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- A Connection is an Electronic Data Interchange between OnlinEnroll and other vendors or Payroll systems. Customer can <br />choose to have these built for automated sending of data, or use the reporting tool to run reports and email to their vendors. <br />January 1, 2020 through December 31, 2021 (Years 4 & 5) <br />2% cap fee increase from Years 1 through 3 <br />January 1, 2022 through December 31, 2023 (Years 6& 7) <br />Additional 2% cap fee increase from Years 4& 5 <br />January 1, 2024 through December 31, 2024 (Year 8) <br />Additional 2% cap fee increase from Years 6& 7 <br />Flexible Spending Account Administrative Fees <br />Service Description <br />Fee <br />FSA Administration <br />January 1, 2017 through December 31, 2019 <br />$3.78 Per Enrollee Per Month (PEPM) <br />Group Setup Fee (one time fee at implementation) <br />January 1, 2020 through December 31, 2021 <br />COBRA Continuant Takeover Charge one -time charge per current continuant from <br />previous COBRA administrator) <br />$3.86 Per Enrollee Per Month (PEPM) <br />On-going Maintenance Fee (annual fee in subsequent years after implementation) <br />January 1, 2022 through December 31, 2023 <br />$3.94 Per Enrollee Per Month (PEPM) <br />January 1, 2024 through December 31, 2024 <br />$4.02 Per Enrollee Per Month (PEPM) <br />Additional FSA Fees <br />External Rollover — Set up charge per customer per vendor <br />$1,765 <br />Eligibility feeds — Per file in excess of 52 per year <br />$235 <br />Debit Card <br />$0.50 per participating employee <br />Non - discrimination testing <br />$500.00 per occurrence <br />COBRA Administrative Fees <br />28 <br />Group Setup Fee (one time fee at implementation) <br />COBRA Continuant Takeover Charge one -time charge per current continuant from <br />previous COBRA administrator) <br />On-going Maintenance Fee (annual fee in subsequent years after implementation) <br />WIN am m I <br />=., <br />SIMON <br />Ongoing COBRA Continuant Per Month Charge <br />Qualifying Event Notification (QEN) includes distribution of QENs and election <br />forms via proof of mail with instructions, and processing of enrollment forms <br />returned (per notice) <br />Outside Carrier Eligibility Feeds and Premium Remittance (per carrier per month) <br />COBRA / HIPAA Initial Rights Notifications (per notice) AKA New Hire <br />Notification <br />Women's Health Cancer Rights Act (WHCRA) Notices (per notice) <br />State Continuation Notification (per notice) <br />11HEN M_ <br />28 <br />