9-B2 - 09.07.21 Flores FeeSchedule.pdf

City of Burleson

FLORES / 02

TABLETABLE OFOF

CONTENTSCONTENTS

Introduction

Proposal Summary

Plan Features - Employers

Plan Features - Participants

Implementation Timeline

Next Steps & Supplemental Materials

Professional Fees & Letter of Intent

"We have HRA, FSA and

COBRA with Flores. I just wanted to let you know how pleased we are, working with

Katlin on our account. When I call in with any questions or issues, Katlin is very knowledgeable and always so helpful. I feel very comfortable and confident with her as our Account rep. I wish we had other Accounts reps as professional as her."

- AMY MCNEIL,- AMY MCNEIL,

HR GENERALIST,HR GENERALIST, GRAYSTONE EYE -GRAYSTONE EYE -

"I just wanted to take a moment to tell you how much I appreciate working with Flores. Working with Flores has been such a huge improvement over our previous provider, from the process of ling claims to receiving reimbursement to the easy-to-navigate web page! The availability of the Flores account managers (such as yourself) is also a huge bonus. So thank you for a job well done! "

- Damita Allen, Regulatory Coordinator, Worldwide Clinical Trials -Damita Allen, Regulatory Coordinator, Worldwideamita Allen, Regulatory Coordinator, Worldwide Clinical Trials - Damita Allen, Regulatory Coordinator, Worldwide Clinical Trials -

FLORES / 03

MEET A BETTERMEET A BETTER

BENEFITSBENEFITS . PARTNNER.PARTN RRPARTNER.

THE FLORES DIFFERENCETHE FLORES DIFFERENCE

Europe 20 America 20 Africa

ABDS 20 ASDFADS 20

URCE SOLUTIONSOOUOOAN INDEPENDENT SINGLE S URCE SOLUTIOOOOONDEPENDENT SIN NAN INDEPEN RAN INDEPENDENT SINGLE SOURCE SOLUTION

Find complete plan design and compliance support when you choose Flores to design and administer your reimbursement plans, COBRA, or Direct Bill programs.

We help you realize full carrier independence. Our clients are free to change health insurance carriers or payroll providers without the need for painful changes to their FSA, HSA, and COBRA administration.

A DIFFERENT APPROACH FOR BETTER RESULTSA DIFFERENT APPROACH FOR BETTER RESULTS

At Flores, we combine a high-touch Dedicated Account Manager Service Model with an innovative proprietary technology platform to deliver the better benefits experience employers and participants deserve.

We employ a team of quality assurance analysts to proactively monitor plan activity daily to ensure issues are identified and resolved early. Our reconciliation and reporting capabilities are unparalleled in the industry. When you choose Flores, you choose a partner who will leave your entire team feeling well-served.

Health Savings Accounts

(HSA)

Commuter Bene t Accounts

(CBA)

Flexible Spending Accounts

(FSA)

COBRA &

Direct Bill

Reimbursement Accounts (Pre-or Post-Tax

HRA or LBA)

You will enjoy a relationship with the same dedicated account manager for both implementation and ongoing administration. Participants will have access to the same individual as well as the entire Account Management team for assistance with their accounts;

Your account manager will be supported by a team trained on your specific plan so you can depend upon accurate, prompt, and reliable service at all times;

When you call Flores, your call will be answered by a live voice, never a phone tree. Your account manager's name and contact information is available for participants for direct access from the web portal;

Training manuals as well as a web conference tutorial will be available for web portal users.

S I M P LY B E T T E R S E R V I C E M O D E L

T U R N K E Y I M P L E M E N T A T I O N

P R O P R I E T A R Y T E C H N O L O G Y F O R E A S Y B E N E F I T A C C E S S

GAIN PEACE OF MIND FOR FLORES' FINANCIAL AND OPERATIONAL CONTROLS FROM OUR

ANNUAL SERVICE ORGANIZATION CONTROLS 1 (SOC 1) REPORT.

PROPOSAL SUMMARYPROPOSAL SUMMARY

FLORES / 04

C O M P R E H E N S I V E R E P O R T I N G

E D U C A T I O N A N D E N R O L L M E N T S U P P O R T

OBJECTIVE: To implement and maintain a comprehensive better bene t solution that will leave your team feeling well-served.

Calculators, Videos, FAQs and more available on demand in a Resource Library;

Open Enrollment Resource Center and custom enrollment webinar videos available upon request.

Proper plan setup and coordination with other pre-tax plans;

A detailed checklist that will allow your dedicated account manager to guide you through a quick implementation;

SPDs or plan documents for each plan with ongoing compliance updates;

Integration with third party benefits eligibility and payroll providers.

