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for Retiree Dental Benefits Billing <br />SECTION I <br />THIS AGREEMENT, entered into by and between Total Administrt <br />Corporation ("TASC") and (the "Employer") City ofSanta Ana becomes effective <br />signature on the Plan Application. The services apply to the Plan Year as note <br />Application for retiree dental billing and continuing for successive years in whii <br />Level Agreement exists. The terms of this Agreement shall be in effect indefinite <br />automatically renewable. This Agreement is applicable to the Plan specified or <br />Plan Application which is attached hereto as Exhibit A. <br />1. Services to be Provided <br />Under this Agreement, TASC is considered to be the Administering <br />provide timely administration and management of the appropriate Plan and ass <br />as outline in the appropriate Product Administration manual/portfolio. <br />2. Emalover Responsibility <br />Under this Agreemant, the Employer is considered the Plan Sponsor. P <br />the Employer must forward to TASC all relevant information in order for <br />functions to be performed in timely manner. This includes timely payment of <br />invoices. Failure to provide inputs on a timely basis will result in delays and poss <br />which will be the liability of the Employer. The Employers are responsible for <br />Plan Participants on the services being provided. Employer is responsib', <br />www.tascanGne.com;pro:idersllf[PAAr to execute and file the Business Associ <br />provided by TASC. You will received infurmation regarding this within a le, <br />EXHIBIT G <br />I <br />25E-69 <br />date of <br />he Plan <br />Service <br />will be <br />d in the <br />will <br />to this, <br />ling, <br />their <br />visiting <br />The <br />