Navia_-_Fully_Signed_Agreement.pdf
PDF 1 MB Posted
- Attached to
- Comprehensive COBRA and CAL-COBRA Administration
- Solicitation number
- 949-0811-27
- Issued by
- Solano County, California
About this file
This is a Navia Administrative Service Agreement between Navia Benefit Solutions, Inc. and an employer for comprehensive benefit plan administration services. The agreement covers Cafeteria Plans (Code Section 125), Flexible Spending Arrangements (Health FSA and Dependent Care FSA), Section 132 Transportation and Parking Plans, Federal COBRA Administration, and related benefit plan services. Navia will provide standard administrative services including plan processing, claims adjudication, employee education and engagement materials, nondiscrimination testing, electronic payment card services, online portal access, and customer support during business hours (5 a.m. to 5 p.m. Pacific Time, weekdays). The employer is responsible for maintaining plan compliance, ensuring accurate data submission, timely payroll deduction reporting, adequate funding of benefit plans, employee eligibility determinations, and plan interpretation. The agreement is governed by California law, with dispute resolution in Solano County, California courts, and includes a two-year statute of limitations for legal actions.
Fees vary by service and are detailed in separate schedules: Health FSA/Dependent Care FSA administration costs $3.25 per month per covered employee (minimum $100/month) plus additional fees for processing, amendments, and ad hoc reporting; Section 132 Transportation and Parking Plan administration costs $3.00 per month per covered employee ordering through the platform; Federal COBRA Administration includes a $500 annual base fee plus $0.38 per employee per month (PEPM) with a 2% administration fee retained by Navia on collected premiums. Additional miscellaneous fees include electronic funds transfer fees ($10 per returned item), enrollment form processing ($4 per form), summary plan description printing ($3.50 per notice), plan document amendment fees ($150 per amendment outside anniversary dates), and on-site meeting fees ($75/hour or $300/eight-hour day). Employer must provide an initial deposit equal to five percent of projected annual elections (minimum $1,000) for FSA administration. Navia maintains commercial general liability, umbrella liability, error and omissions, and professional liability insurance. Either party may terminate the agreement with 60 days' written notice for convenience, or immediately for cause including non-payment, material breach, or bankruptcy, with the employer responsible for all reasonable transition costs and administration fees during the run-out period.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
i tdbrev_11102020_v2020.2
TABLE OF CONTENTS
Article I: Definitions
1.1 Affiliate
1.2 Agreement
1.3 Benefit Plans
1.4 Business Day
1.5 Card Recipient
1.6 Card Services Provider
1.7 Carrier
1.8 Claims Administrator
1.9 COBRA Election Notice
1.10 Code
1.11 Covered Dependent
1.12 Covered Employee
1.13 Covered Individual
1.14 Disbursement Report
1.15 Eligibility and Payroll Deduction Report (“EDR”)
1.16 Electronic Payment Card
1.17 Eligible Employee
1.18 Exhibit
1.19 Fees
1.20 Grace Period
1.21 Intellectual Property Rights
1.22 Party or Parties
1.23 Plan Administrator
1.24 Plan Application
1.25 Plan Year
1.25 Plan Year
1.26 Representative
1.27 Run-Out-Period
1.28 Schedule
1.29 Services
1.30 Specific Rights Notice
1.31 Subcontractor
ii
1.32 We or Us
1.33 You or Your
1.34 Year-to-Date Report
Article II. Relationship and Term
2.1 Relationship of the Parties
2.2 Term of the Agreement
2.3 Termination without Cause
2.4 Termination for Cause
2.5 Post Termination Obligations
Article III. Fees
3.1 Fees for Services
3.2 Fees for Additional Services
3.3 Fee Terms and Changes in Fees
Article IV Warranties and Representations
4.1 Mutual Warranties and Representations
4.2 Navia’s Warranties and Representations
4.3 Employer’s Warranties and Representations
Article V. Information and Records
5.1 Records Generally
5.2 Confidential and Proprietary Information - Generally
5.3 Media Releases and Public Announcements
5.4 Protected Health Information
5.5 Intellectual Property Rights
5.6 Online Services
Article VI. Liability and Indemnification
6.1 Limitation on Liability
6.2 Indemnity
6.3 Remedies
6.4 Statute of Limitations
Article VII Miscellaneous
7.1 Section Headings
7.2 Waiver of Rights
7.3 Invalid/Illegal/Unenforceable Provisions
iii
7.4 Amendment
7.5 Agreement
7.6 Notices
7.7 Consent
7.8 Third Party Beneficiaries
7.9 Advertising
7.10 Insurance
BENEFIT PLAN SERVICE SCHEDULE(S) AND FEES
CAFETERIA PLAN SERVICE SCHEDULE
FLEXIBLE SPENDING ARRANGEMENT SCHEDULE
GONAVIA SECTION 132 TRANSPORTATION AND PARKING PLAN SCHEDULE
FEDERAL COBRA ADMINISTRATION SCHEDULE
EXHIBIT A BUSINESS ASSOCIATE AGREEMENT
EXHIBIT B EMPLOYER CERTIFICATION
NAVIA ADMINISTRATIVE SERVICE AGREEMENT
Employer has asked Navia to provide administrative services for certain employee Benefit Plans maintained by Employer as described in this Agreement. In consideration of the mutual promises contained in this Agreement, Employer and Navia agree as follows:
GENERAL TERMS AND CONDITIONS
ARTICLE I: DEFINITIONS
All capitalized terms in this Agreement not defined in this Section shall have the meanings set forth in the Sections or Schedules of this Agreement in which they are defined.
