Healthcare Management Administrators (HMA) 2/20/2025

HMA TPA Agreement Page 10 4/22 (ii)all benefits owing to Participants in accordance with the terms of the Plan, following receipt of claim notification; (iii)all premiums and fees owing by the Plan Sponsor to third parties for excess loss insurance, PPO arrangements and utilization review; and (iv)all other authorized costs and expenses incurred by HMA in performing its duties hereunder. 6.Plan Sponsor Requirements. (a)Duty to Provide Data to HMA. Plan Sponsor acknowledges that the effective performance by HMA of the administrative services outlined herein will require that the Plan Sponsor furnish various reports, information, and data to HMA. Plan Sponsor shall provide the following reports and information to HMA, together with such other data as HMA may from time to time request: (i)Accurate and timely identification and verification of individuals eligible for benefits under the Plan, kinds of benefits to which such individuals are entitled, date of eligibility and such other information as may be necessary for processing of benefit payments; (ii)Notification to HMA, on a monthly or more frequent basis, of all changes in participation whether by reason of termination, change in classification, new enrollment, or any other reason, inclusive of an effective date of such change; (iii)Administer its enrollment changes consistent with the terms of coverage it offers under its Summary Plan Description(s). Plan Sponsor must ensure that coverage dates are effective and terminated in accordance with the terms of coverage offered to Plan Participants; (iv)File Enroll Clients must review and supply updated/correct termination dates (if applicable) in response to Termination By Absence reporting that shall be supplied to Plan Sponsor via the Employer reporting portal on a weekly basis for changes in enrollments due to a member being dropped from the last file submitted to HMA. Plan Sponsor acknowledges and agrees that HMA is authorized to use the receipt date of the file in which the member was dropped as the date to terminate coverage under the Plan via Termination By Absence handling protocol. Plan Sponsor may use a HRIS/enrollment vendor provided that the Plan Sponsor remains responsible for data accuracy, timeliness of the information passed to HMA and shall ensure file specifications conform to HMA’s file layout requirements which may be updated from time to time with notice to Plan Sponsor and its vendor. HMA shall rely upon the information supplied to it, and shall not be liable for errors resulting from data quality issues received from the file(s) received on Plan Sponsor’s behalf; (v)Plan Sponsor shall ensure that its COBRA administrator is provided the accurate termination date and reason for termination for which to base COBRA offers from;