CONEXIS (2) - Laserfiche WebLink

Home Browse Search

f�EIS human resourceful° locate Client in order to return funds as set forth herein; however, Client agrees that CONEXIS may retain such funds to the extent CONEXIS is unable to locate Client as set forth herein. (h) Client understands and acknowledges that the Funding Account may be an account bearing interest at a rate determined by the applicable financial institution at which such account is maintained and that CONEXIS reserves the right to retain all such interest. CONEXIS will identify the rate of interest for Client from time to time upon written request from Client. To the extent Client is required to file a Form 5500 Schedule C and such interest amounts retained by CONEXIS are required to be reported on the Schedule C, CONEXIS will provide information to Client regarding the interest retained by CONEXIS during the Plan Year of the Reimbursement Plan with respect to funds in the Funding Account attributable to Client. Such amounts will be determined by CONEXIS in accordance with a reasonable allocation formula established by CONEXIS. CONEXIS will provide information required to be reported in accordance with Section (8). (i) Client acknowledges and agrees that all funds provided by Client to CONEXIS or Card Administrator as set forth herein for the purpose of Reimbursement Plan claim reimbursement are paid from the Client's general assets. 4. CONEXIS shall process requests, including a review of substantiating evidence, for reimbursement during the course of the Plan Year(s) under contract and its associated run -out period as stipulated by Client, subject to applicable law. Requests for reimbursement received after the effective date of termination will not be processed. CONEXIS will make determinations on all levels of appeal adopted under the Reimbursement Plans other than the final appeal level (except as otherwise agreed to by CONEXIS). Client shall be responsible for the determination on the final level of appeal. Client shall be responsible for determining who is eligible for the Reimbursement Plans and who has satisfied the requirements to become a Participant in the Reimbursement Plans. In addition, CONEXIS is not responsible for any consequences arising from its takeover of administrative duties relating to a Reimbursement Plan from another service provider or arising from payments made to terminated employees prior to CONEXIS receiving notice of termination. CONEXIS may, at the Client's request and in the manner from time to time prescribed, accept electronic Explanations of Benefits (EOBs) from health plans or administrators for purposes of processing reimbursement claims to Participants. Client must identify all health plans and other third parties from whom CONEXIS may accept EOBs for the purpose of reimbursement processing. Under no circumstances will CONEXIS accept electronic claims for any Participant without an active enrollment. Any costs assessed by the health plan or other administrator for the establishment of such services shall be the full responsibility of the Client. Client understands that such a process may not comply with the applicable certification requirements since the Participant is unable to certify that the expense has not been reimbursed at the time CONEXIS processes the reimbursement; however, Client assumes all risks associated with such process by requesting such services from CONEXIS. 5. CONEXIS may bill Client a $1.00 Reimbursement Check Processing Fee for each reimbursement check issued by CONEXIS, invoiced on a monthly basis. Expenses paid using the Card or reimbursements issued to Participants via ACH transfer (direct deposit) will not incur this charge. Only those claims that result in the issuance of a check will result in a charge. 6. CONEXIS will provide standard reports as it may from time to time prescribe depending on Client requirements at the end of Client's stipulated run -out period. Client reconciliation will be completed depending on Client requirements at the end of the Client's stipulated run -out period. CONEXIS will administer the Client's run -out period (as defined according to CONEXIS' default rules or as mutually agreed upon by the Parties) for a fee equal to the Per Participant fee for each of the enrolled Participants which shall be billed monthly for each month of the run -out period. Run -out fees will be assessed based upon the number of Participants with balances as of the first day of each month in the run out period. Participants with a $0 balance will not be included in the Per Participant run -out fee calculation. CONEXIS can only administer one run -out period per Plan. Clients that do not renew their Reimbursement Services may choose to have CONEXIS administer the Reimbursement during a mutually agreed upon run -out period for a fee equal to the Per Participant fee for each of the enrolled Participants which shall be billed monthly for each month of the run -out period. 7. Uncashed checks will be forfeited and returned to the employer in accordance with CONEXIS' relevant internal policies and procedures. Client is responsible for any stop payment fees associated with checks that are not cashed within the reasonable period established by CONEXIS. PEPM Billing — Less Than 1000 lives RAS Fee Schedule/Service Appendix 7 V9.0-040111