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Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Plan Option Description Plan Price <br />Healthcare <br />Reimbursement <br />Account (HRA) <br />Administration <br />Together with HealthEquity, we deliver a fully integrated <br />approach to Health Reimbursement Account (HRA) <br />management. This partnership provides a unique customer <br />experience that is powerful and easy. As your partner we <br />deliver: <br />▪Complete data integration between our platform and HQY <br />▪Intuitive online administration tools <br />▪Educational resources <br />▪Convenient, proprietary web capabilities featuring online <br />payments and integrated claims data. <br />▪Tailored communications providing clear, positive <br />messaging that engages employees and inspires greater <br />adoption. <br />$3.95 PAPM** <br />•We charge only one <br />PAPM fee if an <br />individual has more <br />than one (1) FSA and/or <br />HRA. This does not <br />apply to LPFSA and <br />HSA plan type(s). <br />•Additional fees apply - <br />see fees page <br />Flexible <br />Spending <br />Account (FSA) <br />Administration <br />Together with HealthEquity, we deliver a fully integrated <br />approach to Flexible Spending Account (FSA) with easy <br />enrollment, less paperwork, and hassle-free <br />payments/reimbursements. It also means, simplified account <br />management, online tools, resources and education; plus the <br />dedicated service and support that distinguishes our offerings. <br />Funds from a healthcare FSA can be used for qualified <br />expenses including medical, dental and vision. For a full list of <br />qualified expenses allowed by the IRS, see IRS Publication 502. <br />Only available with a PPO or non-Qualified Plan. <br />$3.95 PAPM** <br />•We charge only one <br />PAPM fee if an <br />individual has more <br />than one (1) FSA and/or <br />HRA. This does not <br />apply to LPFSA and <br />HSA plan type(s). <br />•Additional fees apply - <br />see fees page <br />Dependent <br />Care Flexible <br />Spending <br />Account <br />(DCFSA)/(DCRA <br />) Administration <br />Together with HealthEquity, we deliver a fully integrated <br />approach to Dependent Care Flexible Spending Account <br />(DCFSA) with easy enrollment, less paperwork, and hassle-free <br />payments/reimbursements. It also means, simplified account <br />management, online tools, resources and education; plus the <br />dedicated service and support that distinguishes our offerings. <br />A dependent care FSA enables employees to set aside pre -tax <br />dollars to pay for qualified dependent care expenses. Funds <br />can be used to pay for day care, preschool, elderly care or <br />other dependent care. See IRS publication 503 for additional <br />details. <br />$3.95 PAPM** <br />•We charge only one <br />PAPM fee if an <br />individual has more <br />than one (1) FSA and/or <br />HRA. This does not <br />apply to LPFSA and <br />HSA plan type(s) <br />•Additional fees apply - <br />see fees page <br />Consumer Driven Health –HRA/FSA Plan Options* <br />*** <br />11 <br />* Please Note: <br />•Prices subject to change with appropriate advance notice. <br />•Additional fees apply see HealthEquity Additional Fees page. <br />•Implementation requires 90 days notice for set up. <br />•Renewal requires new elections 30 days in advance. <br />•HealthEquity (HQY) must receive the eligibility from us to initiate portal setup and welcome kit creation.