TASC Service Agreement
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MEMORANDUM
January 4, 2006
TO:
The Honorable Mayor and City Council Members
FROM:
Michael C. Van Milligen, City Manager
SUBJECT: Service Agreement with Total Administrative Services Corporation (TASC)
This year the City will be offering a claim (debit) card option for employees who set
aside money in their Flexible Spending Plan for medical and dental expenses.
Employees will receive two claim cards as part of the administrative fee we are paying
to Total Administrative Services Corporation (TASC). If an employee needs more than
two cards, there will be an additional charge of $25 per card.
Personnel Manager Randy Peck is recommending City Council approval of a Service
Agreement with TASC that will implement the additional service for extra cards.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
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M(chael C. Van Milligen -
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Attachment
cc: Barry Lindahl, Corporation Counsel
Cindy Steinhauser, Assistant City Manager
Randy Peck, Personnel Manager
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Memorandum
January 3, 2006
FROM:
Michael C. Van Milligen
City Manager
Randy Peck ~
Personnel Manager
TO:
SUBJECT: Service Agreement with Total Administrative Services Corporation (TASC)
This year we will be offering a claim (debit) card option for employees who set aside
money in their Flexible Spending Plan for medical and dental expenses. Employees will
receive two claim cards as part of the administrative fee we are paying TASC for this
service. If an employee needs more then two cards, there will be an additional charge
of $25.00 per card. In order to implement this additional service TASC has presented
the attached agreement. The requested action is for the City Council to approve the
service agreement and authorize you to sign the agreement.
If you have any questions, please feel free to call.
RP:bf
Enclosure
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tOTAl. ADMINJSTltATl'IE 5El/IItC6 CORf'OIlATION
Premium Services Explanation of Services (EOS) Agreement
This Explanation of Services document constitutes an Agreement between the Recipient of the Service and Total Administrative
Services Corporation (TASC) with regard to the elected Premium Service(s) as described below. This Agreement outlines the tenus,
expectations and conditions of each elected Premium Service as it applies to your Plan on or after the effective date.
RECIPIENT OF SERVICE
CONTACT NAME:
COMPANY:
ADDRESS:
CITY, STATE, ZIP CODE:
SERVICE START DATE:
IDENTIFICATION NUMBER:
DIVISION:
Darlene Hantelmann
City of Dubuque
50 West 13th St
Dubuque, IA 52001-4864
12/1105 - 11/30/06
PS2433515
Flex-FP
Note to Employer: This Explanation of Service describes the additional services you have purchased. This document should be
signed and returned to TASC Premium Services, and you should retain a copy to file with the rest of your Plan documents.
ELECTION: Second DeDendent Debit Card
SERVICE DESCRIPTION:
Client has requested T ASC to issue a second Dependent Debit Card
SERVICE EXPECTATIONS:
. T ASC would be responsible for processing Dependent Debit Card Application
. T ASC would be responsible for Issuing a Second Dependent Debit Card
. All invoices will be billed on an annual bases
CUSTOMER CONDITIONS:
. Client will be responsible for faxing the Dependent Debit Card Application to 608.661-9602 attention T ASC Premium
Services Department
. Client will be responsible for notifying the Participant that a second card will be issue
. Client will be responsible for notifying TASC when a Participant no longer is in need of the extra card.
FEES & INVOICING TERMS:
Total charges for this elected service: $25.00 per card, per extra dependent
PAYMENT:
As indicated on the Bid Request document payment is due by invoice, all nonnal, total charges for the above Service are payable in
installment(s), per T ASC's standard billing practices. (Example: Annually would be 1 installment.)
SIGNATURES:
Customer
City of Dubuque, Iowa
TASC
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Signature of Authorized Representative
Signature of Authorized Representative
Michael C. Van Milligen
Print Name
Jeremv Disco
Print Name
T\U~ty Manager
Premium Service Soecialist
Title
12/05/2005
Date
Date
TC-3593-091504 Pg 2
Clty-PElrilOnnel Departmental Emall-: Bid-City of Dubi;que-Second Dependent Debit Card.doc
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AGREEMENT
Customer hereby adopts and establishes the following premium services, herein referred to as T ASe Premium Services.
The executed agreement includes pages 1 and 2. This Agreement between the parties is the complete and exclusive
statement of the terms of the contract. No prior proposals, statements, or course of dealing will be part of any
Agreement. The Agreement may be entered into and modified only in writing and signed by authorized representatives
of each party. These terms and conditions apply to Premium Service(s) provided to the Recipient by T ASC's Customer
Service department. The above elected service wm be provided to the named Rec1pient of Service, and any additional
authorized individuals as stated in writing by the Recipient. At all times T ASC Premium Services may be subject to
direction and instruction from the employer.
RENEWAL
This agreement will automatically renew based on the service period of the Premium Service election. If the Recipient
wishes to cancel the Premium Service, such cancellation must be made in writing to T ASC's Premium Service
department.
CONFIDENTIALITY
TASe will keep confidential any information shared with TASe in fulfillment ofa specific request based on the
Premium Service elected.
ERRORS AND OMISSIONS
In the event of an error or omission in the course of administering the elected services on behalf of the employer and
participating employee, T ASC will notify and remedy the error or omission within a reasonable period following the
error or omission. The employer and employee agree to TASC's procedures for correcting, and any error does not
constitute an assumption of liability on behalf of T ASe.
ADMINISTRATION FEES
A Premium Service fee will be paid directly to T ASC. Fees are subject to change and are to be submitted as outlined in
the Fees & Invoicing Terms and Payment sections above.
TERMINATION
Upon and after the expiration or termination of this Agreement, the rights granted to the employer pursuant to this
Agreement shall revert back to TASC. Within 20 days after termination or expiration of this Agreement the employer
shall return to T ASC any and all materials regarding T ASe Premium Services. In addition, the employer shall refrain
from any further direct or indirect use of or reference to T ASC Premium Services.
Please sign and return this Explanation of Service (EOS) document, along with the applicable fees to:
Total Administrative Services Corporation
Attn. Premium Services
2302 Intemationat Lane
P.O. Box 14629
Madison, WI 53708
Fax: 608-661-9602
TC-3593-091504 Pg 3