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2021-089C
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Last modified
10/5/2021 10:46:36 AM
Creation date
10/5/2021 10:43:50 AM
Metadata
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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-4185-A6D3-14CDB4ABD65B <br />(d) The Employer shall review each monthly report generated by P&A pursuant to Section <br />2(h) and shall notify P&A within thirty (30) days after the report was sent or made available to the <br />Employer of any errors or omissions in the report. A set of instructions that the Employer may use to <br />verify the accuracy of P&A's monthly reports is available on request. <br />(e) Should the Employer desire to engage P&A to provide the state law continuation services <br />described at Section 2(f) above, not less than thirty (30) days before such services are to commence, <br />the Employer shall provide P&A with the identity of the state involved; the types of health plan coverage <br />to which the extension applies (e.g., just group health insurance); the length of the extension period; <br />and any other information that is germane to administering the extension period coverage. <br />(f) The Employer shall promptly and accurately furnish to P&A such other information as <br />P&A reasonably deems necessary or appropriate for the discharge of its responsibilities hereunder. <br />(g) Should P&A modify in any way the standard format of any of its written materials used in <br />connection with the provision of its professional COBRA administration services, the Employer agrees <br />to use exclusively the modified version of the materials as soon as P&A provides them to the Employer. <br />(h) Should the group health plans or coverage options listed on Schedule A include a health <br />flexible spending account under a cafeteria plan in accordance with Internal Revenue Code Section <br />125 and the regulations (proposed or final) thereunder (a "health FSA") with respect to which P&A is <br />not the claims administrator, the Employer (or an agent of the Employer other than P&A) shall be <br />responsible for determining whether any person who has sustained a loss of coverage under that health <br />FSA must be offered the opportunity to continue that coverage based on Income Tax Regulation <br />Section 54.498013-2, Q&A -8 (or any successor regulations or rules pertaining thereto) and, if so, for <br />advising P&A of the applicable premium for same. <br />(i) Should any of the group health plans or coverage options listed on Schedule A include <br />a "self-insured medical expense reimbursement plan" as defined in Internal Revenue Code Section <br />105(h) with respect to which P&A is not the claims administrator, (other than a health FSA that is part <br />of a cafeteria plan), the Employer (or an agent of the Employer other than P &A) shall be responsible <br />for advising P&A of the applicable premium for continuation coverage under that self-insured medical <br />expense reimbursement plan. <br />0) Should the Employer become a party to any collective bargaining agreement containing <br />any provision that refers to or impacts, either directly or indirectly, the manner in which COBRA is to be <br />provided to any employee who is a member of the collective bargaining unit that is a party to the <br />agreement or his or her spouse or dependents, the Employer shall provide P&A with a complete copy <br />of the pertinent contract language not less than thirty (30) days before the effective date of that <br />G1 <br />
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