Agmt23 Navia Benefit Solutions - Laserfiche WebLink

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REV:01-20-23 MI received, or the direct debit fails the Deposit shall be adjusted from 5% to 10%. At the beginning of each subsequent Plan Year Navia reserves the right to recalculate the Deposit for that Plan Year to be paid by Employer within 30 days after the commencement of such Plan Year. Said sum, or the portion thereof not utilized, shall then be reimbursed to Employer one-hundred and eighty days (180) after the end of the final Plan Year. Employers using disbursement funding shall authorize Navia to direct debit for Employer dollars equal to Covered Individual claim reimbursements. Navia shall direct debit Employer’s checking or savings account within two (2) Business Days of Employer’s receipt of the Disbursement Report. In the event funding is not received within ten (10) days of the scheduled reimbursement date Navia may suspend claim processing. 3. FEES Rate Guarantee: 1/1/2023 – 12/31/2025 3.1. Monthly Processing and Administration Fees: 3.1.1. Dental: $4.50 per month per HRA Covered Individual ($100/month minimum) 3.1.2. Orthodontia: $1.00 per month per HRA Covered Individual ($100/month minimum) 3.2. Enrollment form processing: $4.00 per enrollment form received and processed. 3.3. Electronic Funds Transfer: $10.00 per returned item from attempted deposit in Covered Employee account. 3.4. Electronic Funds Transfer: $10.00 per failed direct debit from Employer account. 3.5. Summary Plan Description Fee: $3.50 per Summary Plan Description printed and mailed to Employer or Covered Employees. Provided only upon Employer request. 3.6. Summary of Benefits & Coverage Fee: $3.50 per Summary of Benefits & Coverage printed and mailed to Employer or employees. Provided only upon Employer request. 3.7. Enrollment Meetings and Benefit Fairs: For on-site enrollment meetings and attendance at benefit fairs by Navia: 3.7.1. Employer shall pay to Navia $75.00 per hour, or $300.00 per eight-hour day, whichever is less; 3.7.2. Air travel and lodging expenses shall be charged to Employer at Navia’s cost; 3.7.3. Automobile mileage is charged at $.36/mile, plus $37.50/hour driving travel time. 3.7.4. Air travel time is charged as a full day cost, of $300.00 per day. 3.11. Plan Document Amendment and Restatement Fee: In the event that Employer wishes to make changes to the Plan, Employer shall pay to Navia the following Fees: 3.11.1. $150 per amendment provided by Navia. ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 26 of 42)