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T[C Administrators Self-Funded Quote mE LIPMAN COMPANY, INe. GENERAL ADMINISTRATIVE DUTIES: TLC Administrators will... · Provide the staff, office equipment and space necessary to accomplish the administrative functions required. · Staff the administration office to answer all telephone calls, mail, personal inquiries or communications from employers, employees or others with respect to the requirements and claims paying procedures of the plan, including (but not limited to) the details of the manner in which claims should be submitted. · Routinely make presentations and provide information on benefit coverage at designated times to participants, employer groups and companies at the business site within a 60-mile radius. · Maintain all correspondence, claim files, insurance contracts, plan documents, trust agreements and any other documentation necessary for the operation of the plan. · Update, redesign and prepare all claims administration forms (such as, claim forms and worksheets) as needed. The cost of printing such forms is included in the administration fees. · Pursue and maintain positive relations with dentists through direct solicitation of benefit program acceptance and prompt claim payment. · Maintain a direct relationship with employers and participating members to promote the plan. · Assist the consultants in preparing the annual claims experience report of the plan, including supplying all claims information in the format required to determine proper reserves and benefit funding levels. · Prepare all reports required by law, including 1099 forms for all providers and ERISA compliance documentation. Assistance of the accountants, legal counsel and actuary will be solicited as appropriate. · Arrange for the storage of plan records at the cost of the client. 3 .,., ·r