CAFETERIA/HRA RATES

Cafeteria/HRA Rates

SERVICES & SUPPORT Plan Set Up Includes: Plan Document, Summary Plan Description, Board Resolution, enrollment and claim forms. Annual Compliance testing, 5500 Tax Forms and Regulatory Amendments as needed. On-Going Employee presentations and practical training for day-to-day administration. Month-to-month administrative support tailored to your needs and specific type of plan. Same or next day response. Email: Cafeteria@profben.com Web page: www.profben.com Optional medical debit card for eligible plans.
FEES - ONE TIME Plan Setup & Documents -
Full Cafeteria / Premium Only Cafeteria / Full with HSA Plans	$400
Health Reimbursement Arrangement Plans	$450
Transportation Plan	$200

FEES - ANNUAL
Premium Only (Discrimination testing, enrollment forms and document maintenance.)	$100
5500 Tax Form, if needed	$100
Annual Plan Renewal	Equal to one month’s administration not to exceed $200

FEES - MONTHLY ADMINISTRATION Full Cafeteria, Health Reimbursement (HRA), Transportation
Monthly Minimum	$50 / $55 with debit card
Less than 100 enrolled employees	$5 per plan participant / $5.50 w/ debit card
100 or more enrolled employees	$4 per plan participant / $4.50 w/ debit card
Bank Account Maintenance	$5 monthly
Per Claim (HRA high deductible plans only with $1,000 or greater employee out-of-pocket)	$25 each claim/$50 minimum+$100 annual
Two or more plans: second plan billed at 50%

FEES - ADDITIONAL PER EVENT
Amend & Restate Existing Document	$400 - $450
Plan Amendment	$100
Take-Over	$150 minimum
Adoption Agreement	$150

FEES - ADDITIONAL WORK AT HOURLY RATE
Any additional required services not specifically listed above.	$50 per hour
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