PSA - North American Administrators - Services for Flexible Benefit Plans and Processing of Claims for Medical Reimbursement

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Employer for set up of database and employee education. This fee is paid upon execution of this agreement. (c) An initial document fee for drafting the Plan Document and Summary Plan Description is as follows. Any amendments to the documents are charged separately and additionally as incurred. (i) Plan Document - $250.00 (ii) Master Summary Plan Description - $50.00 NOTE: North America Administrators, L.P. prepares the documents required by the Employer for review and approval by an attorney. NAA is not in the practice of Law, nor intends to enter the practice of Law. (d) A $300.00 annual fee is to be paid by the Employer for filing with the Department of Labor and 5500 IRS form for the Plan (if requested). (e) A $2.00 per document fee for summary plan description printing (if requested). (f) Other fees incurred per 1(c). 4. Liability and Indemnity: Employer is contracting with North America Administrators, L.P. ("NAA") exclusively for the services listed above. NAA does not receive premiums under this Agreement, insure the plans or underwrite the liability of the Employer under the Plan. The Employer retains the ultimate responsibility for claims made under the Plan except as specifically assumed in this agreement by North America Administrators, L.P. ("NAA"). 5. Amendment or Cancellation or Modification: The term of this agreement shall be January 1, 2017 through December 31, 2017. This agreement may be amended at any time by mutual agreement as reflected in writing signed by both parties hereto. Either party may cancel this agreement by giving sixty (60) days written notice to the other party; however, cancellation shall not be effective prior to the end of the then current plan year. In the event of cancellation of this agreement, NAA agrees to the continuation of the Plan's administration for claims incurred prior to the cancellation date, for a period of thirty (30) days following the effective date of cancellation. The administrative fee shall be the fee enforce as of the date of cancellation. This agreement may be modified only by mutual agreement of the parties, CITY OF SOUTH BEND and North America Administrators, L.P., in writing. 6. Entirety of Agreement: All negotiations whether oral or written, are merged into this agreement when executed by the agreeing parties, CITY OF SOUTH BEND and North America Administrators, L.P. This agreement contains the entire understanding of the parties with respect to this Administrative Service Agreement. 7. Confidentiality: North America Administrators, L.P. agrees to keep confidential all information concerning the Employer, its affiliates and employees, covered employees and beneficiaries that it acquired in connection with the performance of its services hereunder except where disclosure is required by Federal or State Law. 8. Severability: If any part of this Agreement is held to be void as against public policy, or illegal, or unenforceable for any reason, the balance of this Agreement shall continue to be valid and binding on the parties hereto. 9. Hold Harmless: NAA may rely on all information appearing proper on its face