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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 />days of the report being posted. Navia is not responsible for any errors due the <br />Employer’s failure to review reports within the required timeframe. <br />1.12. Navia has no responsibility for the payment or reimbursement of health care claims. <br />1.13. Navia may deposit all COBRA premiums it receives in a bank account from which <br />Navia shall remit payments to the Employer as required or permitted under this <br />Agreement. Navia will maintain an accounting of the premiums in the bank account <br />that are allocable to the Employer, adjusted for the remittances and for the reduction <br />for fees. <br />1.14. The scope of Navia’s Services as it relates COBRA includes Qualified Beneficiaries <br />who are receiving COBRA coverage at the Effective Date of this Agreement, <br />Qualified Beneficiaries in their election period that have already received a specific <br />rights notice, Qualified Beneficiaries who have experienced a qualifying event in the <br />thirty days prior to the Effective Date, as well as Qualified Beneficiaries who <br />experience Qualifying Events on or after the Effective Date of this Agreement. <br />2. Responsibilities of Employer <br />2.1. Employer shall timely provide the Plan Application and any other information <br />necessary for Navia to satisfy its obligations hereunder. <br />2.2. Employer shall notify all relevant Carriers that Navia is the COBRA administrator <br />before the effective date of the COBRA Administration. <br />2.3. It is Employer’s sole responsibility to reconcile the Carrier invoice with the remittance <br />report provided by Navia within thirty 30 days of receipt. Any errors resulting from <br />the failure to do so will be the sole responsibility of Employer. <br />2.4. Employer will provide the required notice data to Navia within 30 days of the date of <br />COBRA Qualifying Event that is due to: <br />2.4.1. Divorce or legal separation. <br />2.4.2. Child reaching the limiting age. <br />2.4.3. Termination of an employee’s employment. <br />2.4.4. Reduction in an employee’s hours that results in a loss of coverage under the <br />Health Plan. <br />2.4.5. Employee’s death; or <br />2.4.6. Employee’s entitlement to Medicare that results in a loss of coverage under <br />the Health Plan for the employee’s spouse or dependent child. <br />2.4.7. Knowledge of second qualifying event, notice of disability determination and <br />notice of change in disability status. <br />2.4.8. If Employer does not provide Navia the complete required notice data until <br />after the 30 - day period expires, Navia will provide the Qualified <br />Beneficiaries their Specific Rights Notice within fourteen (14) days after <br />receiving the data, but subject to the following condition: if a Qualified <br />Beneficiary timely elects COBRA, Employer will have sole responsibility (a) <br />for any adverse consequences (including, for example, a Carrier’s refusal to <br />provide coverage or a stop-loss insurer’s refusal to reimburse claims because <br />the Carrier or insurer deems Employer to have provided untimely notice under <br />ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 33 of 42)
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