Flexible Benefit Service Corporation (Flex)

Initial Business Response / [redacted] (1000, 5, 2014/02/28) */ Contact Name and Title: [redacted] Manager Contact Phone: XXX XXX-XXXXx Contact Email: [redacted] @flexiblebenefit.com We received the Trustee to Trustee form completed by [redacted] on January 16, The process to complete this type of transfer requires to business daysThe transfer was completed on February 3, and the check was mailed on February 5, Mr [redacted] contacted our office regarding the status of his transfer and we provided him with a copy of the check and date mailedSince his new custodian still had not received his checked, he contacted our office againWe were advised on February 19, that the address on the Trustee form provided to us was incorrectUpon discovering that we were provided an incorrect address, we immediately requested confirmation if the check had been cashed in order void the original check and reissue a new check Mr [redacted] requested an electronic transfer of funds; however we do not have the capability for electronic transfers as transfers are processed via checkWe expedited the void and reissue of the check and processed a request for an overnight deliveryMr [redacted] confirmed the deposit into his new HSA account was completed on February 26, This delay was due to an incorrect address provided by the trustee on their transfer form and once that issue was identified we expedited the resolution and were in contact with Mr [redacted] throughout the final resolution Final Consumer Response / [redacted] (2000, 8, 2014/03/04) */

Initial Business Response / [redacted] (1000, 5, 2015/01/20) */ Contact Name and Title: [redacted] Manager Contact Phone: XXX XXX-XXXX Contact Email: [redacted] @flexiblebenefit.com Flexible Benefit Service Corporation provides COBRA administrative services to [redacted] , Inc [redacted] is a former employee with [redacted] , IncHis employment was terminated on 10-2- [redacted] notified us of his termination on 10-7-and the COBRA Election Notice was mailed on 10-20- We received the COBRA Election Notice from [redacted] on XX-which was signed on 11-17-14, electing to reinstate his dental coverage under COBRAUpon receiving his election form and payment, we contacted [redacted] , his dental provider, and his coverage was reinstatedWe were not aware of any issue until we received the complaint from your office on 1-16- We immediately contacted [redacted] regarding his complaint [redacted] explained that he scheduled a service in November and the provider requested payment for services as his coverage had not been reinstated at the time of the appointmentWe explained to him that his coverage had been reinstated, however since his appointment was prior to his reinstatement by [redacted] , he needs to submit his claim to [redacted] for reimbursementWe provided him with [redacted] 's customer service information that would assist him with filing his claimOnce he files the claim with [redacted] he will receive his reimbursement from [redacted]

Initial Business Response / [redacted] (1000, 5, 2015/01/20) */ Contact Name and Title: [redacted] Manager Contact Phone: XXX XXX-XXXX Contact Email: [redacted] @flexiblebenefit.com Flexible Benefit Service Corporation provides COBRA administrative services to [redacted] , Inc*** [redacted] is a former employee with [redacted] , IncHis employment was terminated on 10-2- [redacted] notified us of his termination on 10-7-and the COBRA Election Notice was mailed on 10-20- We received the COBRA Election Notice from [redacted] on XX-which was signed on 11-17-14, electing to reinstate his dental coverage under COBRAUpon receiving his election form and payment, we contacted [redacted] , his dental provider, and his coverage was reinstatedWe were not aware of any issue until we received the complaint from your office on 1-16- We immediately contacted [redacted] regarding his complaint [redacted] explained that he scheduled a service in November and the provider requested payment for services as his coverage had not been reinstated at the time of the appointmentWe explained to him that his coverage had been reinstated, however since his appointment was prior to his reinstatement by [redacted] , he needs to submit his claim to [redacted] for reimbursementWe provided him with [redacted] 's customer service information that would assist him with filing his claimOnce he files the claim with [redacted] he will receive his reimbursement from [redacted]

Initial Business Response /* (1000, 5, 2015/01/20) */
Contact Name and Title: [redacted] Manager
Contact Phone: XXX XXX-XXXX
Contact Email: [redacted]@flexiblebenefit.com
Flexible Benefit Service Corporation provides COBRA administrative services to [redacted],...

