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© Peak One Administration 2016 28 <br />8. Provider/Carrier Response. PSP will provide responses to inquiries by providers and/or insurance <br />carriers regarding coverage status of Qualified Beneficiaries. All responses will be based solely on <br />the current information maintained by PSP as provided by Client. <br />9. Transfer of Data. PSP will establish a standard procedure for exchanging information. <br /> <br />B. Client Responsibilities <br /> <br />1. Initial and Annual Census. Client, at least two weeks prior to commencement of services under <br />this Appendix, will submit to PSP the following information <br />(a) Complete roster of all employees who are active participants in the Health Plans. This <br />information may be submitted on forms provided by PSP, from computer records that <br />contain the same information requested on forms provided by PSP, or by providing copies <br />of all Health Plan enrollment forms. <br />(b) A completed and signed questionnaire regarding Health Plans offered by Client. <br /> <br />A completed data sheet (provided by PSP) for each of the following: COBRA participants, Qualified <br />Beneficiaries who have been notified and are in the election period, and Qualified Beneficiaries <br />who have not been notified. <br />Client will notify PSP of the total number of full time equivalent employees maintained on Client's <br />payroll records for the most recently completed calendar year. Initially, this information will be <br />provided upon execution of this Agreement. Thereafter, the information will be provided in writing <br />to PSP by December 31 of each subsequent calendar year. <br />PSP is entitled to rely upon the census information provided by Client and is under no obligation <br />to independently verify such information. <br />2. Late Notification to PSP. PSP's responsibilities under this Agreement are triggered upon <br />notification by Client and/or Plan Administrator as described in this Appendix. If such notification <br />is not timely made, PSP will perform its responsibilities in a diligent manner. However, ultimate <br />responsibility for any consequences, damages, etc., attributable in whole or in part to the late <br />notification to PSP remain with Client and Plan Administrator. For purposes of this provision, <br />"timely" refers to a period of time reasonably sufficient for PSP to perform its responsibilities <br />within the time period required under COBRA. <br />3. Initial Notice. Client is required to review the Initial Notice with its selected legal counsel to ensure <br />that it is consistent with applicable law, its Health Plans and any requirements imposed with regard <br />to its Health Plans by the Health Plan vendors. Client will notify PSP of the names and addresses <br />of each covered employee, covered spouse and covered dependent (if residing at a different <br />address) as soon as reasonably possible after such individuals become covered under the Health <br />Plans. <br />4. Alternative Coverage and COBRA Waivers. Client and Plan Administrator must notify PSP of any <br />Alternative Coverage that impacts the services that would otherwise be provided by PSP under <br />this Agreement. PSP is entitled to rely on the information provided by Client and Plan <br />Administrator. Client will obtain and provide to PSP the necessary COBRA waivers and alternative <br />coverage elections for each Qualified Beneficiary if Client offers alternative coverage in lieu of <br />COBRA coverage.