My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2010-169
CBCC
>
Official Documents
>
2010's
>
2010
>
2010-169
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/19/2016 4:35:22 PM
Creation date
10/1/2015 2:21:03 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/13/2010
Control Number
2010-169
Agenda Item Number
8.F.
Entity Name
JAG Enterprises LLC, d.b.a. Benefits Workshop
Subject
Administrative Services Agreement Flexible Spending Account
Supplemental fields
SmeadsoftID
9732
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
7
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
O A <br /> IV . SERVICES TO BE PERFORMED BY JAG <br /> 4 . 1 Claims Services . JAG will provide the following claims administrative services for Plan <br /> Sponsor with respect to claims presented to JAG for payment during the term of this <br /> Agreement ( "Clallns ") : <br /> 4 . 1 . 1 Information . Provide information and assistance to Plan participants concerning claims <br /> for benefits under the Plan . Provide explanation of benefits for payments made and for <br /> denial of benefits . Provide claivn forms as needed . <br /> 4 . 1 . 2 Claims Processing. Receive and process Claims received after the Effective Date and pay <br /> or deny such Claims for benefits on the basis of IRS guidelines and in accordance with <br /> the terns of the Plan Document . <br /> 4 . 1 . 3 Debit Card Processing. Issue debit cards to participants , receive and process debit <br /> card transactions after the Effective Date , and approve or deny such transactions <br /> on the basis of IRS guidelines and in accordance with the terms of the Plan Document. <br /> 4 . 1 .4 Payment. Claims payments and debit card transactions will be made by JAG from an <br /> account ( "Account") established by JAG . JAG will prepare ch.ecics for such Account <br /> and will provide the Plan Sponsor with periodic listings of all checks issued . <br /> 4 . 1 . 5 Claiins Review Procedure . If a Plan participant files a written request to JAG for a review <br /> of any Claim or debit card transaction processed by JAG, the following procedure <br /> shall be implemented : <br /> (a) Initial Response by JAG . JAG will investigate the request and provide an <br /> appropriate written response to the participant within sixty (60) days after date of receipt <br /> of the request . Such response will include notification of a right of appeal to the Plan <br /> Sponsor. <br /> (b ) Appeals In the event a participant appeals to the Plan Sponsor, JAG will provide <br /> the Plan Sponsor with assistance and reconnnendations . It is understood and agreed that <br /> the Plan Sponsor is the final arbiter with respect to any and all benefits decisions. <br /> 4 . 1 . 6 Records Maintain records of coverage and claims histories of the Plan <br /> participants for up to seven (7) years if desired by Plan Sponsor. <br /> 4 . 1 . 7 Reports . Provide Plan Sponsor with management reports as mutually agreed upon by Plan <br /> Sponsor and JAG . <br /> Page 4 <br />
The URL can be used to link to this page
Your browser does not support the video tag.