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DocuSign Envelope ID: 29EAB906-1936-4BAB-83BE-97C974F00293 Enrollment File Feed Requirements (rev. June 2020) Enrollment File Summary A TRUE COPY CERTIFICATION ON LAST PAGE V RYAN L. BUTLER, CLERK 13 st"Ir p 'f"! fPlus Employer Direct Healthcare ("EDH") requires a weekly enrollment file feed ("Enrollment File") from all SurgeryPlus- clients (each a "Plan Sponsor"). Enrollment Files should be system -generated and only contain members eligible for the SurgeryPlusTM' program. Enrollment Files are securely managed by EDH's process to extract, validate, transform and load eligible members into its case management system. Upon request, enrollment validation reports can be generated and delivered to a Pian Sponsor's designated recipient. Eligibility Criteria ■ Eligible Members: The Enrollment File should only include members enrolled in medical plans that are eligible to receive the SurgeryPlus- benefit as of the file effective date. ■ Eligibility Exclusions: Please exclude all members from the Enrollment file who: i. are enrolled in medical plans that are ineligible to receive the SurgeryPlus- benefit; or, ii. receive secondary coverage from the Plan Sponsor • Terminated Members - (Preferred) Explicit Termination Date: EDH will remove terminated members from SurgeryPlusTM^ eligible member roster using an explicit termination date for the member in the Enrollment File. Member records sent with an explicit date can then be removed from subsequent Enrollment Files or can remain with a termination date. - Termination by Omission: EDH can remove terminated members from its system based on their omission from Enrollment Files. Please note that terminated members will remain eligible for SurgeryPlus"I until the date they are omitted from the Enrollment File. File Transfer and Specifications ■ File Layout: The Enrollment File feed layout is included on Page 2 herein. • Automated File Transfer: EDH hosts a file transfer server that uses Secure File Transfer Protocol (SFTP). Upon receipt of an external facing IP Address, EDH will create a dedicated account and provide credentials to connect and drop Enrollment Files on the server. • Test Files: Test files should be transmitted prior to submitting production files. All test files are to be sent securely via EDH's SFTP and/or through encrypted email service and include the word 'Test." Please name Test Files as follows: - Comma -separated values: "Test_ Client_MMDDCCYY.csv" - Text: "Test_Client_MMDDCCYY.txt" • File Formats: Please prepare the Enrollment File in an electronically readable format. EDH prefers Enrollment Files in comma -separated values (.csv) format and can also process EDI 834 files. Please note, EDH cannot process Zip files or Microsoft Excel files. ■ Production Files: Please remove the "Test_" prefix from for all production Enrollment File names as follows: - Comma -separated values: "Client MMDDCCYY.csv" - Text: "Client_MMDDCCYY.txt" • Population Subset Files: Please denote COBRA and Retiree population file names as follows: - COBRA: "Test_ClientCOBRA_MMDDCCYY" or "ClientCOBRA_MMDDCCYY" - Retiree: "Test_ ClientRetiree_MMDDCCYY" or "ClientRetiree MMDDCCYY" Contact Information Please contact SurgeryPlus regarding all Enrollment File related inquiries at ElijzibilityDataf@edhc.com.