Healthcare Management Administrators (HMA) 2/20/2025

HMA TPA Agreement Page 1 4/22 ADMINISTRATIVE SERVICES AGREEMENT DATE: August 20, 2024 PARTIES: City of Everett 2930 Wetmore Ave, Suite 5-A Everett, WA 98201 the “Plan Sponsor” Healthcare Management Administrators, Inc. 10700 Northup Way, Suite 100 Bellevue, WA 98004 “HMA” Effective Date: January 1, 2025 Recitals: A.Plan Sponsor has established a self-insured Employee Welfare Benefit Plan (the “Plan”), as defined in the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended, for the purpose of providing certain benefits to its eligible employees and their dependents (“Participants”); B.Plan Sponsor desires to retain HMA to furnish claims processing and other ministerial services with respect to the Plan; and C.HMA is willing to furnish such services, based upon the terms and conditions set forth in this Administrative Services Agreement (the “Agreement”). NOW, THEREFORE, in consideration of the mutual covenants and conditions contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound hereby, Plan Sponsor and HMA agree as follows: Agreement: 1.Definitions. As used in this Agreement, the following terms shall have the following meanings: (a)“Effective Date” means the day and year set forth above, which shall be the date this Agreement becomes effective. (b)“ERISA” means the Employee Retirement Income Security Act of 1974, as amended. (c)“Participants” means those employees of the Plan Sponsor, and their dependents, or other individuals who have met the eligibility requirements of the Plan, have satisfied all other conditions to participation in the Plan, and are properly enrolled in and eligible for benefits under the Plan. (d)“Plan Administrator” means the person or organization responsible for the functions and management of the Plan. The Plan Administrator may employ persons or firms to process claims and perform other Plan-connected services. If