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Takeover of Existing COBRA / <br />Included at no <br />Acquisition and integration of existing <br />Direct Bill Participants <br />additional charge <br />COBRA participant information, <br />including the production of new monthly <br />payment invoices, tracking the remainder <br />of the eligibility period, and providing <br />access to participant information, and <br />notification of takeover to participants <br />COBRA & DIRECT BILL Implementation Fee: <br />For Lively products <br />$0.00 <br />The Implementation Fee covers the Plan <br />Year as defined on this Pricing Exhibit <br />and is due on the first day of the Plan <br />Year. <br />Annual COBRA & DIRECT BILL Open Enrollment Support Services <br />Annual OE Support Renewal <br />s0 <br />Lively will implement new plan <br />Fees <br />information into the system, produce and <br />mail Participant Open Enrollment Notice <br />and Election Form packages and will <br />manage carrier and billing updates. <br />Additional printing and paper processing <br />fees may be passed to the client. The <br />Annual Renewal Fees are assessed on the <br />first day of subsequent Plan Years. <br />Optional Service Fees (COBRA and DIRECT BILL): <br />Blanket General Rights /Initial <br />$1.50 per notice <br />Automatically provided unless Employer <br />Notices to all covered employees <br />provides written confirmation that this <br />should not be handled. Fees are due when <br />service is rendered. <br />Open Enrollment Package <br />$1.50 per notice <br />Automatically provided unless Employer <br />Mailing per Qualified Beneficiary <br />that outlines online <br />provides written confirmation that this <br />open enrollment <br />should not be handled. Fees are due when <br />options (default) <br />service is rendered. <br />OR <br />Note: Online open enrollment is the <br />default. In the case that online open <br />$10.00 per packet <br />enrollment is unavailable for a specific <br />plan design or an employee requests a <br />paper packet, the $10 fee will apply. <br />Print Cost for Premium Notices <br />$1.50 per notice <br />Automatically provided unless Employer <br />mailed <br />provides written confirmation that this <br />should not be handled. Fees are due when <br />service is rendered. <br />A -TRUE -COPY <br />CERTIFICATION ON LAST PAGE <br />F:YAN L. BUTLER, CLERK <br />