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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />FLEXIBLE SPENDING ACCOUNT RYAN L. BUTLER, CLERK <br />PRICING EXHIBIT A <br />Version 2.0 <br />The following Fee Schedule is pursuant to the FLEXIBLE SPENDING ACCOUNT ADDENDUM for <br />Employer: Indian River County for the Plan Year s): 10-01-2025 - 09-30-2026. <br />Capitalized terms used in this Exhibit and not defined have the meanings given in the FLEXIBLE <br />SPENDING ACCOUNT ADDENDUM, MASTER SERVICE AGREEMENT, and /or Lively's Website <br />which can be found at https://Iivelyme.com. <br />FSA EMPLOYER SERVICES FEE: <br />Description Amount Comment <br />Monthly Administration Fee: <br />General Purpose (Health) FSA <br />$2.95 PPPM <br />Monthly Administration Fee is the <br />standalone <br />greater of the Minimum Administration <br />Fee per Month listed below, or Per <br />Participant Per Month (PPPM) fees <br />calculated monthly based on actual plan <br />participation. <br />Dependent Care FSA <br />$2.95 PPPM <br />standalone <br />Rate Guarantee <br />3 years <br />The PPPM listed above is guaranteed to <br />be in effect for 3 from the start of the <br />Plan Year. <br />Minimum Administration Fee per <br />$200.00 <br />If the total monthly billable fees across <br />Month. <br />all products are less than the minimum <br />monthly fee, an adjustment fee will be <br />applied, so that the total billable fees <br />equal the minimum monthly fee. <br />Implementation Fee: <br />