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INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL. DATE: OCT 2 4 2010 2N bfislc BASIC FMLA EASE PLUS ADMINISTRATION AGREEMENT BASIC assists employers In complying with the Family Medical Leave Act, as amended ("FMLA"). City of Santa Ana („Employer") employs fifty (50) or more employees for each working day during each of 20 or more calendar workweeks In the current or preceding calendar year and, therefore, Js subject to FMLA. For the purpose of this agreement, the term "empioyse" means the employee of the Employer. In consideration of the mutual promises set forth in this Basic FMLA Administration Agreement ("Agreement"), effective September 1,-2018, BASIC and the Employer agree to the provisions set forth below. SECTION 1; DUTIES OF BASK BASIC agrees to assist the Employer in carrying out the duties and responsibilities regarding the FMLA, Specifically, BASIC agrees: 1. To facilitate implementation of the FMLA program including; a) To organize initial kickoff meeting with designated staff of the Employer to establish FMLA processes including timeline, FMLA sample letters, and Data import templates (demographic, historical and supervisor security); b) To confirm with the Employer unique employee ID numbers, supervisor security setup, Interactive Voice Response (IVR) option and languages and mailing of short term disability paperwork; c) To establish and hold weekly or bi-weekly meetings with designated staff of the Employer. to discuss timeline and outstanding items; d) To provide web reporting for FMLA intake for the designated staff of the Employer. Standard script is English only. Customized script, such as wording changes or adding new fields, is an additional fee. Please see the pricing section for rate; e) To review FMLA Policy and recommend changes If necessary with the designated staff of the Employer. To provide FMLA policy if policy does not exist; f) To provide Ongoing Data load based on BASIC standard template; g) To provide a one -tine supervisor load into FMLA dashboard based on BASIC standard template; h) To assist in the historical FMLA data loaded into BASIC system. Maximum of 12 months of employee FMLA history- based on the Employer's plan year; 1) To provide electronic copies of training materials: employee brochure,, FMLA FAQ, FMLA procedures and supervisor user guide for FMLA dashboard; to the designated staff of the Employer j} To provide black and white iD card for all employees of the Employer provided in Data file k) To conduct Supervisor Training on dashboard and FMLA for the designated staff of the Employer. Two (one-hour) on-line training sessions available. Sessions are recorded and provided to the Employer within one week after recording. Onsite training Is available. Employer is required to pay for any travel or living expenses incurred by the staff of BASK to perform training; and Ongoing Administration: 1. To provide Timely notices to employees, vie US Mail, upon a potential qualifying event, of FMLA rights, obligations and consequences relating to the such employee's annual FMLA entitlement, certification requirements, the any employee's status as a "key employee," and restoration to the same or an W