Laserfiche WebLink
A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />FYAN L. c-UTLFR, CLERK <br />COBRA & DIRECT BILL <br />ADMINISTRATION <br />PRICING EXHIBIT A <br />Version 2.0 <br />The following Fee Schedule is pursuant to the Employer COBRA Addendum for Em_ loyer: Indian River <br />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 Employer COBRA <br />Addendum, Master Service Agreement, and /or Lively Website, which can be found at <br />https://Iivelyme.com. <br />COBRA & DIRECT BILL EMPLOYER SERVICES FEE: <br />Description i <br />Monthly COBRA Administration Fee Per Benefit Eligible Employee <br />Indian River <br />SO 52 <br />Monthly Administration Fee is the greater <br />of: the Minimum Administration Fee per <br />Month listed below, or Per Benefit <br />Eligible Employee ("BEPM") Per Month <br />fees calculated monthly based on Benefit <br />Eligible Employee count reported by the <br />employer. <br />Rate Guarantee <br />3 Years <br />The BEPM listed above is guaranteed to <br />be in effect for 3 from the start of the Plan <br />Year. <br />Minimum Administration Fee per <br />$200.00 <br />If the total monthly billable fees are less <br />Month for multiple products. <br />than the minimum monthly fee, an <br />adjustment fee will be applied, so that the <br />total billable fees equal the minimum <br />monthly fee <br />