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RES 13-76
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RES 13-76
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12/30/2013 10:09:00 AM
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12/18/2013 9:32:36 AM
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City Government
type
RES
date
12/16/2013
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I+ i <br /> r <br /> f, <br /> L, <br /> Participant, a Participant's Spouse, or a Participant's dependent who has been entitled to <br /> Medicare or Medicaid loses eligibility for such coverage, then the Participant may <br /> prospectively elect to commence or increase the health or accident coverage provided <br /> under this Plan (including the Health Care Expense Reimbursement Plan and Limited <br /> Scope Health Care Expense Reimbursement Plan) of the person losing entitlement to <br /> Medicare or Medicaid. <br /> (e) Change in Cost. <br /> (1) Automatic Increase or Decrease for Insignificant Cost Changes. If the <br /> cost of an Optional Benefit (other than Health Care Expense Reimbursement Plan <br /> and Limited Scope Health Care Expense Reimbursement Plan) increases or <br /> decreases during a Plan Year by an insignificant amount, then the pre-tax <br /> contributions or after-tax contributions (as applicable) under each affected <br /> Participant Election shall be prospectively increased or decreased to reflect such <br /> change. The Plan Administrator, on a reasonable and consistent basis, will <br /> automatically effectuate this prospective increase or decrease in Participant <br /> contributions in accordance with such cost changes. The Plan Administrator (in <br /> its sole discretion) will decide, in accordance with prevailing IRS guidance, <br /> whether increases or decreases in costs are "insignificant" based upon all the <br /> surrounding facts and circumstances (including, but not limited to, the dollar <br /> amount or percentage of the cost change). <br /> (2) Significant Cost Increases. If the Plan Administrator determines that the cost <br /> of an Optional Benefit (other than Health Care Expense Reimbursement Plan and <br /> Limited Scope Health Care Expense Reimbursement Plan) significantly increases <br /> during a Plan Year, the Participant may, on a prospective basis, either: (i) make <br /> a corresponding increase in his or her Election; (ii) enroll in another benefit <br /> package option providing similar coverage and make a corresponding Election <br /> change; or (iii) revoke his or her Election if no other benefit package option <br /> providing similar coverage is available. The Plan Administrator (in its sole <br /> discretion) will decide, in accordance with prevailing IRS guidance, whether a <br /> cost increase is significant and what constitutes"similar coverage"based upon all <br /> the surrounding facts and circumstances. <br /> (3) Significant Cost Decrease. If the Plan Administrator determines that the cost <br /> of an Optional Benefit (other than Health Care Expense Reimbursement Plan and <br /> Limited Scope Health Care Expense Reimbursement Plan) significantly decreases <br /> during a Plan Year: (i) an Eligible Employee or Participant may commence <br /> participation in such Optional Benefit; and (ii) the Plan Administrator shall <br /> automatically effectuate a prospective decrease in a Participant's Election with <br /> respect to such Optional Benefit in accordance with the cost decrease. <br /> i <br /> l <br /> k <br /> ©2012 Hitesman&Wold,P.A. 12 City of Elk River <br /> Flexible Benefits Plan <br />
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