereto concerning the subject matter herein. There are no
representations, agreements, arrangements, or understandings, oral or written,
between or among the parties hereto relating to the subject matter of this Agreement
which are not herein disclosed.
14. INTERPRETATION. This Agreement is being entered into between competent and
experienced business people who have reviewed the Agreement and have been
given an opportunity to consult with counsel. Therefore, any ambiguous language in
this Agreement shall not be construed against a party because it drafted this
Agreement or any provision therein.
In the event any provision of this Agreement conflicts with law or if any provision
shall be held illegal or unenforceable or partially illegal or unenforceable by a court
with jurisdiction over the parties to this Agreement, then such provision shall be
construed and enforced to such extent as it may be a legal and enforceable
provision, and all other provisions of this Agreement shall be given effect separately
therefrom and shall not be affected thereby.
5
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EXHIBIT I
OF
UTILIZATION MANAGEMENT AGREEMENT
UTILIZATION MANAGEMENT SERVICES:
CAPITATED FEES INCLUDE: Rates Set Forth on Application Page
° Pre-Admission Certification
° Outpatient Pre-Certification
° Inpatient Medical/Surgical and Psychiatric/Substance Review
° Second Surgical Opinion
° Data Reports
° Discharge Planning
° Concurrent Review
° Retrospective Review
° Provider Channeling
° Reconsideration and Appeal
OTHER SERVICES:
° Case Management Rates Set Forth on Application Page
° Medical Peer Review Rates Set Forth on Application Page
° Rapid Nursing Assessment Rates Set Forth on Application Page
° All MCA Negotiated Savings Rates Set Forth on Application Page
6
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EXHIBIT II
OF
UTILIZATION MANAGEMENT AGREEMENT
Utilization Management Services
Pre-Admission Certification:
The process of validating the medical necessity of a proposed acute hospital
admission or emergency treatment.
Outpatient Pre-Certification:
A requirement by some health benefit plans to have any outpatient surgical
procedures pre-certified for medical necessity. Upon notification of a planned
outpatient surgery, MCA will validate the medical necessity of such procedure.
Inpatient Review - Medical/Surgical:
Preauthorization of the medical necessity of an inpatient admission in acute care
hospital. An admission is classified as inpatient when the provider charges an
actual "room and board" rate, rather than an "observation" rate for each night the
patient is confined.
Inpatient Review - Psychiatric/Substance:
The pre-certification and concurrent review for acute hospital confinement for
patients with a psychiatric disorder or drug or alcohol abuse. This shall include
partial hospitalization as well as alternate treatment plans.
Second Surgical Opinion:
Case Management may recommend a second opinion by another Board-
Certified Physician regarding the current treatment of a specific Illness or Disease.
Data Reports (Available Upon Request):
• Pre-Certification reports
• Large Case Management reports
• Utilization Review reports
Discharge Planning:
The process of evaluating anticipated home or aftercare needs of patients
confined in the hospital.
Concurrent Review:
The process of validating the medical necessity and appropriateness of
continued stay after the initial certification has expired.
Retrospective Review:
The process of validating the medical necessity and appropriateness of a
hospital confinement or a procedure after the patient has been confined or the
procedure has been completed. Retrospective Reviews are generally done by
medical record review.
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EXHIBIT II
OF
UTILIZATION MANAGEMENT AGREEMENT (cont’d.)
Provider Channeling:
The process by which the nurse reviewer educates the patient of the benefits of
utilizing a PPO network provider, including Provider Partners, if applicable.
Reconsideration and Appeal:
The process by which a patient can request an outside review by a physician for
a denial of a pre-service claim for reasons such as Medical Necessity,
Experimental and Investigational, appropriateness of care, etc.
Other Services
Case Management:
The process of working directly with patients, their families, and their physicians
to coordinate the delivery of cost-effective, quality care to promote optimal
outcomes for patient with catastrophic and chronic conditions.
Medical Peer Review:
A review of physician bills, treatment plans, and/or medical or surgical fees for
medical necessity, and/or usual and customary fees.
