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SERVICE<br />

PROPOSAL<br />

As an employer, what you really want is an easy solution to the complexities of Affordable Care Act<br />

regulations and requirements, while protecting your company against fines, fees and penalties. PSST<br />

offers ACA-Track, a proven product for confident and complete compliance and reporting backed by our<br />

expertise in Finance, Payroll, HR and Benefits data integration. Most importantly, ACA-Track’s dedicated<br />

Client Success Team is focused on ensuring your highest quality product experience and satisfaction.


COLLECT. MONITOR. REPORT.<br />

ACA-Track is a comprehensive, stand-alone solution for confident Affordable Care Act compliance<br />

and reporting. Developed and powered by PSST, ACA-Track is seamless and completely electronic,<br />

and readily integrates with most Financial, HR, Payroll and Benefits management systems.


COLLECT.<br />

ALL actual hours worked by ALL<br />

employee types – full-time, part-time,<br />

paraprofessional<br />

From multiple systems, including<br />

Finance, HR, Payroll and Benefits*<br />

MONITOR.<br />

Employees as they approach and/or<br />

exceed offer eligibility thresholds<br />

Employee events such as waivers, leave<br />

and more<br />

REPORT.<br />

1095/1094 electronic filing<br />

All ACA data maintained and easily<br />

accessed in the event of IRS audit<br />

100 3 2 27<br />

percent service options<br />

clicks years<br />

clients met IRS deadlines<br />

for 2015 and 2016<br />

Employee Compliance<br />

Tracking, IRS Reporting,<br />

E-file with XML<br />

clicks away from all ACA<br />

data for IRS audit<br />

years software and<br />

integration experience by<br />

PSST


Page 004<br />

Service Proposal<br />

ACA-TRACK<br />

IS SECURE<br />

The ACA-Track cloud-based data center<br />

has been SAS 70 certified since 2010<br />

and is certified under the new SSAE<br />

16 standard. PSST has current SOC<br />

certification.<br />

Additionally: No HIPPA based medical<br />

information is hosted within ACA-<br />

Track Personal identifying data is<br />

encrypted in the database so if, in the<br />

unlikely event the data is compromised,<br />

no personal info is exposed All data<br />

transfers are conducted via Secure<br />

Hypertext Transfer Protocol (HTTPS)<br />

CERTIFICATIONS SAS 70 SSAE 16 SOC<br />

CLIENT SUCCESS TEAM<br />

World Class Support<br />

Every client comes with a unique<br />

combination of circumstances -- from<br />

the number of employees to the variety<br />

of employee types (VHEs, FTEs, etc.) to<br />

the various Finance, Payroll, Benefit<br />

and HR information systems. The ACA-<br />

Track Client Success Team provides<br />

technical support and assistance that<br />

is responsive to these varying<br />

needs. Our experienced Client Success<br />

professionals are focused on every<br />

quality-assured step of installation,<br />

implementation, training and<br />

troubleshooting to ensure a successful<br />

experience with ACA-Track.


Page 005<br />

Service Proposal<br />

IN THEIR<br />

OWN WORDS<br />

Jonathan F.<br />

Medical Center | 1400 employees<br />

Kim A.<br />

Operations Manager | Benefits Broker<br />

Karen S.<br />

Auto Dealership | 100 employees<br />

ACA-Track was<br />

recommended to us from<br />

our benefit broker after<br />

great word-of- mouth<br />

feedback from their other<br />

clients. Great customer<br />

service – very professionally<br />

- yet very personable – it’s a<br />

great combo for the client!<br />

We chose ACA-Track for the features<br />

of its portal, software accuracy and<br />

ability to provide services to our<br />

clients through us as a TPA. We<br />

received excellent responsiveness<br />

along with pleasant attitude and<br />

wiliness to provide answers. Good<br />

value, with an-easy- to-use solution<br />

for ACA reporting. Professional,<br />

prompt and knowledgeable staff.<br />

What surprised me was the<br />

awesome support. They<br />

were extremely helpful,<br />

knowledgeable and ready to<br />

assist with all questions.


Page 006<br />

Service Proposal<br />

IMPLEMENTATION<br />

TIMELINE<br />

01<br />

0<br />

02<br />

01<br />

DISCOVERY<br />

INTERVIEW<br />

A designated Client Success Advisor will conduct your Discovery<br />

Interview as the first step in quality assurance for your engagement<br />

and ACA-Track product experience. This advisor will<br />

personally lead you through the on-boarding process for your<br />

compliance and reporting edification, as well to ascertain key<br />

information about your company. Conducted via telephone,<br />

the interview will confirm your ALE status and determine your<br />

Certificates of Eligibility, your reporting specifications (i.e. 1095s<br />

by location ID, department), Offers of Coverage, and more.<br />

02<br />

SUBMISSION OF<br />

DATA & TESTING<br />

Unlike most other compliance solutions, ACA-Track targets<br />

completing reporting prior to January. Consequently, in<br />

December ACA-Track works to review, test, submit and<br />

resolve any issues related to your data. We will need to<br />

receive your raw payroll and medical plan enrollment data<br />

by the first week in December. Your Client Success Team<br />

will work to complete the required data processing and<br />

formatting for your ACA reporting.


