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nortony <br />LifeLock Benefit Solutions <br />Employer Information <br />*Employer Name Indian River County <br />DBA Name <br />'Street Address 1800 27th St. Blvd. B <br />'City Vero Beach <br />'State/Province FL 'Zip/Postal Code 32960 <br />Enrollment Information <br />*Effective Date 10/01/2025 <br />Initial Offer/Enrollment Dates 8/11-8/29 <br />Aligns with open enrollment <br />This is off cycle. Renewal Date <br />Enrollment Method <br />❑ Dedicated NortonLifeLock Enrollment Site <br />Z Benefit Platform Wex <br />Billing Information <br />Primary Billing Contact separate entity billing contacts provided <br />Street Address <br />City <br />'State/Province 'Zip/Postal Code <br />Phone _ <br />Email _ <br />* Required <br />Pricing Details Rates are illustrated in USD <br />Voluntary m BENEFIT PREMIER <br />(Check all that apply) Employee Only (18+) Employee + Family <br />Total Monthly <br />Billed Rate: <br />$7.99 $14.98 <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />UNITED STATES <br />Group Application <br />'Number of Eligible Employees <br />'Primary Contact Marcela Hoel <br />'Title Benefits Administrator <br />'Phone 772-226-1448 <br />'Email mhoel@indiandver.gov <br />1,596 <br />Eligibility Guideline(s) <br />Employees can enroll and make changes any time. <br />m Employees can enroll or make changes during open <br />enrollment or a qualifying event. <br />m BENEFIT PREMIER PLUS <br />Employee Only (18+) Employee + Family <br />X12.49 ;21.48 <br />Billing: The selected Billing Preference will commence following (a) activation of End Users and (b) the entered Effective <br />Date in this Application. Employer, or its chosen third party, will be responsible for payroll deduction management of <br />enrolled End Users. Payment remittance instructions and payment terms will be included on the monthly invoice or <br />dictated by the Norton LifeLock Benefit Solutions Billing Guide. <br />Term: This Application is in effect, beginning on the entered Effective Date and ending one (1) year from the entered <br />Effective Date and renewing automatically for an additional one (1) year on the anniversary of its Effective Date and <br />successively each year thereafter. Rates included in this Application are guaranteed for a period of three (3) years from <br />the entered Effective Date. <br />Termination: Either Party may terminate this Application for any reason upon 60 days written notice to the other Party. In <br />the event that an End User's relationship with the Employer is terminated or this Application is terminated, Gen Digital Inc. <br />will continue to provide the Services to such End Users for the period that has been paid for by the Employer or <br />Employee, as applicable. <br />