Plan Sponsor Obligations Clause Samples
Plan Sponsor Obligations. 4.1 Plan Sponsor will furnish to the TPA the following reports and information to allow effective performance by the TPA:
A. Certification of participation in the Reimbursement Account(s) and such other information as may be necessary for processing Reimbursement Requests.
B. Prompt reconciliation of:
(1) The itemized monthly billing provided by the TPA listing employees covered under the Reimbursement Account(s), and;
(2) The amount of premiums and contributions elected by each participating employee for the billing period. In the event the Plan Sponsor does not reconcile the contribution listing, the TPA will reconcile the contribution listing at the rates shown in the Fee Schedule in Appendix A.
4.2 Plan Sponsor will give notice of the establishment of the Reimbursement Account(s) to its employees and will be responsible for distributing copies of the Summary Plan Description to participating employees.
4.3 Plan Sponsor will maintain current and accurate Plan eligibility and participation records, verify Participant eligibility and submit this information if requested by the TPA, to the TPA at its designated mailing address. This information will be provided in a format acceptable to the TPA and will include the following for each Participant: name and address, Social Security number, date of birth, type of participation, sex, relationship to employee, changes in participation, date participation begins or ends, and any other information necessary to determine eligibility and participation levels under the Reimbursement Account(s). Plan Sponsor assumes the responsibility for the erroneous disbursement of reimbursements by the TPA in the event of error or neglect on the Plan Sponsor or Employer’s part of providing eligibility and participation information to the TPA, including but not limited to, failure to give timely notification of ineligibility or termination of a former Participant.
4.4 Plan Sponsor will resolve all Plan ambiguities and disputes relating to the eligibility of a Participant, Plan participation, denial of Reimbursement Requests or decisions regarding appeal, or denial of Reimbursement Requests, or any other Plan interpretation questions. The Plan Sponsor will respond to any written request made by the TPA within ten (10) working days. The TPA will administer and process Reimbursement Requests in accordance with this Agreement if the Plan Document and Summary Plan Description are clear and unambiguous as to the validity of the Reimburs...
Plan Sponsor Obligations. The Plan Sponsor shall do the following:
(1) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that it creates, receives, maintains, or transmits on behalf of the Plan;
(2) Ensure that the adequate separation required by 45 CFR § 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures;
(3) Ensure that any agent, including a subcontractor, to whom it provides electronic PHI agrees to implement reasonable and appropriate security measures to protect the information;
(4) Report to the Plan any security incident of which it becomes aware;
(5) Make the Plan Sponsor’s internal practices, books, and records relating to security of electronic PHI received from the Plan available to the Secretary of Health and Human Services (or any other officer or employee of the U.S. Department of Health and Human Services to whom the authority involved has been delegated) for purposes of determining compliance by the Plan with the HIPAA security standards.
Plan Sponsor Obligations. Prior to commencement of Services by NBS, Plan Sponsor shall complete and return to NBS the fully- executed Service Agreement. NBS shall not perform any services for the Plan Sponsor prior to receipt of the signed Service Agreement.
Plan Sponsor Obligations