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DocuSign Envelope ID: 29EAB906-1936-4BAB-83BE-97C974F00293 <br />683A.0873(4) Sponsor may inspect and examine all books and records to the extent necessary to fulfill all <br />contractual obligations to insured persons, subject to restrictions in the written agreement <br />between Sponsor and EDH. <br />683A.0877(1-7) The following pertains to fiduciary accounts, to the extent applicable: <br />1. All insurance charges and premiums collected by EDH on behalf of Sponsor and <br />return premiums received from Sponsor are held by EDH in a fiduciary capacity. <br />2. Money must be remitted within fifteen (15) days to the person or persons <br />entitled to it or be deposited within fifteen (15) days in one or more fiduciary <br />accounts established and maintained by EDH in a bank, credit union or other <br />financial institution in this state. The fiduciary accounts must be separate from <br />the personal or business accounts of EDH. <br />3. If charges or premiums deposited in an account have been collected for or on <br />behalf of more than one plan sponsor, EDH shall cause the bank, credit union or <br />other financial institution where the fiduciary account is maintained to record <br />clearly the deposits and withdrawals from the account on behalf of each sponsor. <br />4. EDH shall promptly obtain and keep copies of the records of each fiduciary <br />account and shall furnish any sponsor with copies of the records which pertain <br />to him upon demand of the Sponsor. <br />5. EDH shall not pay any claim by withdrawing money from the fiduciary account in <br />which premiums or charges are deposited. <br />6. Withdrawals must be made as provided in the agreement between Sponsor and <br />EDH for: <br />a. Remittance to the Sponsor <br />b. Deposit in an account maintained in the name of the Sponsor <br />c. Transfer to and deposit in an account for the payment of claims <br />d. Payment to a group policyholder for remittance to the insurer <br />entitled to the money <br />.e. Payment to EDH for commission, fees or charges <br />f. Remittance of return premiums to persons entitled to them <br />7. EDH shall maintain copies of all records relating to deposits or withdrawals and, <br />upon the request of Sponsor, provide Sponsor with copies of those records. <br />683A.0879(1-8) EDH shall approve or deny health claims within thirty (30) days of receipt and shall pay claims <br />within thirty (30) days of approval. If EDH requires additional information to approve or deny <br />a claim, EDH shall notify the claimant of the request for additional information within twenty <br />(20) days after receipt of the claim. EDH shall notify the provider of all the specific reasons <br />