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2015-363-E HR - Flores & Associates, LLC - Medical Reimbursement and Dependent Care Assistance Claim Administration Agreement
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2015-363-E HR - Flores & Associates, LLC - Medical Reimbursement and Dependent Care Assistance Claim Administration Agreement
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6/2/2016 11:42:31 AM
Creation date
7/29/2015 9:59:39 AM
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BOCC
Date
7/28/2015
Meeting Type
Work Session
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Agreement
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Manager signed
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R 2015-363-E HR - Flores & Associates, LLC - Medical Reimbursement and Dependent Care Asst. Claim Admin. Agreement
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DocuSign Envelope ID: EA6C45CD-7691-43D8-B939-A4300A7DD233 <br /> IIWledical IIII"" iii IIII <br /> iii iii <br /> IIIC .. III .. iii .. hint Care Adrniinistratiuri <br /> 9. Information from Company. The Company understands that all services, reports and <br /> forms prepared according to the terms of this Agreement will be based on information provided by <br /> the Company, and that Flores will incur no responsibility for the performance of such services until <br /> and unless such information as it requests is provided. Flores will be entitled to rely fully on the <br /> accuracy and completeness of information submitted by the Company, and will have no duty or <br /> responsibility to verify such information. The Company remains responsible for verifying all <br /> information contained on reporting and disclosure forms prepared by Flores for supplying any data <br /> unavailable to Flores but necessary to fully complete those forms, for obtaining any required <br /> signatures and for submitting those forms in a timely fashion to the appropriate governmental <br /> agency directly. <br /> 10. Flores Not a Party to Plan. No provision of this Agreement shall be deemed to make <br /> Flores or any entity affiliated with Flores a party to the Plan or a fiduciary of the Plan. The Company <br /> agrees to indemnify and hold Flores harmless from and against any and all liability or liabilities, <br /> claims, penalties, damages or costs, including attorneys' fees, which Flores may incur arising out of <br /> any exercise of discretionary authority by the Company under the Plan, the failure of the Company <br /> to furnish Flores with timely, accurate and complete information, failure of Company to transmit <br /> monies required pursuant to paragraph 3 of this Agreement and/or the failure to perform any other <br /> obligation of Company contemplated by this Agreement. <br /> 11. Effective Date. This Agreement shall be effective for the Plan Year beginning July 1, <br /> 2015, and shall continue in effect for (5) full plan years and thereafter for subsequent Plan Years <br /> unless terminated by either party hereto by sixty (60) days advanced written notice to the other <br /> prior to the end of the plan year. <br /> 12. Privacy/PHI: Flores acknowledges that it may from time to time it might receive <br /> or otherwise have access to certain personally identifying information, including protected health <br /> information, of ORANGE COUNTY ' employees. Flores agrees to take appropriate steps to secure <br /> this data in a way that will prevent unauthorized disclosure of such data. This includes complying <br /> with the policy attached hereto as Exhibit A—Flores Privacy Standards. <br /> 13. Governing Law. The parties agree that this Agreement shall be made and entered in <br /> the State of North Carolina and the validity, performance, interpretation and effect of this <br /> Agreement shall be governed by the laws of the State of North Carolina, regardless of what <br /> jurisdiction may be involved with said Agreement. <br /> ORANGE COUNTY 16 Mores <br />
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