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<br /> <br /> The Ultimate Software Group, Inc. <br /> UltiPro Agreement <br /> <br />rev 08.2015 Page 10 of 19 <br /> <br />ACA Services <br /> <br />ACA Toolkit - Included for all customers at no additional cost: <br /> <br /> Eligibility ‘lookback’ calculations <br /> Enrollment based on eligibility <br /> Post exchange notices to employee document area <br /> Obtain and track employee consent to view 1095-C forms electronically <br /> Generate completed 1094-C and 1095-C forms <br /> Import template for 1095-C data (if not available in UltiPro) <br /> Generate required 1095-Cs for those who are not active employees (i.e., COBRA, retirees) <br /> Download 1095-C via employee self service <br /> Generate electronic file in IRS approved format <br /> Self Service printing and distribution of 1095-C forms <br /> Self Service electronic filing to the IRS <br /> Comprehensive reporting and access to data about eligibility, penalty exposure, and offer of coverage <br /> <br />Data remittance <br />CUSTOMER will provide the required ACA Data to Ultimate Software pursuant to the Ultimate Software ACA standard guidelines as <br />provided to CUSTOMER. CUSTOMER acknowledges that the ACA data and all ACA information from the UltiPro software will be the <br />basis for the services as provided for herein. <br /> <br />ACA Distribution Services <br /> <br /> Includes all items listed in ACA Toolkit <br /> Printing 1095-C forms and mailing them to customers’ employees—CUSTOMER is responsible for the cost of shipping and <br />handling <br /> Electronic filing of 1094-C and 1095-C forms to the IRS on CUSTOMER’s behalf <br /> Quarterly reporting of employee consent to view 1095-C forms electronically <br /> Monthly ACA data exception reporting <br /> <br />Assumptions: <br /> Prior to performing the ACA Services, CUSTOMER must provide Ultimate Software all required ACA data and such data must <br />be entered into and validated within the UltiPro Software. <br /> Ultimate Software will not be liable for any invalidity or inaccuracy caused by CUSTOMER unless CUSTOMER so notified <br />Ultimate Software within one (1) business day of Ultimate Software making available to CUSTOMER any and all ACA <br />regulatory forms and filings CUSTOMER will examine them for their validity and accuracy according to CUSTOMER’s records. <br />CUSTOMER will immediately notify Ultimate Software of any inaccuracies. <br /> CUSTOMER is responsible for all shipping charges, whether billed by Ultimate Software as a pass through expense or direct <br />billed to CUSTOMER via its own carrier. CUSTOMER shall have the option to use their own Federal Express or United Parcel <br />Services account number. <br /> CUSTOMER agrees that it will timely respond to any and all requests made by Ultimate Software. Ultimate Software may <br />amend or update the terms of this Exhibit for ACA Services as reasonably determined by Ultimate Software. To the extent <br />practical, Ultimate Software shall provide CUSTOMER with ninety (90) days advanced written notice of any such change. <br /> The specific record retention schedules established by governmental entities applicable to CUSTOMER are the responsibility <br />of CUSTOMER and are not affected by the Agreement or this Exhibit. Ultimate Software has no responsibility or liability for <br />maintaining or retaining said records for CUSTOMER. <br /> CUSTOMER agrees to timely execute any and all required documents presented by Ultimate Software in order to effectuate <br />carrying out the ACA Services. Ultimate Software in its discretion may terminate the ACA Services in the event CUSTOMER <br />fails to execute such when requested by Ultimate Software. <br />