CLAIMS FUNDING AGREEMENT. Under the terms of my Plan Service Agreement with GBS, I have agreed to provide funds for benefits payments monthly or more frequently, as required and agree GBS is under no obligation to pay my benefits if I have not provided adequate funds pursuant to the funding arrangement. I understand that in accordance with ERISA and this agreement, I am financially responsible for all eligible claims incurred while my Plan is in effect. FUNDING ARRANGEMENTS PRE-FUNDING I will remit my Maximum Monthly Medical Claims Liability, along with my monthly costs by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, as is typical for optional benefits or enrollment changes, I will remit the amount due which is to be received by GBS within five (5) days of notification. DENTAL PRE-FUNDING I will remit my Initial Dental Claims funding amount before inception of coverage. I will remit additional claims funding as needed and requested by GBS. I will remit my monthly costs for administration as billed by the first of each month to GBS. My funding contribution will be held in a non-interest bearing account. GBS will process and pay claims according to their standard procedures. Upon notification that additional funding is required, I will remit the amount due which is to be received by GBS within five (5) days of notification. In the event of a deficit in dental claims funding, dental benefits will be held until funding is received by GBS.
CLAIMS FUNDING AGREEMENT. Under the terms of my Plan Service Agreement with Amwins Connect Administrators, I have agreed to provide funds for benefits payments monthly or more frequently, as required and agree Amwins Connect Administrators is under no obligation to pay my benefits if I have not provided adequate funds pursuant to the funding arrangement. I understand that in accordance with ERISA and this agreement, I am financially responsible for all eligible claims incurred while my Plan is in effect. FUNDING ARRANGEMENTS PRE-FUNDING I will remit my Maximum Monthly Medical Claims Liability, along with my monthly costs by the first of each month to Amwins Connect Administrators. My funding contribution will be held in a non-interest bearing account. Amwins Connect Administrators will process and pay claims according to their standard procedures. Upon notification that additional funding is required, as is typical for optional benefits or enrollment changes, I will remit the amount due which is to be received by Amwins Connect Administrators within five (5) days of notification. DENTAL PRE-FUNDING I will remit my Initial Dental Claims funding amount before inception of coverage. I will remit additional claims funding as needed and requested by Amwins Connect Administrators. I will remit my monthly costs for administration as billed by the first of each month to Amwins Connect Administrators. My funding contribution will be held in a non-interest bearing account. Amwins Connect Administrators will process and pay claims according to their standard procedures. Upon notification that additional funding is required, I will remit the amount due which is to be received by Amwins Connect Administrators within five (5) days of notification. In the event of a deficit in dental claims funding, dental benefits will be held until funding is received by Amwins Connect Administrators.
CLAIMS FUNDING AGREEMENT. Under the terms of my Plan Service Agreement with GBS, I have agreed to provide funds for benefits payments monthly or more frequently, as required and agree GBS is under no obligation to pay my benefits if I have not provided adequate funds pursuant to the funding arrangement. I understand that in accordance with ERISA and this agreement, I am financially responsible for all eligible claims incurred while my Plan is in effect.