1.1 AFFILIATE
“Affiliate” means a business entity now or hereafter controlled by, controlling or under common control with a Party. Control exists when an entity owns or controls directly or indirectly 50% or more of the outstanding equity representing the right to vote for the election of directors or other managing authority of another entity.
1.2 AGREEMENT
“Agreement” means the following: the Contract Information Page, the General Terms and Conditions, the Schedules and the Exhibits that are specifically incorporated by the Parties into this Agreement by reference.
1.3 BENEFIT PLANS
“Benefit Plan(s)” means one or more employee benefits plans, 132 Transportation benefits, COBRA Administration, or Direct Billing Administration established and maintained by Employer for the benefit of its employees and their eligible dependents for which Navia provides Services in accordance with this Agreement.
1.4 BUSINESS DAY
“Business Day” means Monday through Friday, excluding days deemed to be federal holidays.
1.5 CARD RECIPIENT
“Card Recipient” means the individual to whom Card Services Provider issues an Electronic Payment Card in accordance with this Agreement.
1.6 CARD SERVICES PROVIDER
“Card Services Provider” means the third party chosen by Navia to issue Electronic Payment Cards in accordance with this Agreement and/or process electronic payment card transactions.
1.7 CARRIER
“Carrier” means the insurance Carrier or other benefit provider designated by the Employer.
1.8 CLAIMS ADMINISTRATOR
“Claims Administrator” means Navia.
1.9 COBRA ELECTION NOTICE
“COBRA Election Notice” means the election form included in the Specific Rights Notice.
1.10 CODE
“Code” means the Internal Revenue Code of 1986 and the regulations thereunder, as amended from time to time.
1.11 COVERED DEPENDENT
“Covered Dependent” means any person other than the Covered Employee who is covered under a Benefit Plan by virtue of his relationship to the Covered Employee.
1.12 COVERED EMPLOYEE
“Covered Employee” means any of Employer’s employees or former employees who are enrolled in a Benefit Plan or who have established a Health Savings Account as defined in Code Section 223.
1.13 COVERED INDIVIDUAL
“Covered Individual” means a Covered Employee or a Covered Dependent.
1.14 DISBURSEMENT REPORT
“Disbursement Report” means a file or report created by Navia, posted to the Website that details the benefit disbursements.
1.15 ELIGIBILITY AND PAYROLL DEDUCTION REPORT (“EDR”)
“Eligibility and Payroll Deduction Report” means a file or report created by Navia, posted to the Website, and verified by the Employer against payroll deductions for each processing date.
1.16 ELECTRONIC PAYMENT CARD
“Electronic Payment Card” means a debit card or store value card used to pay for eligible expenses under the Benefit Plan(s).
1.17 ELIGIBLE EMPLOYEE
“Eligible Employee” means an employee that is eligible for the Benefit Plan(s) as determined by the Employer.
1.18 EXHIBIT
“Exhibit” means the document or documents specifically incorporated by the Parties into this Agreement by reference that describe the specific rights, duties, and obligations of the Parties.
1.19 FEES
“Fees” means the amount that must be paid as indicated in each Schedule.
1.20 GRACE PERIOD
“Grace Period” means the 2.5-month period after the end of the Plan Year during which eligible expenses incurred during that time may be applied toward the previous Plan Year.
1.21 INTELLECTUAL PROPERTY RIGHTS
“Intellectual Property Rights” means all intellectual property rights throughout the world, including copyrights, patents, mask works, trademarks, service marks, trade secrets, inventions (whether or not patentable), know how, authors’ rights, rights of attribution, and other proprietary rights and all applications and rights to apply for registration or protection of such rights.
1.22 PARTY OR PARTIES
“Party” means Employer or Navia collectively, and Employer and Navia shall be referred to as “Parties”.
1.23 PLAN ADMINISTRATOR
“Plan Administrator” means Employer.
1.24 PLAN APPLICATION
“Plan Application” means the online or form questionnaire provided by Navia to Employer used to gather Employer and Plan design information.
1.25 PLAN DOCUMENT
“Plan Document” means a document that describes the Plan’s terms and conditions related to the operation and administration of the plan.
1.26 PLAN YEAR
“Plan Year” means a period of time determined by the Employer no longer than 12 months.
1.27 REPRESENTATIVE
“Representative” means an officer, director, or individual with authority to bind the Party.
1.28 RUN-OUT-PERIOD
“Run-out Period” means the period of time after the end of the Plan Year during which Covered Individuals can submit claims.
1.29 SCHEDULE(S)
“Schedule(s)” means the document or documents specifically incorporated by the Parties into this Agreement by reference that describe the specific Services and the specific rights and obligations of the Parties with respect to such Services.
1.30 SERVICES
“Services” means Benefit Plan related administrative services as described specifically in the Schedules, together with any materials, supplies, tangible items or other goods Navia furnishes in connection with the Services.
1.31 SPECIFIC RIGHTS NOTICE
“Specific Rights Notice” means the notice that must be provided to each qualified beneficiary in connection with a COBRA qualifying event.
1.32 SUBCONTRACTOR
“Subcontractor” means a third-party to whom a Party has delegated or subcontracted any portion of its obligations set forth herein.
1.33 WE OR US
“We” or “Us” means Navia.
1.34 YOU OR YOUR
“You” or “your” means Employer.
1.35 YEAR-TO-DATE REPORT
“Year-to-Date Report” means a file or report created by Navia, posted to the Website that details contributions, disbursements, and benefit election, if applicable.
ARTICLE II. RELATIONSHIP AND TERM
2.1 RELATIONSHIP OF THE PARTIES
Navia is an independent contractor. Nothing in this Agreement or in the activities contemplated by the Parties hereunder shall be deemed to create an agency, partnership, employment, or joint venture relationship between the Parties, their Affiliates, or any of their Subcontractors or Representatives Employer acknowledges that Navia is not an accounting or law firm. No Services, and no written or oral communications made by Navia during the course of providing Services, are or should be construed by Employer as tax or legal advice.
