Common use of Sole Responsibilities Clause in Contracts

Sole Responsibilities. SISC FLEX's sole responsibilities shall be as described in this Agreement. SISC FLEX generally provides the following administrative, reimbursement and recordkeeping services: (a) SISC FLEX shall make available (by electronic medium and paper copy) enrollment and reimbursement forms and instruction for filing Participant claims. (b) Upon receiving instructions from Qualified Employer with regard to a Participant’s change in status or other event that permits an allowable change under IRS regulations and the SISC FLEX Plan document, SISC FLEX shall make the requested change in the Participant’s election in accordance with the Plan document. (c) SISC FLEX shall prepare nondiscrimination tests for the Plan as necessary or appropriate under IRS rules. (d) SISC FLEX shall make initial decisions with regard to Participant claims and typically disburse any benefit payments that it determines to be due within ten (10) business days of the day on which the SISC FLEX receives the claim. Benefit payments shall be made directly to the Participant. (e) SISC FLEX shall notify Participants with regard to any claims that are denied due to inadequate substantiation or data submission and provide an adequate period of time for the Participant to resubmit the claim. SISC FLEX is not responsible for the Qualified Employer’s compliance with COBRA and HIPAA.

Sole Responsibilities. SISC FLEX's sole responsibilities shall be as described in this Agreement. SISC FLEX generally provides the following administrative, reimbursement and recordkeeping services,: (a) SISC FLEX shall make available (by electronic medium and paper copy) enrollment and reimbursement forms and instruction for filing Participant claims. (b) Upon receiving instructions from Qualified Employer with regard to a Participant’s change in status or other event that permits an allowable change under IRS regulations and the SISC FLEX Plan document, SISC FLEX shall make the requested change in the Participant’s election in accordance with the Plan document. (c) SISC FLEX shall prepare nondiscrimination tests for the Plan as necessary or appropriate under IRS rules. (d) SISC FLEX shall make initial decisions with regard to Participant claims and typically disburse any benefit payments that it determines to be due within ten (10) business days of the day on which the SISC FLEX receives the claim. Benefit payments shall be made directly to the Participant. (e) SISC FLEX shall notify Participants with regard to any claims that are denied due to inadequate substantiation or data submission and provide an adequate period of time for the Participant to resubmit the claim. SISC FLEX is not responsible for the Qualified Employer’s compliance with COBRA and HIPAA.