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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 />Monthly Minimum Fee $100 <br />2% COBRA Administration Fee2 Retained or Invoiced by Navia <br />Miscellaneous Fees <br />Manual Data Entry Fee $5.00 per Qualified Beneficiary entered <br />Noncompliant File Processing Fee 35% the total monthly administration <br />fee <br />Special Handling3 $15.00 per occurrence plus postage <br />Offboarding Fees Equal to the last month’s administration <br />fees <br />Optional Services/Fees <br />Mass mailing of initial general notice to all active <br />employees and covered spouses.$3.00 per notice. <br />Open Enrollment Services $20 Fee per kit mailed plus postage <br />1If updated counts are not received by the plan renewal date then Navia shall assume a 10% increase <br />from the previous year. <br />2If this Fee is not added to the COBRA rates or paid by Qualified Beneficiaries, Navia will invoice <br />Employer for the 2% COBRA Fee. If Employer subsidizes the COBRA premium, Navia will deduct <br />the 2% from the monthly remittance or invoice Employer for the additional amount. <br />3Includes rush notices, non-standard shipping, Employer invoicing of COBRA premiums, etc.) <br />ATTY/AGR.2023.010/Navia Benefit Solutions (Navia Services (Dental HRA) 2023) (Page 35 of 42)
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