2.2 TERM OF THE AGREEMENT
This Agreement shall be in effect from Effective Date set forth on the Contract Information Page and will continue until such time as the Agreement is terminated as set forth herein (“Term”). Each Schedule may have a later effective date than this Agreement to the extent that Employer and Navia agree to the terms set forth in the Schedule after this Agreement has already become effective. If the Employer uses the Services of Navia, this Agreement will be deemed to be in effect as of the date Navia begins providing such Services even if a copy of this Agreement has not been signed and returned by the Employer—all fees and monthly charges will be due and payable as set forth herein.
2.3 TERMINATION WITHOUT CAUSE
Either Party may terminate this Agreement for convenience, without cause, at any time without further charge or expense with at least sixty (60) calendar days prior written notice to the other Party.
2.4 TERMINATION FOR CAUSE
In addition to any other remedies available to a Party, a Party may immediately terminate this Agreement upon the occurrence of a Termination Event by the other Party by providing written notice of termination to the other Party.
The following events constitute a Termination Event:
(a) Employer fails to pay the applicable Fees or satisfy the applicable funding requirements as set forth herein;
(b) Failure of a Party to cure a material breach (to the extent curable) within thirty (30) calendar days after written notice of the breach and intent to terminate is provided by the non-breaching Party;
(c) Employer files for bankruptcy, becomes or is declared insolvent (generally unable to pay its debts as they become due), is the subject of any proceedings (not dismissed within 30 days) related to its liquidation, insolvency or the appointment of a receiver or similar officer, makes an assignment for the benefit of all or substantially all of its creditors, takes any corporate action for its winding-up, dissolution or administration, enters into an Agreement for the extension or readjustment of substantially all of its obligations, or recklessly or intentionally makes any material misstatement as to its financial condition. In the interest of risk reduction for both Parties, Navia may immediately suspend Benefit Plan processing (including debit cards) without notice upon the occurrence of any of the circumstances described in this section (c). Upon written notice to Employer, Navia may terminate services for a Covered Employee for persistent abusive, offensive, or similar behavior toward Navia employees.
2.5 POST TERMINATION OBLIGATIONS
(a) If Employer terminates this Agreement, Navia shall reasonably cooperate with Employer to transition information to Employer or a new third party pursuant to the reasonable instructions of
Employer, in accordance with the terms of this Agreement, as necessary to enable the new service provider to perform services without disruption to Covered Individuals. Employer is obligated to reimburse all reasonable costs and expenses incurred by Navia for continued administration during the transition process (including administration Fees during the claims run-out period) and transitioning any necessary information as set forth herein. Covered Individual claims submitted to Navia after termination of the Agreement or expiration of the claims run-out period, whichever is later, will be denied and Participants will be redirected to the Employer and Navia will have no further responsibility with respect to Covered Individual claims received after such time.
(b) The rights and obligations of the Parties that by their nature must survive termination or expiration of this Agreement in order to achieve its fundamental purposes include, without limitation, Section 5.1 through Section 5.5, Article VI, Section 7.7, and the Business Associate Agreement Exhibit.
(c) Termination of this Agreement shall not terminate the rights or obligations of either Party arising prior to the effective date of such termination. Notwithstanding anything to the contrary herein upon termination of this Agreement, all Fees, funding, and other amounts owed will become immediately due and payable.
ARTICLE III. FEES
3.1 FEES FOR SERVICES
The Fees that Employer must pay Navia for Services are set forth in the Fee section of each Schedule. To the extent that Navia sends a monthly invoice, all Fees are due upon receipt of the monthly invoice;
however, there is a thirty (30) day period after which 1.5% interest per month will accrue with respect to any unpaid Fees to the extent Navia does not terminate the Agreement in accordance with Article III herein. If the invoice is mailed by Navia, the recipient is deemed to have received the invoice within three (3) Business Days after Navia mails the invoice. Failure to timely and completely pay such Fees may also result in suspension of all or part of the Services provided or, in Navia’s discretion, termination of the Agreement.
3.2 FEES FOR ADDITIONAL SERVICES
Additional Fees for additional Services not listed in the Schedules shall be as mutually agreed in writing between Employer and Navia prior to performance. Such Fees may result from Employer’s specific requests for legal guidance provided by an outside firm, development time, or third-party audit Fees.
3.3 FEE TERMS AND CHANGES IN FEES
(a) Fees are effective beginning with the Effective Date unless otherwise provided herein.
(b) Navia may change Fees to the extent that (i) changes are made in applicable law that materially affect the rights and obligations of Navia set forth herein, (ii) Employer amends the Benefit Plan in a manner that materially impacts the Services provided herein; or (iii) Navia provides written notice of a proposed Fee change to Employer. If Employer does not affirmatively reject any proposed Fee changes in writing within thirty (30) days of receiving written notice of the proposed Fee changes from Navia, such proposed Fees will become effective the first day of the month following the end of the thirty-day response period. If Employer does not agree with such proposed Fee changes, Employer may terminate the Agreement with no less than thirty (30) days prior written notice from the date that Navia notified Employer of the Fee changes.
