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Print cost for standard letters <br />$1.50 per letter <br />Automatically provided unless Employer <br />(other than letters included in <br />mailed <br />provides written confirmation that this <br />Monthly Service Fee) <br />should not be handled. Fees are due when <br />service is rendered. <br />Non -Standard Fulfillment / <br />$2.50 per item <br />Optional service provided upon written <br />Mailing <br />request from Employer. Fees are due <br />when service is rendered. <br />Paper Enrollment form <br />$5.00 per form <br />Applied automatically when a paper <br />processing <br />package is received. Fees are due when <br />service is rendered. <br />Carrier Remittance — premium <br />$35/carrier/month <br />Optional service provided upon written <br />remittance to carrier(s) <br />or custom quote <br />request from Employer. Lively can remit <br />payment so long as all plans are end -of - <br />month and fully insured. Note: Lively is <br />unable to reconcile against carrier <br />billings, if applicable. Fees are due when <br />service is rendered. <br />Customizations / custom work <br />$185/hr <br />Any custom work for Employer will need <br />to be agreed to with a separate statement <br />of work but such work shall be charged at <br />the rate listed on the left, if applicable. <br />Additional portal setup <br />$75 per portal <br />IfEmployer needs multiple portals, a fee <br />of $75 will be charged per additional <br />portal. Implementation Fee includes <br />initial portal. <br />Divisional Setup <br />First 5 divisions <br />If Employer needs multiple divisions in <br />included <br />one portal, a one-time fee will be applied <br />per additional division that exceeds 5 <br />$10 per additional <br />divisions. <br />division set up <br />Divisional Remittance <br />First 5 divisions <br />If Employer requires divisional <br />included <br />remittance for more than 5 bank accounts, <br />a monthly fee of $15 will be charged per <br />$15 per division per <br />additional bank account added. A <br />month <br />minimum fee of $150 per month will be <br />charged. <br />Minimum of <br />$150/month <br />Custom Report Creation <br />Quote <br />Custom work for Employer will require a <br />separate Statement of Work (SOW) which <br />will indicate the pricing. <br />Integrated Enrollment Platform <br />$0.06 per Pending <br />Added to monthly Administration Fee' for <br />Fee <br />or Enrolled <br />utilization of any integrated enrollment <br />Employee Per <br />platform, such as Employee Navigator. <br />Month <br />This fee does not apply if SFTP is used. <br />A TRUE COPY <br />-CERTtFtCATtON ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />