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Claims shall be filed in accordance with the terms of those employee health benefit plans approved by the county council pursuant to SCC 4.42.200 for inclusion in the self-insurance program. The processing of claims will be managed by the third party administrator subject to terms and conditions of the county’s administrative services contract. The third party administrator will process and pay claims subject to the provisions of each employee health benefit plan included in the self-insurance program, ensuring that the claims paid do not exceed the maximum benefits payable for each medical service rendered and that claims submitted for ineligible medical services are not honored for payment. The third party administrator will provide claims and claims adjustment expense reports to the county in compliance with terms and conditions of the administrative services contract. (Added by Emerg. Ord. 01-025, Mar. 28, 2001, Eff date Mar. 28, 2001; Reenacted by Ord. 07-006, Feb. 14, 2007, Eff date Feb. 25, 2007).