ARTICLE IV. WARRANTIES AND REPRESENTATIONS
4.1 MUTUAL WARRANTIES AND REPRESENTATIONS
Each Party represents and warrants the following:
(a) the Party’s execution, delivery and performance of this Agreement: (i) have been authorized by all necessary corporate action, (ii) do not violate the terms of any law, regulation, or court order to which such Party is subject or the terms of any material agreement to which the Party or any of its assets may be subject and (iii) are not subject to the consent or approval of any third party;
(b) This Agreement is the valid and binding obligation of the representing Party, enforceable against such Party in accordance with its terms;
(c) Such Party is not subject to any pending or threatened litigation or governmental action which could interfere with such Party's performance of its obligations hereunder; and
(d) Both Parties will perform their respective obligations under this Agreement in compliance with all laws, rules, regulations, and other legal requirements applicable to the Party.
4.2 NAVIA’S WARRANTIES AND REPRESENTATIONS
(a) Navia represents and warrants that the Services shall reasonably conform to the Schedules described herein.
(b) Other than as specifically set forth herein, Navia makes no representation or warranty, express or implied, written or oral, and, to the full extent permitted by law, disclaims all other warranties including, but not limited to, the implied warranties of merchantability or fitness for a particular purpose.
4.3 EMPLOYER’S WARRANTIES AND REPRESENTATIONS
Employer represents and warrants they are not subject to any pending or threatened litigation, governmental action, or investigation from the IRS, DOL, HHS, or otherwise with respect to any Benefit Plans. If Employer is subject to any litigation, action, or investigation, or becomes subject while this Agreement is in effect, Employer shall promptly notify Navia in writing in advance of the Effective Date of this agreement, or within 10 days of Employer becoming aware of such litigation, action, or investigation.
ARTICLE V: INFORMATION AND RECORDS
5.1 RECORDS GENERALLY
Employer and Navia shall retain records and supporting documentation sufficient to document its satisfaction of its obligations under this Agreement in accordance with laws and generally accepted accounting principles for at least eight (8) years from the date such record or documentation is created.
5.2 CONFIDENTIAL AND PROPRIETARY INFORMATION - GENERALLY
(a) The term “Confidential Information” shall mean all non-public data, trade secrets, business information and other information of any kind whatsoever that a Party (“Discloser”) discloses, in writing, orally, visually or in any other medium, to the other Party (“Recipient”) or to which Recipient obtains access and that relates to Discloser or, in the case of Navia, its customers. A “writing” shall include an electronic transfer of information by e-mail, over the Internet or otherwise. Confidential Information shall not include Benefit Plan information (i.e. card swipe data, Benefit Plan reports, claims, explanation of benefits and other Protected Health Information). Such information will be protected under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) Health Information Technology for Economic and Clinical Health Act (HITECH”), and/or other applicable privacy and security laws.
(b) Each of the Parties, as Recipient, hereby agrees that it will not, and will cause its Representatives, Affiliates, vendors, Subcontractors, and third-parties not to disclose Confidential Information of the other Party, during or after the Term of this Agreement, other than on a “need to know” basis and then only: (a) for the purposes of providing, enhancing, optimizing, or auditing the Services or to satisfy a legal or contractual requirement; (b) provided that any Representatives, Affiliates, vendors, Subcontractors, and third-parties who receive Confidential Information are subject to a written confidentiality agreement that shall be no less restrictive than the provisions of this Section.
(c) Recipient shall not use or disclose Confidential Information of the other Party for any purpose other than to carry out its obligations set forth herein.
(d) Recipient shall treat Confidential Information of the other Party with no less care than it employs for its own Confidential Information of a similar nature that it does not wish to disclose, publish, or disseminate, but not less than a reasonable level of care.
(e) Upon the Discloser’s written request following expiration or termination of this Agreement for any reason, the Recipient shall promptly return or destroy all Confidential Information in the possession of Recipient or Recipient’s Representatives, Affiliates, vendors, Subcontractors, and third-parties, provided that either Party may retain copies of such files as needed to administer the Benefit Plan(s) or to protect its interests. If it is determined that returning or destroying all Confidential Information of Employer is infeasible Navia shall extend the protections of this Agreement to such Confidential Information.
(f) The obligations of confidentiality in this Section shall not apply to any information that (i) Recipient rightfully has in its possession when disclosed to it, free of obligation to Discloser to maintain its confidentiality; (ii) Recipient independently develops without access to Discloser’s Confidential Information; (iii) is or becomes known to the public other than by breach of this Section or (iv) is rightfully received by Recipient from a third party without the obligation of confidentiality. Any combination of Confidential Information disclosed with information not so classified shall not be deemed to be within one of the foregoing exclusions merely because individual portions of such combination are free of any confidentiality obligation or are separately known in the public domain.
(g) A Party’s Confidential Information and any results of processing Confidential Information or derived in any way therefrom shall at all times remain the property of that Party.
5.3 MEDIA RELEASES AND PUBLIC ANNOUNCEMENTS
Employer may not issue any media releases, public announcements and public disclosures, relating to this Agreement or use the name or logo of Navia, including, without limitation, in promotional or marketing material or on a list of vendors, provided that nothing in this paragraph shall restrict any disclosure required by legal, accounting or regulatory requirements beyond the reasonable control of the releasing Party.
5.4 PROTECTED HEALTH INFORMATION
Protected Health Information (“PHI”), as defined by 45 C.F.R. 160.103, if any, that is used or disclosed by the Parties in accordance with this Agreement, will be governed by the terms and conditions set forth in the Business Associate Agreement between the Parties. Employer agrees that Navia may communicate confidential, PHI or otherwise sensitive information to Employer and hold Navia harmless in the event Employer misroutes or improperly uses or discloses such information where such information was used or disclosed by Navia for purposes of administration of the Benefit Plan(s) or used or disclosed for the purposes of carrying out Navia’s duties and responsibilities under this Agreement.
