Laserfiche WebLink
WEX (MHC)WEX TASC BRI Medsurety <br />Proposal Proposal Proposal Proposal Proposal <br />Set Up (one-time)*$0.00 $1,000.00 $0.00 $0.00 $0.00 <br />Ongoing Adminstration PPPM <br />Single Fee for FSA & HRA Enrollee $3.75 $3.85 $4.40 $4.00 $3.00 <br />Annual Total $90.00 $92.40 $105.60 $96.00 $72.00 <br />Minimum Monthly Charge*$0.00 $50.00 $0.00 $125.00 $0.00 <br />Plan Documents $0.00 $0.00 $0.00 $0.00 $750.00 <br />Other Fees <br />Website Access Included Included Included Included Included <br />Amendments Included Included Included Included Included <br />Direct Deposit Included Included Included Included Included <br />Debit Card Fee Inlcuded Included Inlcuded Included Included <br />Renewal Fee $0.00 $0.00 $0.00 $0.00 $0.00 <br />Annual total $90.00 $92.40 $105.60 $96.00 $72.00 <br />Rate Guarantee 4 Years 9/1/2027 3 years 3 Years 3 years <br />Current Enrollment Assumptions <br />Benefit Eligible Employees:53 <br />*Total Enrolled in FSA:2 <br />* estimated enrollment based on 2 medical (one fee for all accounts) <br />Notes <br />Further fees = $4.50 per participant (single fee no matter number of accounts) <br />Description <br />The information contained herein is subject to the disclosures and disclaimers on the final page of this illustration <br />Section 125 Flexible Spending for Medical and Dependent Care <br />Marketing Analysis <br />City of Orono