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REV:01-20-23 MI HEALTH REIMBURSEMENT ARRANGEMENT (“HRA”) SCHEDULE This Service 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 HRA 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 online contribution report or submits an approved contribution report; or (3) the receipt of funds as required in the funding section. 1.2.2. Provide notification of availability of the online contribution report, 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. 2. RESPONSIBILITIES OF EMPLOYER 2.1. REPORTING 2.1.1. Employer shall report to Navia all new Covered Individuals, and all changes in employment or Covered Individual information, and all terminations of Covered Individuals from the Plan on the same day of such occurrence. 2.1.2. Employer is responsible to review and verify all Year-to-Date reports and the information therein, including Covered Individual benefit maximums, contributions and account balances. 2.2. FUNDING For the initial term, Navia shall invoice Employer within sixty (60) days after the commencement of the Plan Year and Employer Deposit equal to the greater of $1,000 or five percent (5%) of the projected annual benefit for the Plan (the “Deposit”). Such deposit shall not exceed $5,000. Employer shall pay the Deposit within thirty (30) days of receipt of the invoice. In the event the direct debit authorization is not ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 25 of 42)