5.5 INTELLECTUAL PROPERTY RIGHTS
Each Party shall retain all rights in and/or title to its respective Intellectual Property Rights. Other than as expressly provided in this Agreement, (a) nothing contained herein shall be construed as granting a Party any license, right, title, or interest in or to any of other Party’s Intellectual Property Rights and (b) neither Party is developing any work product for the other.
5.6 ONLINE SERVICES
(a) Navia may provide access to a password-protected website maintained by Navia or Navia’s
Subcontractor(s) in connection with the Services (the “Website”). Navia may unilaterally make reasonable adjustments and improvements to the Website at any time and without prior notice.
Neither Navia nor Navia’s Subcontractor is under any obligation to make any adjustments to the Website that are requested by Employer or any other third party.
(b) The Website may include information related to Navia’s other services and/or links to other websites to the extent permitted by law. Navia neither grants a license for nor is responsible for any external links to third party websites provided on the Website.
(c) Employer acknowledges that Employer and the Covered Individuals are solely responsible for maintaining the hardware and/or software necessary to access the Website. Individuals shall be directed to Navia’s online Privacy Policy, Privacy Notice, and Terms and Conditions regarding consent for collection, use, retention, disclosure, and disposal of information.
ARTICLE VI: LIABILITY AND INDEMNIFICATION
6.1 LIMITATION ON LIABILITY
(a) NOTWITHSTANDING ANY OTHER PROVISION IN THIS AGREEMENT TO THE
CONTRARY, THE TOTAL CUMULATIVE LIABILITY OF NAVIA TO EMPLOYER FOR
ALL CLAIMS, ACTIONS, OR SUITS HOWEVER CAUSED ARISING OUT OF OR IN
CONNECTION WITH THIS AGREEMENT SHALL NOT EXCEED THE POLICY LIMITS
SET FORTH UNDER THE INSURANCE POLICIES PROVIDED FOR UNDER SECTION
7.10 OF THIS AGREEMENT.
(b) Navia is not liable for the acts or omissions of a prior administrator or the acts or omissions of Employer if prior administration was conducted by Employer.
(c) Navia shall not be liable for any action, conduct, or activity taken by Navia, or any failure to act, at the request of Employer.
(d) Neither party will be liable for and will be excused from any failure or delay in satisfying its obligations set forth herein if such failure or delay is caused by circumstances beyond its control, including but not limited to any natural disaster (such as earthquakes, hurricanes or floods), emergency conditions (such as war, riot, fire, theft, severe inclement weather, or labor dispute), outages, legal constraint or governmental action or inaction, breakdown or failure of equipment not due directly to the negligence of the Party maintaining the equipment, or the act, omission, negligence or fault of the other party. This section does not excuse Employer from its obligations to pay any of the Fees or to fund the Benefit Plans as provided herein.
Navia neither assumes nor underwrites any liability of Employer under the Benefit Plans, and acts only as provider of the services specifically described herein. Navia shall not be responsible for any over disbursed benefits, including but not limited to over disbursements due to insurance claim adjustments after benefits have been reimbursed. The Services performed shall be ministerial in nature and shall be performed in accordance with the direction, guidance, framework, and interpretation of the Benefit Plan(s) established and communicated by Employer. Navia shall have no discretionary authority or control over the Benefit Plan(s), funds, and Covered Individuals. Specifically, the Employer has the absolute authority with respect to the control, management, investment, or disposition and utilization of all plan assets, if any; and Navia shall neither have nor be deemed to exercise any discretion, control, or authority with respect to the disposition of any plan assets.
6.2 INDEMNITY
(a) Each Party (“Indemnitor”) shall indemnify, defend, and hold harmless the other Party, its
Representatives, successors and permitted assigns (collectively, the “Indemnitee”) from and against any and all claims made or threatened by any third party and all related losses, expenses, damages, costs and liabilities, including reasonable attorneys' fees and expenses incurred in investigation or defense (“Damages”), to the extent such Damages arise out of or relate to the following:
i. Any negligent act or omission or willful misconduct by an Indemnitor, its Representatives or its Subcontractor; or
ii. Any material breach in a representation, covenant, or obligation of the Indemnitor contained in this Agreement.
(b) Indemnitee shall give Indemnitor reasonably prompt notice of, and the Parties shall cooperate in, the defense of any such claim, suit or proceeding, including appeals, negotiations and any settlement or compromise thereof, provided that Indemnitee must approve the terms of any settlement or compromise that may impose any un-indemnified or nonmonetary liability on Indemnitee.
(c) Navia shall not be liable to Employer for mistakes of judgment or other actions taken in good faith unless such error results directly from an intentionally wrongful or grossly negligent act of Navia.
6.3 REMEDIES
The remedies under this Agreement shall be cumulative and are not exclusive. Election of one remedy shall not preclude pursuit of other remedies available under this Agreement or at law or in equity.
6.4 STATUTE OF LIMITATIONS
The Parties agree that no legal action may be brought by a Party (“Plaintiff”) against the other more than two (2) years after the date the claim giving rise to such action became known by the Plaintiff or, exercising reasonable diligence should have been known by the Plaintiff.
ARTICLE VII: MISCELLANEOUS
7.1 SECTION HEADINGS
Section headings are included for convenience or reference only and are not intended to define or limit the scope of any provision of this Agreement and should not be used to construe or interpret this Agreement.
7.2 WAIVER OF RIGHTS
No delay, failure, or waiver of either Party's exercise or partial exercise of any right or remedy under this Agreement shall operate to limit, impair, preclude, cancel, waive, or otherwise affect such right or remedy. Any waiver by either Party of any provision of this Agreement shall not imply a subsequent waiver of that or any other provision of this Agreement.
