5.3. ERMUSR 02-09-2010 - Laserfiche WebLink

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ARTICLE IX. GROUP MEDICAL BENEFITS Deleted: Separate Written Plan. For purposes 9.1 of this Article for the pre tax payment for Group Deleted: sectors 1os and 106 of me code, Medical Benefits The Employer provides Group Medical Deleted: mall constitute a separate written Benefits through one or more "plans" within the meaning of Sections 105 and 106 of the Code. plan, providing Deleted: Deleted: of Insurance Premiums Deleted: to Participants. To the extent necessary, other provisions of the Plan are incorporated by reference.¶ Purpose. 9.3 Definitions. Deleted: The purpose of this Article is to provide for the pre tax payment of Insurance (d) Dependent means an IndlVldUdl Who Premiums For Group Medical Benefits [o qualifies as a "dependent" under the terms and conditions of the applicable plan Pamcipants. The DMO and/or Insurance document governing the Group Medical Benefits. To the extent a Dependent is provided contracts and/or omen health benefic coverage agreements through which the Group Medical shall be as Benefits are provided are identified in Exhibit A. described in Section 4.2. Deleted: Insurance Contract, HMO agreement, or (b) Group Medical Benefits means the coverage made available by the Employer Deleted: non-tax to which the Insurance Premiums relate. It does not include Deleted: ,income indlVld Udl Ins UranCe Contra CtS. Deleted: imputed to the Participant (c) Highly Compensated means an individual who is highly compensated as Deleted: Medical defined in Section 105(h)(5) of the Code. Deleted: employee Deleted: Medical (d) HMO means a maintenance organization authorized to do business in the state in Deleted: this portion of which an agreement has been entered for the purpose of providing benefits under the Plan. Deleted: State of Minnesota Deleted: (e) Insurance Contract means any insurance Contra Ct secured from an InSUrdnCe Deleted: group company authorized to do business in the Deleted: . which has been obtained for the purpose of providing benefts under this portion of the Plan; or aself-insured plan administered by a third party. Deleted: Premiums includes amounts for insurance types of benefits, including but not limited to Insurance Contracts, HMO coverage (f) Insurance Premiums means the amount that must be paid on a periodic basis in and self-insured programs for which "premium return for coverage Insurance equivalents" are charged. Deleted: <#>Medical Plan means this 9.4 Terms, COndltlOfts and Limitations. The Employer Shall secure the necessary Insurance Article of the Elk River Municipal Utilities Flexible Contracts, HMO agreements, other health benefit agreements from third party providers eenefts Plan which constitutes a separate written plan as described in Section 9.1 above.¶ Coverage shall begin, benefits shall be provided, and coverage shall terminate in accordance with the applicable Insurance Contracts, HMO agreements, other health Deleted: with respect to the provision of benefit a reements, and/or self-insured Ian documents $UCfI a reements, 9 P 9 Group Medical Benefits and/or establish the necessary self-insured program. and plan documents are expressly incorporated into and made part of this Plan. Deleted: described in Exhibit A. 9.5 Payments. The Plan Administrator shall make Insurance Premium payments for the Group Deleted: contracts, Medical Benefits on behalf of the Participant in an amount necessary to provide the benefit Deleted: tf the Participant nas elected to nave applicable to the Participant under this portion of the Plan for the applicable Plan Year. Such the cost of their coverage paid under this payments shall be made from Employer Contributions, if any, provided by the Employer under Portion of the Plan, the Plan Administrator shall the Plan and, if necessary, contributions made in accordance with the salary reduction also make such payments on behalf of the Participant's Spouse and Dependents. arrangement and other arrangements applicable to the Participant under the terms of the Plan. However, if the Dependent is not a "dependent" The appropriate portions shall depend on the coverage elected by the Participant. under section 15z of the code, determined without regard to subsections (b)(1), (b)(2), and (d)(1)(&) thereof (a "non-tax Dependent', the value of the coverage provided to such ~" - © 2009 Hitesman & Associates, P.A. 21 Elk River Municipal Utilities Flexible Benefts Plan (No. 8.0.0.0)