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MissionSquare Retirement Health Savings Program Return Book C. Participant Eligibility Requirements 1. Minimum service: The minimum period of service required for participation is A (write N/A if no minimum service is required). 2. Minimum age: The minimum age required for eligibility to participate is N A (write N/A if no minimum age is required). VI. Contribution Sources and Amounts A. Definition of Earnings The definition of Earnings will apply to all RHS Contribution Features that reference "Earnings," including Direct Employer Contributions (Section VI.B.1.) and Mandatory Employee Compensation Contributions (Section VI.B.2.). Definition of earnings: 'ro-Fa� Sa��t�ru �+ IJrAQ P o�P4_ Ro+ in_{'snI B. Direct Employer Contributions and Mandatory Contributions Contributions for participants include: 1. Direct Employer Contributions The Employer shall contribute on behalf of each Participant ❑ O % of Earnings* ❑ $ O each Plan Year ❑ A discretionary amount to be determined each Plan Year ❑ Other (describe): N one _ 2. Mandatory Employee Compensation Contributions The Employer will make mandatory contributions of Employee compensation as follows: ❑ Reduction in Salary — W % of Earnings or $ will be contributed for the Plan Year. ❑ Decreased Merit or Pay Plan Adjustment — All or a portion of the Employees' annual merit or pay plan adjustment will be contributed as follows: An Employee shall not have the right to discontinue or vary the rate of mandatory contributions of employee compensation. 3. Mandatory Employee Leave Contributions The Employer will make mandatory contributions of accrued leave as follows (provide formula for determining mandatory employee leave contributions): X Accrued Sick Leave _ See aulia-shed pa 1 i cL V Accrued Vacation Leave 4,3ee a_A Cke d T l i cu SL Other (specify type of leave) Accrued Leave Sae Po I i-le Sa+ �'oirh-o c t z32 Ra '. ODD peI gaf rLf An Employee shall not have the right to discontinue or vary the rate of mandatory leave -T' me contributions. t lor t�ac heol) * Non -collectively bargained plans that reimburse medical expenses other than insurance premiums should consult their benefits counsel regarding welfare plan nondiscrimination rules if the employer elects to make contributions based on a percentage of earnings.