Wellness Fund Allowance Assumptions
Account: CITY OF RIVERSIDE
Policy Period: 1/1/2022 - 12/31/2022
Blue Shield is providing a wellness fund in the amount of $50,000 with the following assumptions:
1 Proposal Assumptions
2 Inforce Account
3 Invoice
4 Stipend Fund Carry Over
Group is in compliance with all proposal assumptions outlined in the rate proposal.
Group remains with Blue Shield for the entire policy period and has met it's financial obligations (payment of premiums on a timely basis) during the course of the year. If a group terminates prior to the end of the policy period, Blue Shield reserves the right to recoup these funds.
Group agrees to provide a detailed invoice to their assigned Blue Shield Account Manager to demonstrate funds to the associated activities, program or services. Allowance dollars will be reimbursed by Blue Shield directly to the group in the form of a separate check. These funds cannot be paid to a broker or vendor.
Assumes use of transition fund during policy period described above. Any portion of the fund that remains unused after the policy period will be forfeit by the group.
CITY OF RIVERSIDE
8/25/2021 CONFIDENTIAL AND PROPRIETARY PAGE 1 OF 1