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Services & Fees Overview for City of Santa Ana <br />Billable Services List — Not Included <br />This list outlines services that are not included in the Monthly Participation Rate. Fees based on time and ability <br />will be presented to the Client by means of a written proposal (statement of work) and must be agreed to before <br />such services are provided, Postage expenses are calculated using the official Federal USPS postal rate as of the <br />time of the mailing. <br />✓ Benefit Fair and/or Open Enrollment Meeting Attendance <br />$300 peF day + +..ayel This fee is waived as the client is located within 100 miles of Igoe's San Diego <br />based corporate facility. Igoe's attendance is subject to associate availability. <br />✓ Banking Fees <br />• ACH Rejection -Client: $50.00 per each rejected client ACH <br />• Direct Deposit Rejection -Participant: $15.00 per each returned participant ACH <br />• Reimbursement Reissuance: $10.00 per each reissued reimbursement (ACH or manual check) <br />• Stop Payment: $15.00 per stop payment (fee only applies to manually issued checks) <br />✓ EDI Development <br />• $300 per vendor connection <br />This fee includes consultation and file testing for fifes that are initiated and/or altered after initial plan <br />administration has begun. <br />✓ Manual Enrollment Processing <br />• $5.00 per manually entered enrollment <br />✓ System Corrections/Re-Configuration <br />0 $30 per 1/4 hour ($120 minimum) <br />Page 4 <br />CGOE <br />Document Generated on June 5, 2023 for City of Santa Ana <br />Internal Use Only: PEPM17 <br />