Rapid Nursing Assessment:
A brief summary describing a patient’s current medical status. Can be used for a
multitude of reasons. Performed by nursing personnel, usually the same day as
requested.
MCA Negotiated Savings:
MCA will receive 15% of all negotiated savings when performed by MCA
personnel up to a maximum of $5,000 per claim as shown on the Application.
8
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CLIENT BUSINESS ASSOCIATE AGREEMENT
Company Name: Oklahoma City Zoological Trust
Client/Group Number(s): M7032
BUSINESS ASSOCIATE AGREEMENT
This Agreement is effective as of the Effective Date by and among Plan, Business Associate and Plan Sponsor. For purposes of this Agreement, all capitalized terms contained
in this Agreement, not otherwise defined herein, shall have the meanings ascribed to them in Schedule A, attached hereto and made a part hereof.
RECITALS:
A. Business Associate provides Administrative Services to Plan.
B. Plan Sponsor sponsors Plan and provides Plan Administrative Services to Plan. In the performance of the Plan Administrative Services, Plan Sponsor requires access to
PHI.
C. HIPAA Rules and Plan require that Business Associate comply and Business Associate is willing to comply with the HIPAA Rules in connection with the performance of
the Administrative Services, all upon the terms and conditions set forth herein.
D. Plan Sponsor also desires that Business Associate disclose and Business Associate is willing to disclose Summary Health Information, enrollment/disenrollment infor-
mation and PHI to Plan Sponsor and Designated Plan Sponsor Employees upon the terms and conditions set forth herein.
NOW THEREFORE, for and in consideration of the premises, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
parties hereby agree as follows:
1. Term.The term of this Agreement shall commence on the Effective Date and shall continue for so long as Business Associate is providing the Administrative Ser-
vices, unless earlier terminated pursuant to this Agreement.
2. Permitted Uses and Disclosures of PHI on Behalf of Plan. Plan and Business Associate hereby agree that Business Associate may, in the performance of the
Administrative Services, use and disclose PHI to health care providers, other business associates of Plan, agents or subcontractors of Business Associate, and others,
in any manner Plan would be permitted or required to use and disclose PHI under the HIPAA Rules if Plan were performing the Administrative Services including
without limitation, for Treatment, Payment and Health Care Operations. Business Associate may de-identify PHI in accordance with § 164.514 of the HIPAA Rules,
and such de-identified information is not subject to the terms of this Agreement. Business Associate recognizes and agrees that when acting as a business associate
hereunder, Business Associate is obligated by law to comply with the applicable provisions of the HIPAA Rules.
3. Permitted Uses and Disclosures of PHI for Business Associate Operations. Plan and Business Associate hereby agree that Business Associate may use PHI,
if necessary, for the proper management and administration of Business Associate or to carry out the legal responsibilities of Business Associate. Business Associate
may disclose PHI for its proper management and administration or to carry out its legal responsibilities if the disclosure is required by law or if Business Associate
obtains reasonable written assurances from the Person to whom PHI will be disclosed that: (a) PHI will be held confidentially and used or further disclosed only
for the purpose for which it was disclosed to such Person or only as required by law; and (b) such Person will notify Business Associate of any instances of which it
becomes aware in which the confidentiality of PHI was breached. Business Associate may also use and disclose PHI to provide Data Aggregation services relating to
the Health Care Operations of Plan.
4. Disclosure of Summary Health Information and Enrollment Information to Plan Sponsor. Plan hereby authorizes and directs Business Associate to
disclose Summary Health Information and information about an individual’s enrollment in or disenrollment from Plan as requested from time to time by Plan
Sponsor. In disclosing Summary Health Information to Plan Sponsor hereunder, Plan hereby authorizes and directs Business Associate to, and Plan Sponsor hereby
agrees Business Associate may, rely solely upon the following representations, warranties and agreements of Plan and Plan Sponsor:
A. Plan Sponsor shall only request Summary Health Information for the purpose of (i) obtaining premium bids from health insurers for providing health insur-
ance coverage under Plan; or (ii) modifying, amending, or terminating Plan.
