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CAFETERIA PLAN SERVICES AGREEMENT ADDENDUM to the ADMINISTRATION AGREEMENT between MEDSURETY, LLC MEDSURETY) and City of Roseville ) The purpose of this Addendum is to describe the services, in addition to those services described in the Agreement, to be furnished by MEDSURETY with respect to the cafeter(within the meaning of Section 125 of the Code) established and maintained by Employer. I. Definitions In addition to the definitions contained in the Agreement, which are hereby incorporated herein to the extent not inconsistent herewith, the following definitions shall apply to this Addendum: A. Addendum means this Cafeteria Plan Services Addendum to the Agreement. B. Claims Account means the bank account described in Section III.C.2 of this Addendum from which benefits under the Plan shall be paid. C. Effective Date - means the date upon which this Addendum, once fully executed by all parties, is first effective, January 1, 2020. D. Plan - means Employerunder Section 125 of the Code. II. MEDSURETY Responsibilities A. Processing of Claims. Subject to Article III of this Addendum and Section VI.C. of the Agreement, MEDSURETY shall process, adjust, and settle claims of Participants received by MEDSURETY for benefits under the Plan in accordance with the terms and conditions of the Plan. Where the terms and conditions of the Plan are not clear, MEDSURETY reserves the right to request direction from Plan Administrator. MEDSURETY may pay claims via one or more of the following methods as selected by Plan Administrator and/or provided in the Plan: (1) issuing a check from the Claims Account to the Participant; and/or (2) making an ACH transfer from the Claims Account to an account specified by the Participant. B. Overpayments and Erroneous Payments. Should MEDSURETY discover or have brought to its attention an overpayment or otherwise erroneous benefit payment under this Plan in excess of $10, MEDSURETY shall make a diligent attempt to recover such payment in accordance herewith. MEDSURETY will make three (3) written contacts with the recipient of the payment. If the payment has not been recovered within a reasonable time following the third contact, MEDSURETY will notify Plan Administrator. Plan Administrator shall then decide whether and in what manner to further pursue repayment of the payment. If Plan Administrator determines to take further action to pursue recovery of the payment, Plan Administrator shall be responsible for all costs incurred in doing so. After the three (3) contacts described herein, MEDSURETY shall take no further action to recover the payment unless the parties agree, in writing, on the terms and conditions applicable to such additional services by MEDSURETY. MEDSURETY liability with MEDSURETY, LLC 37 Administration Agreement (Non-ERISA) Addendum Funded HRA Services