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In -Person travel <br />$500/day + cost of <br />In cases where Employer asks Lively to <br />actual expenses <br />join for in-person or on-site visits, Lively <br />to charge the fee on the left plus the cost <br />of actual expenses to be billed in the <br />month such expense is incurred. <br />Virtual meetings <br />No cost <br />No charge for virtual meetings <br />Transactional Fees: <br />Bank Return Fees <br />$10 per returned <br />Each declined transaction due to <br />item or credit card <br />insufficient funds in COBRA or Direct <br />chargeback <br />Bill participant account will result in a <br />$10 charge per returned item or <br />chargeback billed to the employer <br />Refund Checks <br />$5.00 per check <br />Each returned check, for any reason, will <br />result in $5.00 per check <br />1. The following administrative services are included in the Monthly COBRA Administration Fee <br />1. Qualified Event Notification <br />2. Election Processing <br />3. Eligibility reporting to client or health plan <br />4. COBRA Termination <br />5. Takeover Notices <br />6. Rate Change Letters <br />7. Premium billing and collection <br />8. HIPAA Certificates (Certificate of Coverage and HIPAA Portability Rights) <br />1. Lively, through its partner, WEX shall collect and retain from each COBRA Participant an <br />administration fee of two percent (2%) of premiums paid by the COBRA Participant. <br />1. All applicable fees payable to Lively by Employer pursuant to this Agreement shall be <br />automatically debited from Employer's designated account upon being due, unless otherwise <br />agreed to between Lively and Employer. All such fees will be reflected on a detailed invoice <br />provided by Lively to Employer. <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />