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Agmt23 Navia Benefit Solutions
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Agmt23 Navia Benefit Solutions
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Last modified
1/27/2023 11:36:21 AM
Creation date
1/27/2023 11:36:09 AM
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Template:
Agreement
Contractor Name
Navia Benefit Solutions
PROJECT NAME
Dental HRA
RMP File Number
304.5
Date
1/26/2023
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REV:01-20-23 MI <br />ARTICLE II. ELECTRONIC PAYMENT CARD SERVICES <br />2.1. If applicable to the Plan(s) selected in the attached Schedule(s), at Employer’s request and <br />payment of all applicable Fees, the Card Services Provider may make an Electronic Payment <br />Card available to Covered Individuals through which eligible expenses may be paid in <br />accordance with the following terms: <br />2.2. Covered Employees or Employer shall provide to Navia a valid email address for each <br />Covered Employee requesting an Electronic Payment Card. <br />2.2.1. The Card Services Provider will issue an Electronic Payment Card to each Card <br />Recipient within thirty (30) days of Navia’s receipt of the Covered Employee’s <br />enrollment data or the Covered Employee’s online, electronic mail or form request. <br />Employer understands and acknowledges that the Card Services Provider issues <br />Electronic Payment Cards based solely on the information provided by Employer. <br />Navia and the Card Services Provider have no obligation to verify or confirm that <br />Card Recipients are Covered Individuals. <br />2.2.2. Card Recipients must agree to use the Electronic Payment Card in accordance with the <br />terms of the Cardholder Agreement that accompanies the Electronic Payment Card. <br />The Electronic Payment Card will be deactivated if the Covered Individual fails to use <br />the Electronic Payment Card in accordance with the Cardholder Agreement or as <br />otherwise required by applicable law. <br />2.2.3. The Electronic Payment Card may be used by Card Recipients to pay for eligible <br />expenses (as defined by applicable law and the applicable Plan to the extent consistent <br />with Navia’s standard operating procedures) in accordance with the applicable rules <br />and regulations. <br />2.2.4. Navia will require substantiation of expenses paid with the Electronic Payment Card <br />in accordance with the requirements set forth in the Code and/or other applicable <br />guidance. The Electronic Payment Card will be deactivated if the Card Recipient fails <br />to provide the requested substantiation in a timely manner as determined by Navia in <br />accordance with Federal guidelines. <br />2.2.5. All Cards will be deactivated on the date this Agreement is terminated, the date that <br />Employer fails to satisfy its funding obligations as set forth herein, the date Employer <br />files for bankruptcy and/or as necessary to prevent fraud or abuse (as determined by <br />Navia). <br />ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 20 of 42)
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