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REV:01-20-23 MI COBRA) and (b) for ensuring the availability of continuation coverage to the Qualified Beneficiary for the maximum coverage period under COBRA. 2.5. Employer will notify Navia, in writing, of the premium rates and will do so at least forty-five (45) days before their effective date. If Employer notifies Navia of new premium rates less than forty-five (45) days before their effective date, Navia may defer implementing the new premium rates to the first day of the first month that occurs more than forty-five (45) days after Employer’s notification to Navia. In the event Employer fails to timely report new premium rates to Navia, Employer shall be liable for any resulting consequences, including, but not limited to, funding any premium shortfall, reinstating coverage, or other negative consequence. 2.6. If the Carrier requires premium rate payment information within a specific timeframe, it is Employer’s responsibility to independently obtain the information from the Website and to provide it to the Carrier. 2.7. Employer will promptly notify Navia in writing when Employer becomes aware of address changes of its employees, their spouses, and/or dependent children who are receiving continuation coverage. Navia shall not be responsible for any consequences caused by Employer’s failure to promptly notify Navia up address changes. 2.8. Employer will promptly notify Navia in writing if it becomes aware that a Qualified Beneficiary who is receiving continuation coverage: 2.8.1. has become entitled to Medicare; 2.8.2. has become covered by another Employer’s group Health Plan; 2.8.3. has been determined to be disabled by the Social Security Administration; 2.8.4. has been determined to be no longer disabled by the Social Security Administration; 2.8.5. has become divorced or legally separated; or 2.8.6. no longer is a dependent child according to the terms of the Health Plan. 2.9. Employer will promptly notify Navia in writing when the Employer is no longer subject to COBRA. 2.10. Employer has the responsibility to pay, or to cause to be paid, all excise taxes required under Internal Revenue Code section 4980B, as and when required, and to file, or to cause to be filed, IRS Form 8928, as and when required. 3. FEES The COBRA Services are based on the number benefit eligible Employees. The monthly administration Fee is based on the benefit eligible Employee count (“Count”) calculated at the start of each service year and updated upon renewal. Navia reserves the right to update the Count quarterly. COBRA Fees Rate Guarantee 7/1/2022 – 6/30/2025 Participant Count Increase1 10% Annual Fees $250 Base Monthly Administration Fee $0.56 PEPM ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 34 of 42)