B. Plan has included all necessary statements in its notice of privacy practices required by the HIPAA Rules to permit Plan and Business Associate to disclose
Summary Health Information to Plan Sponsor.
5. Disclosure of PHI to Designated Plan Sponsor Employees. Plan hereby authorizes and directs Business Associate to disclose PHI to Designated Plan Spon-
sor Employees as requested from time to time by Designated Plan Sponsor Employees. If requested by Plan Sponsor, Plan also authorizes and directs Business
Associate to give Plan Sponsor electronic access to PHI for use by Designated Plan Sponsor Employees. In disclosing PHI to Designated Plan Sponsor Employees
hereunder, Plan hereby authorizes and directs Business Associate, to, and Plan Sponsor hereby agrees Business Associate may, rely solely upon the following repre-
sentations, warranties and agreements of Plan and Plan Sponsor:
A. The Privacy Plan Amendment has been duly adopted by all necessary or appropriate action of Plan and Plan Sponsor and is, or will be, in full force and effect
on the Effective Date. Plan has included all necessary statements in its notice of privacy practices required by the HIPAA Rules to permit Plan and Business
Associate to disclose PHI to Designated Plan Sponsor Employees. Plan Sponsor and Plan shall promptly notify Business Associate of any modification or
amendment to the Privacy Plan Amendment. Plan Sponsor and Plan shall also promptly notify Business Associate of any additions to or deletions from the
Designated Plan Sponsor Employees.
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HIPAA TPA-Client BAA (Rev. 9/2025) 1
CLIENT BUSINESS ASSOCIATE AGREEMENT
B. Plan Sponsor shall ensure that only Designated Plan Sponsor Employees shall use or have the opportunity to use, any electronic access to PHI provided to
Plan Sponsor by Business Associate hereunder.
C. On and after the Effective Date, Plan and Designated Plan Sponsor Employees will comply in all respects with the HIPAA Rules and the Privacy Plan Amend-
ment that are applicable to this Agreement.
D. Designated Plan Sponsor Employees shall request only PHI from Business Associate that is the minimum necessary as required by the HIPAA Rules to per-
form the Plan Administrative Services.
6. Disclosures of PHI to Privacy Officer. Plan hereby authorizes and directs Business Associate to disclose PHI to the Plan’s Privacy Officer for purposes of imple-
menting the HIPAA Rules and as may be requested by the Privacy Officer from time to time. In disclosing PHI to the Plan’s Privacy Officer, Plan hereby authorizes
and directs Business Associate to, and Plan Sponsor hereby agrees Business Associate may, rely solely upon the following representations, warranties and agree-
ments of Plan and Plan Sponsor: All necessary actions under the HIPAA Rules have been performed to permit the Plan’s Privacy Officer to have access to the PHI as
described herein.
7. Minimum Necessary. Business Associate will, in its performance of the functions, activities, services, and operations specified above, make reasonable efforts
to use, to disclose, and to request only the minimum amount of PHI reasonably necessary to accomplish the intended purpose of the use, disclosure, or request.
Business Associate and Plan acknowledge that the phrase “minimum necessary” shall be interpreted in accordance with the HIPAA Rules. Plan shall notify Business
Associate of:
(i) any limitation(s) in the notice of privacy practices of Plan under the HIPAA Rules, to the extent that such limitation may affect Business Associate’s use
or disclosure of PHI;
(ii) any changes in, or revocation of, the permission by an individual to use or disclose his or her PHI, to the extent that such changes may affect Business
Associate’s use or disclosure of PHI; and
(iii) any restriction on the use or disclosure of PHI that Plan has agreed to or is required to abide by under §164.522 of the HIPAA Rules, to the extent that
such restriction may affect Business Associate’s use or disclosure of PHI.
Furthermore, Plan agrees to notify Business Associate prior to Plan’s agreement to any of the forgoing changes, limitations, revocations, or restrictions.
8. Unauthorized Use or Disclosure. Business Associate shall not use or further disclose PHI other than as permitted by this Agreement or as required by law.
