HomeMy WebLinkAboutWageWorks - 071519WageWorksW
Order Form
Client:
County of Jefferson
1820 Jefferson St
PO Box 563
Port Townsend, WA 98368
Effective Date*: 1/1/2018 Payment Method: Wire / ACH Credit or Check
End Date: 12/31/2020 Payment Terms: Net 30 days
Service Charge on Overdue Amounts: 2% Per Month
Services:
TakeCare Additional Services:
Service
Description
Enrollment meetings will be billed in four (4) -hour increments at $250 each, plus travel
Enrollment Meetings
expenses for on-site meetings.
Eligibility Adjustments
A $25 Fee will be charged for each participant account that requires an adjustment due to an
eligibility change that is not received by WageWorks at least five (5) business days prior to
the due date.
Late File Submission
A $125 Fee will be billed per each late file submission.
Special Research and Reports
A $50 per hour Fee will be charged for all research performed and non-standard reports
prepared at your request, which includes, but is not limited to, special reconciliations. A
cost quote will be provided after requirements are mutually defined by the parties.
Terms and Conditions:
• This Order Form is subject to WageWorks' General Terms and Conditions of Service that may be viewed at
https•//www.wageworks.com/employers/terms-and-conditions.aspx, and all terms defined therein shall have the
same meaning in this Order Form unless otherwise specified herein.
• *This Order Form shall be effective as of 1/1/2018 or the date on which it is fully executed, returned and
activated in the WageWorks system, whichever is later (unless this Order Form is incomplete or does not match
our records). Any changes to Fees for current Services shall be effective as of the next billing period following
the effective date.
• TakeCare Funding: You shall provide all funding via your current funding method.
• TakeCare PPPM Fee: The TakeCare PPPM Fee is fixed for the duration of the plan year unless there is a 10%
or more increase in the number of participants.
County of Jefferson
Page 1 - Document Generated July 9, 2019
WageWorksW
Signature:
Name (print): ��i ip Morley
Title: Jefferson County Administrator
Client: Jefferson County
Date: Jul 17, 2019
County of Jefferson
Page 2 - Document Generated July 9, 2019
Consent Agenda
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Leslie Locke, Executive Assistant
DATE: July 15, 2019
SUBJECT: Authorization for County Administrator to Sign AGREEMENT re:
Reimbursement Services Agreement, Flex Benefits Plan; No Dollar Amount;
Jefferson County Auditor; WageWorks
STATEMENT OF ISSUE:
Authorization for County Administrator to Sign AGREEMENT re: Reimbursement Services
Agreement, Flex Benefits Plan; No Dollar Amount; Jefferson County Auditor; WageWorks. The Flex Plan
covers Medical Care Expense Reimbursement and Dependent Day Care for Jefferson County personnel.
FISCAL IMPACT:
None.
RECOMMENDATION:
The Commissioners are being asked to approve and authorize the County Administrator to electronically sign
this agreement.
REVIEWED BY: -m_.
C`l Philip M" r e , inistrator Date
Approved by the 13oard Of,
aet#erson County C��as� vlr�re ras
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