Sole Responsibilities Sample Clauses
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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. Qualified Employer gives SISC FLEX the authority to act on behalf of Qualified Employer in connection with the Plan but only as expressly stated in this Agreement, the Plan document or as mutually agreed in writing by Qualified Employer and SISC FLEX. All final determinations as to a Participant's entitlement to Plan benefits are to be made by SISC FLEX, including any determination upon appeal of a denied claim for Plan benefits. Qualified Employer is responsible for all legal requirements and administrative obligations of the Plan, except as specifically described in Article III.
Sole Responsibilities. The sole responsibilities of AmeriFlex shall be as described in this Agreement (including the obligations listed in any Exhibit to this Agreement).
Sole Responsibilities. A. Employer has the sole authority and responsibility for the Plans and its operation, including the authority and responsibility for administering, construing and interpreting the provisions of the Plans and making all determinations thereunder. Employer gives AmeriFlex the authority to act on behalf of Employer in connection with the Plans, but only as expressly stated in this Agreement or as otherwise mutually agreed in writing by Employer and AmeriFlex. All final determinations as to a Participant’s entitlement to Plans benefits are to be made by Employer, including any determination upon appeal of a denied claim for Plans benefits. Employer is considered the Plan Administrator and Named Fiduciary of the Plans benefits for purposes of ERISA.
B. Without limiting Employer’s responsibilities described herein, it shall be Employer’s sole responsibility (as Plan Administrator) and duty to: ensure compliance with COBRA (except where Employer has otherwise engaged AmeriFlex to provide COBRA services); amend the Plans as may be necessary to ensure ongoing compliance with applicable law, including but not limited to the 2010 Health Care Act as Amended by the 2010 Health Care Reconciliation Act; prepare and file any required tax or governmental returns (including Form 5500 returns) relating to the Plans; determine if and when a valid election change has occurred; execute and retain required Plan and claims documentation; and take all other steps necessary to maintain and operate the Plans in compliance with applicable provisions of the Plans, ERISA, HIPAA, the Internal Revenue Code and other applicable federal and state laws.