56-19 Exhibit - Agreement with Meritain Health as Third Party Administrator.pdf

Medical Administrative Fee Options Township of West Orange Quoted Effective Date: 4/1/2019 Employees Network: Aetna Choice POS II 592 Plan Design: Proposed Benefits TPA: Meritain Health Projected Reinvested Subscribers Rebates 1 Medical Administration Fee 592 $70.50 Network Access Fee 592 Included Utilization Management (Assuming Model Precert List) 592 Included Case Management 592 Included COBRA (+2% of Collected Premiums) 592 Included Reinsurance Administration Fee 592 Included ATLAS - Arrow Reporting 592 Included SBC Preparation (See Conditions for Printing Options) 592 Included NYHCRA/HCRA Surcharge Reporting 592 Included Maternity Management 592 Included Disease Management 592 Included 24/7 Nurseline 592 Included Teladoc 592 Included Fiduciary 592 Included Set Up Fee 592 Waived Broker Fees 592 Included Total Administration Fees:

592 Waived Broker Fees 592 Included Total Administration Fees: $70.50 Utilization of Scrip World PBM Program Included PBM Coordination Fee Included Integrated OOP Deductible Included Total Administration Fees after SW Credits $70.50 Total Administration Fees (Annual): $500,832.00 1. Assumes Reinvested Rebates with Scrip World for the 20 Library Employees. The other employees will have a carve-out Rx arrangement. The above Meritain Health administration rates are guaranteed for three years and require a three year agreement. Early termination fees may apply. 1/3/2019