9. Privacy and Security Safeguards. Business Associate will develop, implement, maintain and use appropriate safeguards to comply with the HIPAA Rules and
prevent use or disclosure of PHI (including electronic PHI) other than as provided in this Agreement or as required by law.
10. Subcontractors and Agents. Business Associate will ensure that any of its subcontractors and agents (to whom Business Associate provides PHI in connection
with the Administrative Services) agrees to the same restrictions and conditions that apply to Business Associate hereunder, through a written agreement in accor-
dance with §164.502(e)(1)(ii) and §164.308(b)(2), if applicable, of the HIPAA Rules.
11. Compliance with Standard Transactions. If Business Associate conducts, in whole or in part, Standard Transactions for or on behalf of Plan, Business Associate
will comply and will require any of its subcontractors or agents involved with the conduct of such Standard Transactions to comply with each applicable requirement
of 45 CFR Part 162. Business Associate will not enter into or permit its subcontractors or agents to enter into any trading partner agreement in connection with
the conduct of Standard Transactions for, or on behalf of, Plan that: (a) changes the definition, data condition, or use of a data element or segment in a Standard
Transaction; (b) adds any data elements or segments to the maximum defined data set; (c) uses any code or data element that is marked “not used” in the Standard
Transaction’s implementation specification or is not in the Standard Transaction’s implementation specification; or (d) changes the meaning or intent of the Stan-
dard Transaction’s implementation specification.
12. Plan Access to PHI. Upon receipt of a request from Plan, and in accordance with the written policies of Business Associate then in effect, Business Associate will
promptly make available to Plan or, at Plan’s direction, to the individual requesting PHI (or the individual’s personal representative) for inspection and obtaining
copies of any PHI (including electronic copies of PHI in a designated record set as necessary) about said individual that is in Business Associate’s custody or control,
so that Plan may meet its access obligations under §164.524 of the HIPAA Rules.
13. Amendment of PHI. Business Associate will, upon receipt of notice from Plan, and in accordance with the written policies of Business Associate then in effect,
promptly amend or permit Plan access to amend any portion of PHI, so that Plan may meet its amendment obligations under §164.526 of the HIPAA Rules. If
authorized by Plan, Business Associate will, upon receipt of a request from the individual requesting amendment to his PHI, promptly amend such PHI so that Plan
may meet its amendment obligations under §164.526 of the HIPAA Rules.
14. Disclosure Accounting. Except for Excepted Disclosures, Business Associate will record the Disclosure Information for each disclosure of PHI that Business
Associate makes to any Person. Business Associate need not record Disclosure Information or otherwise account for Excepted Disclosures. Upon receipt of a request
from Plan and in accordance with the written policies of Business Associate then in effect, Business Associate will make available to Plan, or at Plan’s direction, to the
individual requesting the disclosure accounting, the Disclosure Information for the six (6) years preceding Plan’s request for the Disclosure Information (except for
disclosures occurring before the Effective Date), so that Plan may meet its disclosure accounting obligations under §164.528 of the HIPAA Rules.
15. Inspection of Books and Records. Business Associate will make its internal practices, books, and records relating to its use and disclosure of PHI under this
Agreement available to the U.S. Department of Health and Human Services for the purposes of determining Plan’s compliance with the HIPAA Rules.
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HIPAA TPA-Client BAA (Rev. 9/2025) 2
CLIENT BUSINESS ASSOCIATE AGREEMENT
16. Reports to Plan. Business Associate will report to Plan promptly any use or disclosure of PHI that violates this Agreement of which Business Associate become
aware, including breaches of unsecured PHI as required by §164.410 of the HIPAA Rules, and any Security Incident of which it becomes aware. Business Associate will
further provide to Plan, in writing, such details concerning the incident in question as Plan may reasonably request.
In addition, Business Associate will report, without unreasonable delay but in no case later than 60 days following discovery of the breach, to the Plan’s Privacy Offi-cial,
any breach of unsecured protected health information. If instructed by Plan, Business Associate will, on behalf of Plan, provide all notifications of breaches of
unsecured protected health information as required in accordance with Subpart D of 45 C.F.R. Part 164, to the extent that the breached unsecured protected health
information was in the possession of Business Associate or a subcontractor or agent of Business Associate. The terms “breach” and “unsecured protected health
information” shall have the meanings scribed to them in the HIPAA Rules.