Page 007<br />

Service Proposal<br />

3<br />

05<br />

04<br />

03 04 05<br />

FORMS 1094 & 1095<br />

DELIVERED<br />

PRINT & MAIL<br />

FORMS<br />

AIR SYSTEM & E-FILING<br />

TO THE IRS<br />

Your completed IRS forms are available<br />

with ACA-Track at any time. They can be<br />

downloaded easily and securely in a .PDF<br />

format. Using ACA-Track, you will submit<br />

your company’s forms using our Transmitter<br />

Certified Code (TCC). The ACA-<br />

Track Online Wizard allows you to correct<br />

errors or make any last minute changes.<br />

ACA-Track offers an optional fulfillment<br />

service for the printing and mailing of<br />

your Forms 1095. When choosing this<br />

service, you will be asked to confirm your<br />

forms are ready for distribution. ACA-<br />

Track will then print and mail completed<br />

forms to your designated recipient.<br />

ACA-Track will complete your e-filing<br />

to the IRS to ensure you meet the filing<br />

deadline. During this process, your<br />

Client Success Team is working to correct<br />

any errors required before e-filing.<br />

ACA-Track sends a notification to clients<br />

confirming the completion of their requirements<br />

for the reporting season.


Page 008<br />

Service Proposal<br />

SERVICE<br />

DESCRIPTIONS<br />

ACA-TRACK<br />

FULL SOFTWARE<br />

$25000<br />

ACA-TRACK<br />

REPORTING ONLY<br />

$10000<br />

E-FILING<br />

WITH XML<br />

$5000<br />

Tracks FTE count & employee benefit eligibility<br />

Dedicated Account Manager per client<br />

Alerts employer, monthly, of employees<br />

exceeding/trending towards an offer<br />

Creates Form 1094-C and 1095-C<br />

Calculates Codes for Form 1095-C<br />

E-File with IRS<br />

PDF Form Delivery, included<br />

SOC 1 and SOC 2 Compliant<br />

Compatible with any payroll system<br />

Compatible with any medical plan<br />

Data Load Assistance<br />

Data Integrity checks on all data loads<br />

Data load logbook for all data submissions<br />

Data mapping module, included<br />

Reporting Wizard module for easy form<br />

completion, e-file and error correction<br />

Software Training, included<br />

Test data submission to IRS<br />

Dedicated Account Manager per client<br />

Creates Form 1094-C and 1095-C<br />

Calculates Codes for Form 1095-C<br />

E-File with IRS<br />

PDF Form Delivery, included<br />

SOC 1 and SOC 2 Compliant<br />

Compatible with any medical plan<br />

Data Load Assistance<br />

Data Integrity checks on all data loads<br />

Data load logbook for all data submissions<br />

Data mapping module, included<br />

Reporting Wizard module for easy form<br />

completion, e-file and error correction<br />

Software Training, included<br />

Test data submission to IRS<br />

Full Service Print and Mail form 1095-C, optional<br />

IRS Audit support functions, included<br />

Exceptional client support<br />

E-File existing software XML output<br />

No need to obtain TCC Code from IRS<br />

Error correction assistance available<br />

Downloadable PDF, included<br />

Full service print and mail, optional<br />

SOC 1 and SOC 2 compliant<br />

Full Service Print/Mail form 1095-C, optional<br />

IRS Audit support functions, included<br />

Waiver tracking<br />

Advanced filtering and reports<br />

Exceptional client support


Page 009<br />

Service Proposal<br />

OUR TERMS &<br />

CONDITIONS<br />

01<br />

TERMS<br />

AND CONDITIONS<br />

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laut pro doluptatus si sus id qui odis abor magnatetur? Ectus volupt.<br />

02<br />

PAYMENT<br />

SYSTEM<br />

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ex ea nat evel iumquis ipsundia con non nissint earum harchil et fuga. Et labo. Ut aut que cum aut eaquasi<br />

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aceatio mosaes expe et et et et aut ellaboribus eiciundi to et aut dus, corem qui consequam ut remolup<br />

tatusaniet voluptatio. Itaturitet dolent voluptatus aut quia.<br />

03<br />

SUPPORT<br />

AND WARRANTY<br />

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quae autet pernatios res el magnim voloria doluptatium que quodis estisimo vollis sitior alibusam, ut<br />

officabo. Minus volestio tem eumendicit, occus dolo mint audande.


PSST provides database integration solutions that help school systems, municipalities and businesses increase<br />

the efficiency and effectiveness of human resources, finance and payroll management. Our solutions<br />

are customizable cloud- based and desktop applications that are seamless, intelligent and bi-directional.<br />

1.800.488.7395<br />

www.psst.com

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