“Note - headcount does
hot include pre-6S retirees
50 we will want to pull
together actual benefit
eligible and pre 65 reitree
headcount to get closer to
actual numbers.
Vendor PEPM Headcount Monthly | Yearly implementation || 1st Year Total ie duiditional Fees to Consider.
$.50 PEPM for non-eligible employees for ACA
Alight $ 5.23 2,776 $ 14,518.48 | $ 174,221.76 14,518.48 | $ 188,740.24 [Delivery of notices & 1095-C $2.00 per mailing and postage
Benefitexpress $ 5.00 2776 $ 13,880.00 | $ 166,560.00 25,000.00 | $ 191,560.00 [ACA Forms Print/Futfillment $3.00 per statement
Workpartners § 3.45 2,776 $ 9,577.20 | $ 114,926.40 15,000.00 | $ 129,926.40 |1095-C form fulfillment fee is $4.50 PEPM and 1094-C form transmittal fee is $5,000.00 ¥
$,.50 PEPM for non-eligible employees for ACA
Alight REVISED $4.68 2,776 $12,991.68 $155,900.16 $0.00 $155,900.16 [Delivery of notices & 1095-C $2.00 per mailing and postage
