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REV:01-20-23 MI HEALTH FLEXIBLE SPENDING ARRANGEMENT (“HEALTH FSA”) AND DEPENDENT CARE FLEXIBLE SPENDING ARRANGEMENT (“DAY CARE FSA”) SCHEDULE BENEFIT PLAN SERVICE SCHEDULE(S) AND FEES This Schedule is incorporated into and made a part of the Agreement. The responsibilities of the Parties set forth in this Schedule are in addition to any responsibilities set forth in the Agreement. If there is a conflict between this Schedule and any other part of the Agreement with respect to the subject matter of this Schedule, the Schedule will control. In all other conflicts, the Agreement controls. Capitalized terms not otherwise defined herein are defined as set forth in the Agreement. As part of the Services, Employer has asked Navia to assist it with Flexible Spending Arrangement (“FSA”) administration as more particularly described in this Schedule below. 1. RESPONSIBILITIES OF NAVIA 1.1. IMPLEMENTATION Navia shall implement the Plan subject to the Plan Application and the direction and approval of Employer. 1.2. PLAN PROCESSING AND ADMINISTRATION Navia shall: 1.2.1. Provide claim reimbursements by check or direct deposit. Such claim reimbursements will be issued within two (2) Business Days after the later of: (1) the scheduled processing date; (2) the date Employer reconciles the Eligibility and Payroll Deduction Report (“EDR”) or submits an approved payroll report; or (3) the receipt of funds as required in the funding section. 1.2.2. Provide notification of online availability of the EDR, Disbursement, and Year-to-Date report. 1.2.3. Provide annual year-end report within ninety (90) days after the claims Run- Out Period has expired. 1.2.4. Perform claims adjudication, including verification of date, service, and cost of service. 1.3. PLAN DESIGN OPTIONS 1.3.1. If Employer provides for the Grace Period under IRS Notice 2005-42 (the “Grace Period”) Navia shall process claims against the prior Plan Year for services incurred through the 15th day of the third month following the end of the Plan Year. If applicable, apply any residual balance of Grace Period claims against the current Plan Year benefit. 1.3.2. If Employer provides for Carryover Administration under IRS Notice 2013-71 (the “Carryover”) Navia shall: 1.3.2.1. Carry over the lesser of the balance in the Health FSA as of the Carryover Date or the maximum carryover amount set by the Plan, from the previous year into the immediately following Health FSA Plan Year. The “Carryover Date” shall mean the date on or about the 25th day after the last day of the Plan Year. The “Balance” shall ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 22 of 42)