7.3 INVALID/ILLEGAL/UNENFORCEABLE PROVISIONS
If any provision of this Agreement is held invalid, illegal, or unenforceable, the validity, legality, or enforceability of the remaining provisions shall in no way be affected or impaired thereby.
7.4 AMENDMENT
Except as otherwise set forth herein, no amendments of any provision of this Agreement shall be valid unless made by an instrument in writing signed by both Parties specifically referencing this Agreement.
7.5 AGREEMENT
(a) This Agreement, the Schedules, and any Exhibits reflect the final, full and exclusive expression of the agreement of the Parties and supersedes all prior agreements, understandings, writings, proposals, representations and communications, oral or written, of either Party with respect to the subject matter hereof and the transactions contemplated hereby.
(b) This Agreement may be executed by the Parties in one or more counterparts, and each of which when so executed shall be an original but all such counterparts shall constitute one and the same instrument. The Parties agree to accept a digital image of this Agreement, as executed, as a true and correct original and admissible as best evidence to the extent permitted by a court with proper jurisdiction
(c) Notwithstanding the general rules of construction, both Employer and Navia acknowledge that both Parties were given an equal opportunity to negotiate the terms and conditions contained in this Agreement and agree that the identity of the drafter of this Agreement is not relevant to any interpretation of the terms and conditions of this Agreement.
(d) This Agreement shall be governed by the applicable laws of California without regard to any of its conflict of law principles and any dispute arising out of this Agreement will be settled in any court of competent jurisdiction in Solano County, California.
7.6 NOTICES
(a) All legal notices required to be sent by one Party to the other Party under this Agreement shall be given to the Parties in writing to the addresses identified on the Contract Information Page or to such other addresses as the Parties may substitute by written notice given in the manner prescribed in this Section as follows:
i. By first class, registered or certified United States mail, return receipt requested and postage prepaid,
ii. Over-night express courier,
iii. By hand delivery to such addresses, or
iv. Electronic mail with return receipt.
(b) Such notices shall be deemed to have been duly given (i) five (5) Business Days after the date of mailing as described above, (ii) one (1) Business Day after being received by an express courier during business hours, or (iii) the same day if by hand delivery or by email
7.7 CONSENT
Wherever this Agreement requires either Party's approval or consent such approval or consent shall not be unreasonably withheld or delayed.
7.8 THIRD PARTY BENEFICIARIES
Except as expressly set forth in this Agreement, the Parties do not intend the benefits of this Agreement to inure to any third party, including but not limited to Covered Individuals and Eligible Employees, and nothing contained herein shall be construed as creating any right, claim or cause of action in favor of any such other third party, against either of the Parties hereto.
7.9 ADVERTISING
Navia may indicate in its marketing materials and proposals to other prospective customers that this Agreement has been awarded and may describe the nature and objective(s) of this engagement. No such statements by, or materials of, Navia will disclose any Employer Confidential Information.
7.10 INSURANCE
Navia agrees throughout the term of the Agreement to maintain in full force and effect commercial general liability, umbrella liability, error and omissions liability, and professional liability insurance coverage in a reasonable amount, and workers’ compensation insurance in the amount required by law, at its own expense. Upon request, Navia shall furnish to Employer a certificate of insurance evidencing the same.
BENEFIT PLAN SERVICE SCHEDULE(S) AND FEES
Employer has established one or more of the following Benefit Plans (the “Plan” or “Plans”) for purposes of providing benefits administration and/or reimbursement of certain eligible expenses incurred by Covered Individuals:
Cafeteria Plan Document and Forms Health and Dependent Care Flexible Spending Arrangements Health Reimbursement Arrangements Section 132 Transportation and Parking Plan Code Section 223 Health Savings Account
In addition, Employer may offer one or more of the following other Plans for purposes of complying with applicable laws or providing additional benefits.
Wellness Plan Federal COBRA Administration Direct Billing or Direct Billing Administration
Employer has asked Navia to assist it with its administrative obligations under one or more of the Plans identified above. The specific Plan-related Services are described in each Schedule. Only those Services chosen by Employer pursuant to an Application and for which the applicable Fee is paid as set forth in the Fee section of each Schedule (or, as set forth below with respect to additional requested Services), will be provided by Navia.
ARTICLE I. STANDARD BENEFIT PLAN SERVICES
1.1. Employer is solely responsible for the operation and maintenance of the Plans. It is Employer’s sole responsibility and duty to ensure that each Plan complies with the applicable laws and regulations, and Navia’s provision of Services under this Agreement does not relieve Employer of this obligation.
1.2. If applicable to the particular Plan, Navia will provide Navia’s standard plan document, summary plan description, and forms to be used by Employer as a template for creating the governing documents for the Plan(s). Such standard documents and forms have been prepared in accordance with the standard of care set forth in the Agreement but are general in nature and do not take into consideration facts and circumstances specific to Employer and Employer’s Plans.
Consequently, Navia makes no warranties and representations that such documents and forms will comply with applicable law as they relate to the Plan(s). Navia is not responsible for making any changes or amending the documents. It is Employer’s responsibility to review the documents and ensure they conform to the facts and circumstances specific to Employer and the Plans, and ensure the documents comply with applicable laws. Employer shall also make such documents available to Covered Individuals as required by law.
1.3. Employer will provide to Navia timely, accurate and complete information relating to the Covered Individuals and the Plans as is necessary for Navia to satisfy its obligations hereunder.
