Healthcare Management Administrators (HMA) 2/20/2025

HMA TPA Agreement Page 6 4/22 SPD language and adherence with any substantiation requirements as administered by the PBM that might be required in order for such prescription claims to be eligible for coverage under the applicable stop loss policy are all factors outside of the control of HMA. Plan Sponsor acknowledges that HMA shall not be liable for any prescription related coverage determination made by the Stop Loss Carrier. Furthermore, the Plan Sponsor is responsible for providing approved Summary Plan Documents to the Stop Loss Carrier and acknowledges that delays in timely approval and submission of Summary Plan Description(s) may result in claim reimbursements being held or denied. Plan Sponsor acknowledges that out of Plan exceptions made by the Plan Administrator may not be covered by stop loss without the express advance written consent of the stop loss carrier. All out of Plan exceptions are made at the Plan’s sole risk and liability. Plan Sponsor acknowledges and agrees that in exchange for the performance of Stop loss support provided by HMA, compensation in the form of an administrative fee will be paid to HMA by Preferred Stop Loss Carriers.  If the Stop Loss Carrier selected by the Plan Sponsor is non-preferred, HMA at is sole election may agree to work with the Stop Loss Carrier but Plan Sponsor shall be charged a Stop Loss Interface fee as outlined in the Schedule of Fees accepted by Plan Sponsor. HMA reserves the right to decline to work with any Stop Loss Carrier, MGU or other Intermediary in its sole discretion. (h)Plan Sponsor Vendor Payment Administration Support. One of the ministerial functions offered by HMA on behalf of the Plan Sponsor may be the payment of other vendors who have been selected by the Plan Sponsor and who are providing contracted services to the Plan Sponsor’s benefits plan (aka consolidated billing). Timely payment of these vendors is solely contingent upon the Plan Sponsor providing timely funding as stipulated in Section 5(a) of this Agreement. HMA does not insure nor underwrite any liability of the Plan Sponsor or the Plan and shall have no financial risk or liability with respect to the provision of, or payment for, any benefits under the Plan, including but not limited to payments to outside vendors on behalf of the Plan Sponsor. (i)HMA Vendor Partners. The work to be performed by HMA under this Agreement may, at its discretion, be performed directly by it or wholly or in part through a subsidiary or affiliate of HMA or under an agreement with an organization, agent, advisor, or other person of its choosing. HMA may delegate certain portions of its work under this Agreement to any other entity. As the ultimate beneficiary of any such agreement, the Plan Sponsor by its execution of this Agreement acknowledges that it will be ultimately responsible for and bound to the payment terms of HMA's contract with the vendor for any costs associated with such services which cannot be incorporated into HMA’s fees or which otherwise fall outside the scope of this Agreement. HMA is willing to facilitate certain Plan functions on behalf of Plan Sponsor with selected vendor partners of Plan Sponsor under the following conditions: (i)HMA reserves the right to charge an additional fee to account for anticipated costs associated with providing services in conjunction with any specific stop loss carrier. Any such fee shall be reflected on Claim Administrative Fee Schedule and/or Client Intent, attached hereto, and will be communicated to Plan Sponsor in advance. (ii)HMA reserves the right to charge an additional fee for any custom reporting required by a vendor partner that is beyond HMA’s standard report package. Any such fee shall be reflected on Claim Administrative