25A - AGMT FOR FLEX SPENDING - Laserfiche WebLink

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DocuSign Envelope ID: CFCE3443-EF37-4FD4-BDCD-D85D559F77AE makes no warranties or representations regarding adequacy of alternate materials. Additional fees may apply if the Client uses alternate materials that have not been reviewed and approved by the Contract Administrative Firm and result in custom data entry. Such fees must be provided in writing by the Contract Administrative Firm and agreed to in writing by the Client before such materials will be submitted for data entry by the Contract Administrative Firm. Electronic file transmissions must meet the Contract Administrative Firm's file specifications. 2. The Contract Administrative Firm will process reimbursement requests, including the provision of written instructions to Participants for re- submitting reimbursement requests in instances where required information may be missing. In the event of an appeal by a Participant, the Contract Administrative Firm agrees to reimburse expenses based on a final, written approval by the Client. 3. The Contract Administrative Firm will use a designated checking account owned and managed by the Client ("Funding Account") for the purpose of funding the following Spending Account activity as applicable: a. All daily cumulative Benefits Card (Card) transactions via Automated Clearing House (ACH) transfer from the Funding Account directly to the Card provider b. All daily cumulative Participant direct deposit transactions via ACH from the Funding Account directly to the Card provider. c. All weekly manual (check) Participant reimbursements accumulated during the previous week and disbursed from a designated account owned and operated by the Contract Administrative Firm. Such reimbursements are produced daily as applicable. The Contract Administrative Firm will process an ACH on a designated day of the week equal to the amount of funds disbursed by the Contract Administrative Firm during the previous week, unless other arrangements have been made allowing the Client to push such funds to the Contract Administrative Firm. If a fund push is approved, funds must be received by the Contract Administrative Firm on a designated day of the week. Should funds not be received by the designated day of the week, the Contract Administrative Firm will automatically pull funds from the Funding Account via ACH and additional processing fees will apply as listed in Exhibit A. a DUDE n1lhlFi n-\i �tl 4tln iil� City of Santa Ana Spending Account Administrative services Agreement Client Initials: PEPM17 Page 4 25A-6