Intuitive online and mobile experience, proactive communication, and accessible customer support for administrators and participants;

Easy reimbursement options via debit card, check, or direct deposit;

Proactive e-Status communications reduce participant questions;

Enroll and maintain participant accounts with proven accounting integrity;

End-of-year processing methods (for FSA) include standard run out, 2 ½ month grace period, or $500 rollover.

Automated distribution of payroll reporting each pay cycle and balance reporting on claims funding schedule;

Online reporting available 24/7 on the web portal;

End-of-year recap with financial information for reporting to government agencies (if applicable);

Annual Section 125 Non-Discrimination Testing (no additional fee).

PROPRIETARY SYSTEMS

COMBINE WITH A HIGH-

TOUCH SERVICE MODEL

TO DELIVER RESULTS.

DEDICATED

ACCOUNT MANAGER

/ 05

A dedicated partner from implementation through ongoing administration with nimble systems that can adapt to your needs, we're committed to delivering the best bene t solutions you can imagine.

PLAN FEATURES

EMPLOYERSEMPLOYERS

You will work with the same dedicated account manager from implementation through ongoing administration. Account managers complete a year long training program and are COBRA certified.

INTUITIVE WEB PORTAL

You can view on demand reports, update participant enrollment, order COBRA notices and more on our integrated web portal.

RECONCILIATION AND

FUNDING OPTIONS

We offer both fully funded and on demand options to fit your accounting needs. We reconcile deductions per pay period and provide weekly balance reports.

DAILY QUALITY

ASSURANCE AUDITS

We employee a quality assurance team to process a series of back-end audits daily to ensure data integrity.

PLAN DOCUMENTS

AND REPORTING

We provide a standard legal plan document. Annual Section 125 Non-Discrimination Testing is included. An annual report will be provided for Section 5500 and PCORI fee reporting . On demand reports are also available.

EDUCATION AND SUPPORT

Our extensive online resource library includes flyers, videos, calculators, FAQs and more to provide educational support to your plan participants. We offer custom live and prerecorded webinar options for Open Enrollment.

PARTNER INTEGRATION

We accept Electronic Data Interchange (EDI) files from third parties including, but not limited to, top industry partners.

A PARTICIPANT-FOCUSED

APPROACH FOUNDED IN

PROACTIVE COMMUNICATION

DELIVERS SILENCE FOR HR.

DEDICATED

ACCOUNT MANAGER

FLOOF ORESSS / 06

From our dedicated account manager service model to our proactive e-Status email communication system, everything we do is designed with the participant's experience in mind.

PLAN FEATURESPLAN FEATURES

PARTICIPANTSPARTICIPANTS

Participants will work with the same dedicated account manager as HR with support from an account management team. When participants call Flores during business hours, their call will always be answered by a live voice, never a phone tree.

INTUITIVE WEB PORTAL

Participants can file claims, view balances, make COBRA payments, setup HSA investment accounts and more for all of their Flores plans on our robust web portal.

STACKED DEBIT CARD

Participants will receive one card that will be stacked with all plan balances (excluding Dependent Care FSA, certain HRA plans, and life.balanced. funds) for easy benefit access. Debit card documentation may be required.

SMS/IVR SYSTEMS

FLORES MOBILE APP

Participants can access their account information from anywhere with our Flores Mobile app. SMS text notifications and IVR offer after hours balance information.

SIMPLE CLAIM PROCESS

Claims can be filed on the web portal, Flores Mobile app, by fax or US mail. An email receipt is sent when a claim is received (if an email address is provided), reviewed, and paid.

TIMELY REIMBURSEMENTS

Guaranteed daily claim processing with reimbursements issued daily for Dependent Care FSA claims or weekly for other claims.

Direct deposit or check reimbursement is available.

E-STATUS UPDATES

Flores e-Status updates are email notifications that keep participants informed throughout the claims process. e-Status updates also inform participants of claims filing deadlines and remaining balances.

MILESTONE

DAYS PRIOR TO PLAN

EFFECTIVE DATE

Proposal Acceptance & Signed Agreement Returned 75 days

Account Manager Introduction 70 days

Implementation Checklists Completed 60 days

Flores Generates Enrollment/Administrator Materials 50 days

Custom Enrollment Communications Created 45 days

Client Prepares Enrollment Data 30 days

Debit Cards (HSA, FSA, and Commuter only) and Participant Communications Sent

20-25 days

Funding and Client Training Finalized 14 days

Plan Implementation Complete Plan Effective Date

ON TIMELINEIMPLEMENTATIO NEMPLEMENTATION TIMIMPLEMENTATION TIMELINE

FLORES / 07

A recommended implementation timeline is below. When you engage services with Flores, your dedicated account manager will work with you to establish an implementation timeline based upon your unique implementation needs and the lines of service(s) you select.

