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a Benefit Express Services, LLC <br />b e n e fi t e x p re s s Technology and Services Agreement <br />► t ,int. <br />.. nlatlo..ry drfrew. <br />WON <br />Implementation Fee - Waived <br />Traditional Package <br />$2.95 <br />PEPM <br />Retirees <br />$2.00 <br />PEPM <br />Ongoing Dependent Audit & Verification <br />$0.10 <br />PEPM <br />Evidence of Insurability Services <br />$0.10 <br />PEPM <br />ACA Manager Access <br />$0.25 <br />PEPM <br />ACA E -Filing - Required <br />$3.00 <br />PPPY <br />ACA Fulfillment - (Postage Not <br />$3.00 <br />PPPY <br />Included) Optional <br />' Pricing is calculated on a Per Employee Per Month (PEPM) basis as shown. At the end of each month, the number of Active, COBRA, FMIA and Retired <br />employees in your system are tallied and you are billed accordingly. There is no charge for Inactive, Terminated, or Deceased employee records. <br />