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<br />SECTION IV <br /> <br />COSTS OF ADMINISTRATOR <br /> <br />4.1 The Plan Supervisor shall be entitled to a fee or fees for its service to the Plan and, under <br />this Agreement, the fee shall be paid in the form of an advance start-up costs, a pass through of printing or <br />printing preparation costs and monthly service fee. <br /> <br />ITEM <br />- <br /> <br />COST <br />$50.00/Group <br /> <br />PAYABLE <br /> <br />1. Set up Fee <br /> <br />One time 1 <br /> <br />2. Monthly Service Fee 2 $5.00/Participant Monthly <br /> <br />3. Special Reports 3 As agreed upon 30 days following receipt of report <br /> <br />(1) One time set up fee for each group that enrolls in the Section 125 Flexible Spending Plan. <br /> <br />(2) Monthly Service Fee includes: <br />a) processing contribution; <br />b) processing claims (review and verification); <br />c) paying claims (direct mail to employee); <br />d) paying dependent premium (if applicable); <br />e) employee fund balance statement with each reimbursement; and <br />f) statement of fund balances and projected year-end balance at close of Plan Year fourth <br />quarter. The flexible spending arrangement (FSA) participants have up to an additional 2 <br />Yz months to spend money leftover in the FSAs at year's end on qualified health and <br />dependent care expenses, the IRS ruled May 18th. Expenses for qualified benefits <br />incurred during the grace period may be paid or reimbursed from benefits or <br />contributions remaining unused at the end of the immediately preceding plan year. Upon <br />exhaustion of that benefit monies can be accessed from current year contributions. The, <br />period must not extend beyond the 15th day of the third calendar month after the end of <br />the immediately preceding plan year to which it relates. The plan cannot permit cash-out <br />or conversion of unused benefits or contributions, during the grace period, to any other <br />taxable or nontaxable benefit. (Fourteen months and 15 days before the amounts are <br />forfeited under the use-it-or-Iose-it rule) Authorized in Notice 2005-42 for the current <br />cafeteria plan year. <br /> <br />(3) Normal Reports to the Plan Sponsor, at no additional cost are: <br />a) initial enrollment verification; <br />b) quarterly fund balance; <br />c) projected year-end fund balance at the close of the Plan Year fourth quarter; and <br />d) 2 Yz month grace period will be included in fund balance, plus interest eamed if any. <br /> <br />Page 4 <br />