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NIS '.. human resourceful' CONEXIS SERVICE APPENDIX - REIMBURSEMENT ACCOUNT SERVICES MEDICAL FSAIDCAP Client has established one or more of the following healthcare or dependent care reimbursement account arrangements: -- R15T2-Fixed Rate Per Medical FSAIDCAP Plan Participant o An Internal Revenue Code ("Code") Section 105 Healthcare Flexible Spending Arrangement ("Healthcare FSA") o A Code Section 129 Dependent Care Flexible Spending Arrangement ("Dependent Care FSA") All such plans shall be referred to collectively as the "Reimbursement Plans". Client has asked CONEXIS to assist it with its administrative obligations under one or more of the Reimbursement Plans (as indicated above). Client is responsible for Reimbursement Plans complying with Internal Revenue Services and applicable regulations. This Service Appendix is incorporated into and made a part of the Administrative Services Agreement ("Agreement"). This Service Appendix is effective as long as there is an executed Fee Schedule with a current Service Fees Guarantee Period date. If there is a conflict between this Service Appendix and the Agreement, the Agreement controls. For the purposes of this Service Appendix, the "Data Provider" shall mean the party that is providing information to CONEXIS. Data Provider may be Client, a Partner or another third party entity designated by Client. Data Provider shall be responsible for providing CONEXIS timely, accurate and complete information necessary for CONEXIS to provide the Services described herein. CONEXIS is under no obligation to verify the accuracy and completeness of information provided to it by Data Provider. Data Provider is solely responsible for providing the necessary information to CONEXIS sufficiently in advance of the federal deadline, taking into account the agreed upon timeframes in this Appendix, to ensure that all notices are furnished in accordance with applicable federal law. CONEXIS is not responsible for resending any notices that are returned to CONEXIS to the extent they were mailed to the last known address of the Participant. For purposes of this Service Appendix, "Card Administrator" shall mean the third party engaged by CONEXIS who issues and/or processes electronic payment cards. "Card" shall mean the electronic payment card issued to Participants in accordance with this Appendix. As a courtesy to Client, CONEXIS upon request may provide Client with sample documents and forms. Such sample documents and forms have been prepared in accordance with the standard of care set forth in Section 3.4. Should the Client make any changes to the sample document, the Client understands and acknowledges that CONEXIS no longer warrants the sample documents and forms in any regard and the Client becomes solely responsible for ensuring the documents and forms comply with applicable laws and regulations. Standard notices and documents sent by CONEXIS in its regular course of business will be deemed compliant with applicable federal laws. If Client has requested CONEXIS to assist it with satisfying certain Client obligations under the aforementioned Reimbursement Plans, in consideration of the mutual promises set forth below, the parties agree as follows: CONEXIS shall maintain for each plan year administered, employee participation census (if applicable), Client contribution (if any), and salary reduction (if any) information for the Reimbursement Plans, including initial enrollments, annual enrollments and changes made to such elections as reported to CONEXIS. CONEXIS shall maintain separate bookkeeping accounts with regard to each Participant's Reimbursement Plan based on information provided to CONEXIS. CONEXIS is not responsible for data entry of paper elections and or validating life status changes. Client or Data Provider shall furnish to CONEXIS the information determined by CONEXIS to be necessary to fulfill its duties. 2. CONEXIS provides the Reimbursement Plan administration services claims processing. In connection with these services, CONEXIS Administrator, a Card. The following terms and conditions apply: PEPM Billing — Less Than 1000 lives RAS Fee Schedule/Service Appendix as set forth herein, including but not limited to provides access, in conjunction with the Card V9.0-040111