17. Termination of Agreement for Cause. In the event of a breach of a material term of this Agreement by Business Associate, Plan shall have the right to termi-
nate this Agreement by providing to Business Associate written notice of termination setting forth the details of the incident that is the basis for such termination.
Business Associate shall have the right to cure any such breach within thirty (30) days from its receipt of said notice of termination (the “Cure Period”). A failure by
Business Associate to cure such breach within the Cure Period shall constitute a breach of this Agreement entitling Plan to terminate this Agreement at any time af-ter
the Cure Period by providing to Business Associate written notice thereof specifying the effective date of termination. Plan, Business Associate and Plan Sponsor hereby
agree that, upon termination of this Agreement, the ASA shall terminate and Business Associate shall have no further obligation to perform the Administra-tive
Services.
18. Obligations upon Termination.
A. Return or Destruction. Upon termination or expiration of this Agreement, Business Associate will, if feasible, return to Plan or destroy all PHI, in whatever form
or medium (including any electronic medium under Business Associate’s custody or control), including all copies of and any data or compilations derived from
and allowing identification of any individual who is a subject of PHI. Business Associate will, in accordance with the written policies of Business Associate then
in effect, complete such return or destruction as promptly as possible after the effective date of the termination or expiration of this Agree-ment. Business
Associate will limit its further use or disclosure of PHI to those purposes that make return or destruction infeasible.
B. Continuing Privacy and Other Obligations. Business Associate’s obligation to protect the privacy of PHI hereunder will be continuous and survive termination
or expiration of this Agreement. The obligations of the parties hereto under Sections 12, 13, 14, 18 and 19 of this Agreement shall survive the termination or
expiration of this Agreement.
19. Indemnification.
A. Indemnification by Plan Sponsor. Plan Supervisor and its representative directors, officers, and employees shall be held harmless from and against any and all
claims, suits, actions, liabilities, losses, afines, penalties, damages, and expenses of any kind including, but not limited to, court costs and attorney's fees,
that the Plan Supervisor may suffer or incur as a result of any dishonest, fraudulent, grossly negligent, or criminal act or omission of the Plan Sponsor or its
employees, or by the Plan Sponsor's breach of confidentiality or right of privacy of any Plan Participant except for acts taken at the specific direction of the
Plan Supervisor. The Plan Sponsor shall be entitled to rely, without investigation or inquiry, upon any written communication(s) of the Plan Supervisor or
agents of the Plan Supervisor. This indemnity does not extend to any acts or omissions other than those enumerated in this paragraph. This indemnity shall
survive termination of this Agreement.
B. Indemnification by Business Associate. Business Associate hereby agrees to indemnify, defend and hold harmless Plan (including, without limitation, its
employees, agents, successors and assigns) from and against any and all claims, causes of action, liabilities, damages, costs, or expenses (including
without limitation, attorneys’ fees, court costs, costs of administrative or other proceedings, and costs of investigation) arising out of or related to a breach
of any of the terms and provisions of this Agreement by Business Associate or any party acting by or through Business Associate (including, without
limitation, Busi-ness Associate’s agents, employees, representatives, contractors or subcontractors).
20. Modification and Amendment. Except as expressly modified or amended herein, all other terms and conditions of the ASA shall remain in full force and effect.
This Agreement shall not be modified or amended in any respect except by a written instrument executed by the parties; provided, that in the event the provisions of
this Agreement shall conflict with the requirements of applicable law concerning the use, handling, disclosure and/or treatment of PHI (including, without
limitation, the HIPAA Rules), as such laws may be modified, amended, or superceded from time to time, this Agreement shall be deemed amended as necessary to
conform to such legal requirements at all times.
21. No Third Party Beneficiaries. This Agreement is entered into by and among Plan, Plan Sponsor and Business Associate for the exclusive benefit of each of the
parties hereto. This Agreement shall not be construed to confer any rights or remedies upon any Person, except the parties hereto and their respective officers,
directors, shareholders, employees, agents, successors and assigns.
