98point6 10/2/19 - Laserfiche WebLink

medical conditions, and should not be considered the practice of medicine and are not the documentation of medical advice of any kind. 10.3. No Provision of Medical Insurance. Neither 98point6, Providers, nor the products and services provided by them are insurance. Neither 98point6 nor Providers are engaged in the business of insurance, and neither this Agreement nor the Service Order is, or wilt be deemed to be, a contract for insurance. The fees and other remuneration, if any, paid to or otherwise earned by 98point6 do not cover the rendering of the Medical Services, whether the Medical Services are deemed by a Participant or other third party to have been rendered by 98point6 or Providers. The fees and other remuneration, if any, paid to or otherwise earned by 98point6 cover only the design, development, hosting, operation, and maintenance of the Platform and the Technology Services made available to Participants via the Platform. The fees and other remuneration, if any, paid to or otherwise earned by Providers cover only the rendering of Medical Services to Participants by such Providers. For the avoidance of doubt, the fees and other remuneration, if any, paid by Employer to 98point6 do not cover the costs of or other expenses associated with any diagnostic tests, prescription medications, or medical devices or any specialty medical services rendered by any third party. 10.4. Medical Service Fees and Exemptions. Employer acknowledges the following concerning the costs, limitations, and exemptions for certain classes of Participants that may receive Medical Services via the Platform. 10.4.1.Participants without HSAs. For Participants that Employer indicates do not have a High Deductible Health Plan (HDHP)/Health Savings Account (HSA), the cost of receiving the Medical Service is included in the per employee-based Fees set forth in the Service Order, which will be allocated by 98point6 to Providers as necessary or advisable. Medical Services will be limited to 36 visits per non-HSA Participant per calendar year. If a non-HSA Participant reaches this limit of 36 visits, they will be charged a per-visit fee for Medical Services of $5 per visit in excess of 36 visits. The per-visit fee is subject to annual review and adjustments. 10.4,2.HSA Participants. For Participants that Employer indicates do have an HDHP/HSA, the cost of receiving the Medical Service is the fair market value (or FMV) of the Medical Services. HSA Participants will be charged a per-visit fee for Medical Services based on FMV. FMV is currently calculated at $5 per visit, subject to annual review and adjustments. However, if Employer provides an HDHP that is not coupled with an HSA, the FMV per visit fee will not apply and the Participants may receive the Medical Services in accordance with Section 10.4.1. 10.4.3.Exemptions. Any Participant who is an Eligible Participant due to their status as an enrolled student at a university or other educational institution that has entered into an agreement with 98point6 will not be subject to the terms of this Agreement. The Eligible Participant's status as an enrolled student will supersede the contractual relationship between 98point6 and Employer. Student Eligible Participant will receive Medical Services through 98point6 pursuant to the contractual agreement between 98point6 and the student's university or educational institution. 10.5.insurance Certificates. As of the Effective Date, 98point6 has delivered to Employer a copy of the Certificate of Insurance that evidences malpractice (errors and omissions) coverage for all Providers providing Services to Participants. Employer agrees that it has been provided such Certificate of Insurance and it has been accepted by Employer's risk Subscription Agreement 14 20190227.v10 .1