Inc. [redacted] is a former employee with [redacted], Inc. His employment was terminated on 10-2-14. [redacted] notified us of his termination on 10-7-14 and the COBRA Election Notice was mailed on 10-20-14.
We received the COBRA Election Notice from [redacted] on XX-XX-XX which was signed on 11-17-14, electing to reinstate his dental coverage under COBRA. Upon receiving his election form and payment, we contacted [redacted], his dental provider, and his coverage was reinstated. We were not aware of any issue until we received the complaint from your office on 1-16-15.
We immediately contacted [redacted] regarding his complaint. [redacted] explained that he scheduled a service in November and the provider requested payment for services as his coverage had not been reinstated at the time of the appointment. We explained to him that his coverage had been reinstated, however since his appointment was prior to his reinstatement by [redacted], he needs to submit his claim to [redacted] for reimbursement. We provided him with [redacted]'s customer service information that would assist him with filing his claim. Once he files the claim with [redacted] he will receive his reimbursement from [redacted].

Initial Business Response /* (1000, 5, 2014/02/28) */
Contact Name and Title: [redacted] Manager
Contact Phone: XXX XXX-XXXXx4328
Contact Email: [redacted]@flexiblebenefit.com
We received the Trustee to Trustee form completed by [redacted] on January 16, 2014. The process to...

complete this type of transfer requires 7 to 10 business days. The transfer was completed on February 3, 2014 and the check was mailed on February 5, 2014. Mr. [redacted] contacted our office regarding the status of his transfer and we provided him with a copy of the check and date mailed. Since his new custodian still had not received his checked, he contacted our office again. We were advised on February 19, 2014 that the address on the Trustee form provided to us was incorrect. Upon discovering that we were provided an incorrect address, we immediately requested confirmation if the check had been cashed in order void the original check and reissue a new check.
Mr. [redacted] requested an electronic transfer of funds; however we do not have the capability for electronic transfers as transfers are processed via check. We expedited the void and reissue of the check and processed a request for an overnight delivery. Mr. [redacted] confirmed the deposit into his new HSA account was completed on February 26, 2014. This delay was due to an incorrect address provided by the trustee on their transfer form and once that issue was identified we expedited the resolution and were in contact with Mr. [redacted] throughout the final resolution.
Final Consumer Response /* (2000, 8, 2014/03/04) */

Initial Business Response /* (1000, 5, 2015/01/20) */
Contact Name and Title: [redacted] Manager
Contact Phone: XXX XXX-XXXX
Contact Email: [redacted]@flexiblebenefit.com
Flexible Benefit Service Corporation provides COBRA administrative services to [redacted], Inc. [redacted]...

[redacted] is a former employee with [redacted], Inc. His employment was terminated on 10-2-14. [redacted] notified us of his termination on 10-7-14 and the COBRA Election Notice was mailed on 10-20-14.
We received the COBRA Election Notice from [redacted] on XX-XX-XX which was signed on 11-17-14, electing to reinstate his dental coverage under COBRA. Upon receiving his election form and payment, we contacted [redacted], his dental provider, and his coverage was reinstated. We were not aware of any issue until we received the complaint from your office on 1-16-15.
We immediately contacted [redacted] regarding his complaint. [redacted] explained that he scheduled a service in November and the provider requested payment for services as his coverage had not been reinstated at the time of the appointment. We explained to him that his coverage had been reinstated, however since his appointment was prior to his reinstatement by [redacted], he needs to submit his claim to [redacted] for reimbursement. We provided him with [redacted]'s customer service information that would assist him with filing his claim. Once he files the claim with [redacted] he will receive his reimbursement from [redacted].