22. Conflicts. The terms and conditions of this Agreement will override and control any conflicting terms and conditions in the ASA related to the privacy and security of
PHI.
[Signatures on next page]
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HIPAA TPA-Client BAA (Rev. 9/2025) 3
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CLIENT BUSINESS ASSOCIATE AGREEMENT
SCHEDULE A
TO
BUSINESS ASSOCIATE AGREEMENT
For purposes of this Agreement, all capitalized terms contained in this Agreement shall have the following meanings:
“Administrative Services” shall mean the administrative services that Business Associate provides to or on behalf of Plan in connection with administering the benefits
provided by Plan as claims administrator of Plan under the ASA.
“ASA” shall mean one or more administrative services agreements (including any implementation or Enrollment Agreement between Business Associate and Plan Sponsor)
which may be entered into by and between Business Associate and Plan Sponsor, from time to time, pursuant to which Business Associate provides the Administrative
Services, as the same may be modified, amended, renewed or superceded.
“Business Associate” shall mean Medical Care Analysts, Inc.
“Data Aggregation” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“Designated Plan Sponsor Employees” shall mean those persons designated in writing by Plan to Business Associate, on or before the Effective Date, as being includ-
ed within the class of employees or other workforce members under the control of Plan Sponsor designated in the Privacy Plan Amendment that are authorized to use and
disclose PHI in accordance with the Privacy Plan Amendment.
“Disclosure Information” shall mean the information described in §§164.528(b)(2)-(3) of the HIPAA Rules.
“Effective Date” shall mean the effective date of the ASA.
“Excepted Disclosures” shall mean disclosures of PHI by Business Associate set forth in §164.528(a)(1) of the HIPAA Rules.
“Health Care Operations” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164.
“Payment” shall have the meaning set forth in §164.501 of the HIPAA Rules.
“Person” shall include individuals, trusts, estates, corporations (both non-profit and other corporations), partnerships (both limited and general), joint ventures, limited
liability companies, unincorporated associations, and governmental agencies and organizations. Person shall not include Plan, Plan Sponsor or Business Associate.
“PHI” shall mean Protected Health Information that Business Associate receives from, or creates or receives for, or on behalf of Plan in connection with the performance of
the Administrative Services.
“Plan” shall mean one or more group health plans sponsored by Plan Sponsor to which Business Associate provides the Administrative Services.
“Plan Administrative Services” shall mean the plan administrative services performed by Plan Sponsor pursuant to the plan documents of Plan, including the Privacy
Plan Amendment.
“Plan Sponsor” shall mean the entity who sponsors the Plan and who has executed this Agreement (by its duly authorized representative) on the signature line designat-
ed for the Plan Sponsor on the execution page of this Agreement.
“Privacy Plan Amendment” shall mean that amendment to the plan documents of Plan that complies in all respects with the requirements set forth in §164.504(f)(2) of
the HIPAA Rules and for which Plan has received a written certification as required by the HIPAA Rules, on or before the Effective Date.
“Protected Health Information” shall have the meaning set forth in §160.103 of the HIPAA Rules.
“Security Incident” shall have the meaning set forth in §164.304 of the HIPAA Rules. However, unless otherwise requested by Plan, Security Incident does not include
“trivial incidents” that occur on a daily basis and do not represent a material threat to the confidentiality, integrity, or availability of PHI covered by this Agreement (such as
scans or pings of Business Associate’s computers or computer networks).
“Summary Health Information” shall have the meaning set forth in §164.504(a) of the HIPAA Rules.
“Treatment” shall have the meaning set forth in §164.501 of the HIPAA Rules.
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HIPAA TPA-Client BAA (Rev. 9/2025) 5
RATIFIED AND APPROVED by the Trustees of the Oklahoma City Zoological Trust and signed by its
Chairperson this day of , 2026.
ATTEST:
By:
Trust Secretary Chairperson
REVIEWED for form and legality.
Assistant Municipal Counselor
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