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2021-089C
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2021-089C
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Entry Properties
Last modified
10/5/2021 10:46:36 AM
Creation date
10/5/2021 10:43:50 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/22/2021
Control Number
2021-089C
Agenda Item Number
8.D.
Entity Name
P&A Administrative Services, Inc
Area
Cobra Services Agreement
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DocuSign Envelope ID: FAA4141C-02DF-41B5-A6D3-14CDB4ABD65B <br />COBRA SERVICES AGREEMENT <br />This Agreement made effective as of October 1, 2021 (the "Effective Date"), by and between <br />INDIAN RIVER COUNTY, 1800 27th Street, Vero Beach, FL 32960 (the "Employer"), and P&A <br />ADMINISTRATIVE SERVICES, INC., 17 Court Street, Suite 500, Buffalo, NY 14202-3294 ("P&A"). <br />WITNESSETH: <br />WHEREAS, the Employer maintains several group health plans for the benefit of its eligible <br />employees; and <br />WHEREAS, the Employer has various obligations and responsibilities under the federal <br />legislation commonly referred to as "COBRA" with respect to the administration of its group health <br />plans; <br />WHEREAS, the Employer desires to use P&A to assist the Employer in meeting its COBRA <br />compliance responsibilities, and P&A desires to provide such services upon certain terms and <br />conditions; <br />NOW, THEREFORE, in consideration of the mutual covenants and agreements contained <br />herein and for other good and valuable consideration, receipt of which is hereby acknowledged, the <br />parties hereto, with the intention of being legally bound hereby, covenant and agree as follows: <br />1. COBRA Administration. P&A agrees to assist the Employer in meeting its responsibilities <br />under the COBRA law, which requires the Employer to offer continuation coverage to certain individuals <br />who lose coverage under one or more group health plans of the Employer. P&A shall provide this <br />assistance by providing those administrative services described in Section 2 of this Agreement with <br />respect to those group health plans and coverage options listed on Schedule A (collectively referred to <br />as the "Plan"). <br />2. Services to be Provided By P&A. <br />(a) Upon execution of this Agreement by the parties, P&A shall provide the following services: <br />(1) P&A shall make available to the Employer electronically or by another method that <br />is mutually agreeable to the parties (i) a COBRA procedures manual, and (ii) forms for the <br />Employer to use in providing information to P&A pursuant to subsections 3(b) and 3(c) of this <br />Agreement; <br />
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