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25A - AGMT FOR FLEX SPENDING
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25A - AGMT FOR FLEX SPENDING
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Last modified
10/14/2020 3:08:32 PM
Creation date
10/14/2020 3:02:14 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Human Resources
Item #
25A
Date
10/20/2020
Destruction Year
2025
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DocuSign Envelope ID: CFCE3443-EF37-4FD4-8DCD-D85D559F77AE <br />present its fees and terms in writing and will require written agreement <br />of such fees and terms by the Client before said services are performed. <br />5. The Client agrees to notify the Contract Administrative Firm if the Client <br />has contracted a third party vendor for electronic enrollment and <br />intends to have said third party vendor electronically transmit <br />enrollment data. <br />a. The Client agrees that electronic data must conform to the <br />Contract Administrative Firm's file specifications and that data <br />fee establishment and testing fees may be incurred. Such fees <br />must be presented in writing by the Contract Administrative <br />Firm and agreed to by the Client before testing begins. <br />b. The Client agrees that the Contract Administrative Firm will <br />process electronically transmitted files as received without <br />question. If corrections are needed, such corrections must be <br />provided by the Client in writing and will serve as authorization <br />to perform system corrections and charge applicable <br />administrative fees as set forth in Exhibit A. <br />6. The Client agrees that it is responsible for the timely review and final <br />approval, execution and implementation of sample Reimbursement <br />Account documentation, if applicable, provided by the Contract <br />Administrative Firm. If the sample Reimbursement Account <br />documentation is not executed and implemented, the Client agrees that <br />it is responsible upon adoption of alternative documentation to provide <br />a copy of the same to the Contract Administrative Firm upon request. <br />The Client agrees that the Contract Administrative Firm makes no <br />warranties or representations regarding the adequacy of sample <br />Reimbursement Account documentation under the Code of other <br />applicable laws. <br />7. The Client agrees to provide sample written summaries of the component <br />reimbursement accounts to each Participant upon enrollment <br />thereunder and to communicate any changes which may be made to the <br />Client's Spending Account Program and/or the written summaries of <br />same if required. <br />B. The Client will establish and authorize the Contract Administrative Firm <br />access via ACH to a Funding Account for the purpose of funding the <br />following Spending Account activity as applicable: <br />a. All daily cumulative daily Benefits Card (Card) transactions via <br />Automated Clearing House (ACH) transfer from the Funding <br />Account directly to the Card provider <br />b. All daily cumulative Participant direct deposit transactions via <br />ACH from the Funding Account directly to the Card provider. <br />1G�lE <br />\I11ISI411111\I �111\IIL4 <br />City of Santa Ana Spending Account Administrative Services Agreement <br />Client Initials: <br />PEPM17 <br />Page 7 <br />25A-9 <br />
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