Thank you for considering Flores!

When you decide to select Flores to deliver a better benefits experience for your benefit plan(s), an authorized representative for your company must sign page 09 (Professional Fees).

Please return a copy of the signed proposal to Flores to begin the implementation process.

FLORES / 08

NEXT STEPS &NEXT STEPS &

SUPPLEMENTAL MATERIAALSSUPPLEMENTAL MATERIA SPPLEMENTAL MATER SSUPPLEMENTAL MATERIALS flores-associates.com

(828) 693-3595

Cindy Bistany

Business

Development Director cindy.bistany@ flores247.com

Select a supplemental material below to view a demo of each feature.

GENERAL (ALL PLANS)GENERAL (ALL PLANS)

Flores Resource LibraryyFlores Resource Library Sample Flyersp ySample FlyeSample Flyers

FLEXIBLE SPENDING ACCOUNT (FSA)FLEXIBLE SPENDING ACCOUNT (FSA)

FSA Collateral GuideFSA Collateral Guide Funding Optionsg pding OptionsFunding Options

HEALTH SAVINGS ACCOUNT (HSA)HEALTH SAVINGS ACCOUNT (HSA)

HSA Features and FeesHSA Features and Fees HSA Employer Guidep yHSA Employer GuideHSA Employer Guide

HEALTH REIMBURSEMENT ACCOUNT (HRA)HEALTH REIMBURSEMENT ACCOUNT (HRA)

HRA Plan Design Optionsg pHRA Plan Design OptioHRA Plan Design Options HRA Collateral GuideHRA Collateral Guide

(with debit card)HRA Collateral Guide ((RA Collateral Guide (with debit card)HRA Collateral Guide (with debit card)

LIFE.BALANCED. ACCOUNT (LBA)LIFE.BALANCED. ACCOUNT (LBA)

g pe.balanced. Plan Design Optionslife.balanced. Plan Design Options life.balanced. Collateral Guidelife.balanced. Collateral Guide

COBRA / DIRECT BILLCOBRA / DIRECT BILL

COBRA Collateral GuideCOBRA Collateral Guide

SELECT DESCRIPTION AMOUNT MINIMUM

N/A Implementation Fee ($750) Waived N/A

N/A Renewal Fee ($250) Waived N/A

FSA Administration (PPPM) (Includes HCFSA, LFSA and DCFSA. Debit card for HCFSA and LFSA only. 5% prefund of debit card annual balances required.)

HSA Administration (PPPM) (Includes debit card.)

Commuter Benefit Administration (PPPM) (Includes debit card; pre-tax dollars only.)

HRA Administration (PPPM) (Fee may be adjusted based upon complexity of plan design.)

ICHRA Administration (PPPM) (Fee may be adjusted based upon complexity of plan design.)

life.balanced. Administration (PPPM) (Payroll reimbursement is included. An additional

$0.25 will be applied for direct deposit reimbursement.)

COBRA Administration (Per Insured Employee/Month) (QE Notices up to 20% turnover

. Flores retains 2% COBRA administration fee.)

COBRA Initial Notices (Per Insured Employee/Month) (Up to 20% of insured base annually)

Retiree and Leave of Absence Billing (PPPM)

PROFESSIONAL FEESPROFESSIONAL FEES

FLORES / 09

Professional fees are guaranteed for a ve (5) year period upon acceptance of the proposal.

Check the box in the "SELECT" column for each plan you wish for Flores to administer. Fees will be billed monthly.

SIGNATURE:

NAME, TITLE AND COMPANY:

LETTER OF INTENT

DATE:

PPPM - Per Participant Per Month PEPM - Per Employee Per Month

Prepared By:

C c @flores247.com

Other Potential Service Fees ailed Open Enrollment Notices: $10 per notice plus printing & shipping ($50 minimum)

Bulk Mailing of Initial Rights Notices to correct past compliance gaps: $2.00 each

Custom file to communicate COBRA enrollment/term to carriers: Custom quote

PROPOSAL VALID UNTIL:

PREPARED FOR:

Effective Date:

January 1, 2022

✔ 3.95 $100

$1.50 $100

$2.95 $100

✔ $3.50 $100

$4.50 $100

$2.50 $100

✔ $0.49 $50

✔ Included N/A

$4.75 $50

N/A N/AOptional service

Optional service N/A N/A

December 31, 202

City of Burleson

Bryan Langley, City Manager, City of Burleson