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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

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