Employer shall provide information in the format and method approved by Navia (consolidated spec file) In the event such information (i.e. data reports and files) requires manual processing or requires a method not in Navia’s business process, such processing shall be subject to Fees (Noncompliant File Processing Fee) as provided in the applicable Schedule. In the event that the information is not timely reported or verified, and in the event that there are disbursements made by Navia that would not have been made if the occurrence had been reported on the same day of each such occurrence, then Employer shall be responsible for such disbursements and shall reimburse Navia therefore upon request by Navia. Employer shall be responsible for accurate Participant payroll deductions, reporting of deductions, and W-2 reporting and shall ensure that any terminated employer contacts (human resources, payroll, broker contacts, or other Employer contacts with access to the Website) are immediately reported to Navia on the same day of the occurrence. Employer shall be responsible for any consequences of failing to report such terminations on the same day of the occurrence, including but not limited to the unauthorized disclosure of information to former Employer contacts. Navia is not “a person” who is responsible for administering or providing benefits under the COBRA benefit within the meaning of Internal Revenue Code section 4980B (e)(1)(B). Navia is not responsible for the payment of excise taxes imposed under Internal Revenue Code section 4980B and is not responsible for the preparation or filing of Internal Revenue Service Form 8928. Navia shall provide such information as Employer reasonably requests in order to calculate excise taxes imposed under Internal Revenue Code section 4980B or to prepare IRS Form 8928. With respect to COBRA services, Navia is merely a collection agent for the employer and any amounts collected belong to the Employer. Employer agrees to reimburse Navia for any taxes, or other similar charges, in connection with COBRA administration, assessed against Navia. Employer understands and agrees that Navia may rely on all information provided to it by Covered Individuals and/or Employer in accordance with this Agreement as true and accurate without further verification or investigation by Navia. Navia shall not be responsible and shall be held harmless for the receipt of inaccurate and/or incomplete information or data files. Navia shall not be responsible for any delays in providing services under this Agreement and any financial or adverse consequences due to the receipt of the inaccurate and/or incomplete information or data files or for Employer’s failure to send data files.
1.4 If applicable to the Plan(s), Navia will send education and engagement materials in the form of electronic mail campaigns direct to Employees and make enrollment kits (describing the benefit), enrollment forms, online enrollment specification files, and claim forms available on the Website and/or to Employer for distribution to Covered Individuals. Navia is only obligated to process claims submitted to Navia in accordance with the instructions set forth on Navia’s claim forms.
Navia will process claims in accordance with applicable law, its standard operating procedures, and the terms of the Plan to the extent that such terms are provided to Navia and are consistent with Navia’s standard operating procedures. Navia may also provide claims submission capabilities via online and through a smart phone application for certain Plans. If Navia denies a request for reimbursement, Navia will review the 1st level appeal. If the Plan provides for 2 levels of appeal Employer will be responsible for the final determination. Employer shall be the fiduciary and Plan Administrator of the Benefits Plans and shall be responsible for interpreting the Plans, its provisions, terms and conditions and make any and all determinations as to eligibility, appeal, and change in status events, as applicable.
1.5 In the event that a Covered Employee is reimbursed less than is otherwise required by the Plans, Navia will promptly adjust the underpayment to the extent that Employer has satisfied its funding obligations as set forth herein. If it is discovered that a Covered Employee was overpaid, or the Covered Employee fails to substantiate an Electronic Payment Card Transaction as required by applicable rules and regulations, Navia will make reasonable attempts to request repayment of overpaid or unsubstantiated Electronic Payment Card claims or offset the ineligible payment against any claims for future eligible expenses in accordance with applicable rules and regulations. If the Covered Employee fails to repay or offset, Navia will notify Employer upon Employer’s written request for such report or data. Employer is responsible for taking any additional action permitted or required by law (e.g., including such amounts in income or garnishing wages consistent with applicable laws). Navia shall have no obligation to request repayment or offset to the extent such overpayment is a result of Employer’s acts or omissions, such payments were authorized by Employer or Employer has failed to satisfy its funding obligations.
1.6 The specific funding requirements are set forth in each Schedule. Generally, Employer shall make sufficient employer funds from its general assets available to pay benefits under the Plan(s).
These employer funds shall not be deemed employee salary reductions or plan assets. Employer shall grant Navia withdrawal authority over the account sufficient to enable it to pay benefits. If at any time the amount of benefits payable under the Plan exceeds the amount received Employer shall transfer an amount necessary to fulfill its funding obligations under the applicable Plan(s).
Navia will deposit these Employer funds into a separate account to facilitate the payment of claims. Any interest generated by Employer funds deposited into a separate account shall belong to Navia as reasonable compensation under this Agreement. Navia may use such funds for any legal purpose including, but not limited to, to offset any fees of the financial institution with respect to such account. To the extent that such interest (after deducting applicable fees) is not in excess of LIBOR plus 2-percent, Navia shall be entitled to retain such interest. Navia will deliver interest in excess of these permissible amounts to the Employer and the Employer agrees that it will use such amounts in accordance with applicable laws, including but not limited to ERISA when applicable.
Navia may suspend processing all benefit payments, electronic payment cards, and any other reimbursements, and distributions in the event Employer fails make sufficient funds available to pay benefits under the Plan(s) and/or fails to fund the Plan(s) according to the relevant Schedule.
Navia shall not be responsible or liable for the funding of claims for benefits under any Plan. If at any time Navia has paid out more in benefits than received in funding (based upon either individual Covered Employee accounts or the Plan(s) aggregate balance) Employer shall deliver to Navia an amount equal to that deficit upon Navia’s written request. If such funding is not received within two (2) days Navia may suspend all Services including but not limited to suspension of Electronic Payment Cards and benefit reimbursements.
1.7 If relevant to the Plan(s), Navia shall provide on-site enrollment meetings and attendance at benefits fairs, as reasonably requested by Employer, for the Fee and costs set forth in the Schedule.
