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Indian River County FSA, Retiree and COBRA Marketing Breakdown 'As reported by TASC, Chard -Snyder, and Benefits Express; Tax Collector maybe moving to another FSA Administrator effective 10/1/21. Proposed Plans Effective 10i1/2021Current COBRA Administration Proposed FSA Administration Initial Set up Fee Medical FSA 257 $3.64 Dependent Care FSA Only 3 $3.64 Additional Employees in Ext. Grace Period # TBD $0 Retiree Billing 348 $2.05 Benefit Eligible (with Retirees) enrolled for COBRA 1,801 N/A Employees enrolled in COBRA Eligible plan (w/o Retirees) 1,376 N/A COBRA Administration 15 $.40+ $15 per OE packet 'As reported by TASC, Chard -Snyder, and Benefits Express; Tax Collector maybe moving to another FSA Administrator effective 10/1/21. Proposed Plans Effective 10i1/2021Current COBRA Administration Proposed FSA Administration Initial Set up Fee $0 $0 Initial Set up Fee $0 $0 Annual Renewal Fee $0 $0 Medical/Dependent Care FSA $3.64 $3.00 Wo The following information is intended as a benefit summary only. It does not include all of the provisions, or limitations. If this information conflicts in any way with the contract, the contract will prevail. COBRA Administration Initial Set up Fee $0 $0 Takeover Fees (#COBRA participants) $0 $0 Annual Renewal Fee $0 $0 Monthly Fee Per Benefit Eligible $0.40 $0.50 Monthly Fee Per Active COBRA Enrollees $0 $0 Wo The following information is intended as a benefit summary only. It does not include all of the provisions, or limitations. If this information conflicts in any way with the contract, the contract will prevail. Retiree Billing Initial Set up Fee SO $0 Takeover Fees (#Retiree participants) so $0 Annual Renewal Fee $0 $0 Monthly Fee Per Retiree Cost $2.05 $2.50 Estimated Cost Breakdown based on enrollment counts Estimated FSA/DCA Annual Fees Estimated COBRA Annual Fee Estimated Retiree Annual Fee Estimated Total First Year Cost $11,357 $9,360 $8,645 $8,256 $8561 $10,440 $28,563 $28,056 Rate Guarantee 3 Years - COBRA & Retiree Billing; 5 Years FSA Admin. Wo The following information is intended as a benefit summary only. It does not include all of the provisions, or limitations. If this information conflicts in any way with the contract, the contract will prevail.