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

Management of injectables and infusions (when on precertification list) is provided through the High Cost Drug Management program at an hourly rate. Out-of-network discount and subrogation services are included on a contingent fee basis. This is based on the program's percentage fee of savings resulting from the discount or recovery program as part of our administration pricing illustrated. Administrative pricing is subject to change if client opts out of Meritain Health's out-of-network discount and subrogation services (this also applies if an out-of- network benefit does not exist in the plan design benefits, i.e. EPO plans). Network access and integration fees are included. Additional fees may be billed on a pass through basis for Network Directories. Network run-out fees may apply depending on the network selected. All quoted lines of coverage (except Optional Life, if quoted) require a minimum 75% participation level of eligible employees. Access to the Aetna Choice POS II network requires the purchase of medical claims administration and one of the following services: UM/CM through AHH, Meritain Health Pharmacy Management or stop loss coverage through Aetna. 1/3/2019