Specifications include, but are not limited to: a. Management agreements, in addition to any benefit contracts, which formalize the A&M System’s relationship with any carrier. b. Communication materials necessary for the proper explanation of the services subject to editing of format, content and final approval by the A&M System. c. Claim management and processing • Develop and maintain individual account balances • Maintain a separate accounting of the participant deposits and plan reimbursements • Online access to reimbursement account balances by participant and by SBA staff d. Reporting • An annual management report of plan activity • Ad hoc reports as requested by System Benefits Administration which do not represent extraordinary data processing effort by the selected Respondent • Reports needed to comply with nondiscrimination testing by the IRS • Detailed, daily, electronic reports of claim payments to serve as backup for funds withdrawal • Detailed monthly electronic administrative fee billing reports to serve as backup for funds withdrawal • Monthly, electronic ledger summary reports to be used to balance deposits and reimbursements • Any additional reports needed to reconcile A&M System activity with the selected Proposer’s records e. Data Processing – The eligibility and contribution files will be a consolidated file for all participants throughout the A&M System. The System member for each participant is indicated on the file. • Process weekly eligibility files • Process biweekly and monthly contribution files which are provided after each payroll • Provide error reports from the weekly eligibility file and the biweekly and monthly contribution files f. Work directly with participants for FSA COBRA application, billing and collection. (Refer to Exhibit D, Question 22 for additional COBRA specifics.) Navia currently handles COBRA administration for the A&M System benefit plans. g. Debit card administration and delivery of debit cards to participants prior to the plan start date of September 1, 2024.