1.8 Navia shall provide customer support weekdays, 5 a.m. to 5 p.m. Pacific Time, excluding holidays.
1.9 Navia will conduct Nondiscrimination Testing (“NDT”) required under the Code for the attached
Schedules. Navia will provide Employer with a Request for Information (“RFI”) form requesting the data necessary to complete the NDT or provide an online version of the RFI. Within a reasonable amount of time after receipt of the requested information, Navia will provide test results, which will be based solely on the information provided by Employer and/or information maintained by Navia in accordance with the Schedule. Such test results are not intended as legal or tax advice and shall not be relied upon as legal or tax advice. Navia is under no obligation to advise Employer regarding specific corrective measures beyond providing the test results.
1.10 Employer may review reports summarizing the Plan via the Website. Employer is responsible for reviewing the reports submitted by Navia and notifying Navia of any errors of which it is aware within a reasonable period of time after reviewing them.
ARTICLE II. ELECTRONIC PAYMENT CARD SERVICES
2.1. If applicable to the Plan(s) selected in the attached Schedule(s), at Employer’s request and payment of all applicable Fees, the Card Services Provider may make an Electronic Payment Card available to Covered Individuals through which eligible expenses may be paid in accordance with the following terms:
2.2. Covered Employees or Employer shall provide to Navia a valid email address for each Covered Employee requesting an Electronic Payment Card.
2.2.1. The Card Services Provider will issue an Electronic Payment Card to each Card
Recipient within thirty (30) days of Navia’s receipt of the Covered Employee’s enrollment data or the Covered Employee’s online, electronic mail or form request.
Employer understands and acknowledges that the Card Services Provider issues Electronic Payment Cards based solely on the information provided by Employer.
Navia and the Card Services Provider have no obligation to verify or confirm that Card Recipients are Covered Individuals.
2.2.2. Card Recipients must agree to use the Electronic Payment Card in accordance with the terms of the Cardholder Agreement that accompanies the Electronic Payment Card.
The Electronic Payment Card will be deactivated if the Covered Individual fails to use the Electronic Payment Card in accordance with the Cardholder Agreement or as otherwise required by applicable law.
2.2.3. The Electronic Payment Card may be used by Card Recipients to pay for eligible expenses (as defined by applicable law and the applicable Plan to the extent consistent with Navia’s standard operating procedures) in accordance with the applicable rules and regulations.
2.2.4. Navia will require substantiation of expenses paid with the Electronic Payment Card in accordance with the requirements set forth in the Code and/or other applicable guidance. The Electronic Payment Card will be deactivated if the Card Recipient fails to provide the requested substantiation in a timely manner as determined by Navia in accordance with Federal guidelines.
2.2.5. All Cards will be deactivated on the date this Agreement is terminated, the date that Employer fails to satisfy its funding obligations as set forth herein, the date Employer files for bankruptcy and/or as necessary to prevent fraud or abuse (as determined by Navia).
CAFETERIA PLAN SERVICE SCHEDULE
Employer has established a Code Section 125 Plan to allow eligible employees to pay for their share of certain Benefit Plan coverage with pre-tax salary reductions (including but not limited to Employer contributions).
This Schedule is incorporated into and made a part of the Agreement. The responsibilities of the Parties set forth in this Schedule are in addition to any responsibilities set forth in the Agreement. If there is a conflict between this Schedule and any other part of the Agreement with respect to the subject matter of this Schedule, the Schedule will control. In all other conflicts, the Agreement controls. Capitalized terms not otherwise defined herein are defined as set forth in the Agreement.
ARTICLE I. STANDARD SERVICES
1. Navia will provide a sample Code Section 125 plan document, summary plan description, and forms for review by Employer and Employer’s legal counsel. Such standard documents and forms have been prepared in accordance with the standard of care set forth in the Agreement but are general in nature and do not take into consideration facts and circumstances specific to Employer and the Benefit Plans. Consequently, Navia makes no warranties and representations that such documents and forms will comply with applicable law as they relate to the Benefit Plans. Navia is not responsible for making changes or amending the documents.
2. All Benefit Plan elections and changes to elections will be processed as instructed by
Employer and in accordance with the terms of the sample plan document referenced in 1.1 above and applicable law. Employer will provide Eligible Employees with election and change of election forms provided by Navia. If necessary, for Navia to administer the other Services provided under this Agreement, Employer will collect and submit the completed election forms and/or change of election forms to Navia as soon as possible after receipt of such forms but no later than the effective date of such elections or change of elections.
Employer is responsible for determining who is eligible for the Benefit Plan and who has satisfied the requirements to become a Covered Individual in the Benefit Plan. In addition, Employer is ultimately responsible for determining whether a requested change in election is permitted.
HEALTH FLEXIBLE SPENDING ARRANGEMENT (“HEALTH FSA”) AND DEPENDENT
CARE FLEXIBLE SPENDING ARRANGEMENT (“DAY CARE FSA”) SCHEDULE
BENEFIT PLAN SERVICE SCHEDULE(S) AND FEES
This Schedule is incorporated into and made a part of the Agreement. The responsibilities of the Parties set forth in this Schedule are in addition to any responsibilities set forth in the Agreement. If there is a conflict between this Schedule and any other part of the Agreement with respect to the subject matter of this Schedule, the Schedule will control. In all other conflicts, the Agreement controls. Capitalized terms not otherwise defined herein are defined as set forth in the Agreement.
As part of the Services, Employer has asked Navia to assist it with Flexible Spending Arrangement (“FSA”) administration as more particularly described in this Schedule below.
1. RESPONSIBILITIES OF NAVIA
1.1. IMPLEMENTATION
Navia shall implement the Plan subject to the Plan Application and the direction and approval of…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .