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2. You can pay for your benefits for the duration of the leave on an after-tax
<br /> basis by a single lump-sum payment at the beginning of the leave. •
<br /> 3. You can pay for your benefits on an after-tax basis during the leave by
<br /> sending your payment to City of St Anthony on or before the first of each
<br /> month.
<br /> If you receive taxable pay from the Employer during your leave, you can pay for your
<br /> benefits on a pre-tax basis through Pre-tax Contributions from that pay. If you fail to
<br /> make arrangements to pay for your benefits during a family or medical leave, the
<br /> Employer reserves the right to recover the cost of such coverage from you at the end of
<br /> the family or medical leave to the fullest extent authorized by the Family and Medical
<br /> Leave Act of 1993.
<br /> If you are on a family or medical leave under the Family and Medical Leave Act of 1993
<br /> at any point during a Plan Year, you will be entitled to revoke your election with respect
<br /> to health coverage, dental coverage, life coverage and any health care expense
<br /> reimbursement benefits under the Plan. Following your return from the family or
<br /> medical leave you will be entitled to reinstate those coverages for the remainder of the
<br /> Plan Year, on the terms that applied prior to family or medical leave. However, if you
<br /> reinstate health care reimbursement coverage following a family or medical leave,,(a)
<br /> your Period of Coverage for the Plan Year will exclude periods for which your coverage
<br /> had lapsed because of the revocation or termination, (b) no expenses incurred during the
<br /> excluded period will be eligible for reimbursement under the Plan, (c) your level of
<br /> coverage for the Plan Year of the reinstatement will equal your coverage level in effect at
<br /> the time of your revocation or termination, reduced on a pro rata basis to reflect excluded •
<br /> periods for which your coverage had lapsed, (d) all previously paid benefits will be
<br /> charged against your revised coverage level, and (e) your revised coverage level can be
<br /> (i) your coverage level in effect for the Plan Year of the Reinstatement reduced on a pro
<br /> rata basis or(ii) your original coverage level for the period of coverage with higher post-
<br /> leave salary reductions to make up the difference, if you so elect.
<br /> For,exam lef as`s`ume<t)iat;Louise:elected$1=20Uof`healthacarejeimtursement 0
<br /> f "e`'6 Coverage=
<br /> '
<br /> �tF-,,�.s ..
<br /> for<thePlan o-Yearand was'paying;foi-tlus`beriefit on:a, re-taz'basisrat arate=o $5 =°
<br /> ar•' .: ,.` 'i, ,-t.,.; . .
<br /> :semi=monthly ypay.=period:- On :November.=1 sle"began a family/medical',leave"that.
<br /> �xtended tliough December Through Octobei 31 E'she had uicuired"4400,of:rereimbui bld,
<br /> health'%are` expenses " = fib' .,. , .. , �_� �� fid, t. ';,
<br /> y S}ie revoked 1ep� election h,u,November al. aud=reinstated° the
<br /> , �a�!, _.m .fi.= ,„n
<br /> 4 '*psi � ,q °4 a' � :T:'^ R� ,*4BY -v.3
<br /> =coverage,.dhl Januarys l::' Because'Louise,revoked;herrelection;rather"than•.coritinuing'it
<br /> and4paging,foSL°tlie coverage-using^one-of'the met> ods°descrilied above; ariy healtfi bare
<br /> expenses`sheincured'from;November::1`.`throughYDeceinber3l will not:be;:elgitle`for
<br /> ��i�'.�'�°r'.,'.�,_- -: r-.�`i t.>,"fiwr ""'�vi�s.;r:t 4�"`i''-'. ;�'.'�,'r .<' ?' �;.�,a-.•:ti<r� '«.X yp�°'„U''y` �-'4s,X��':°:
<br /> reimbursemenf ;.Ilponcremst`atement=her Period of"Coverage for tl ea PIan:Year Swill e3
<br /> AugustFal. ughOctober-3tland'Jamary.`1 ,through,lulyN 3x1{cjf thatAPlari°.Year;'un les"sf
<br /> �, «. iyf • - •- •§%--c:,f:_.tr y Xa- <;.', -
<br /> ~there:iskan.earlier:�termination.under";the rules,tt at;apply,to all,;participhhK-,�Because.of
<br /> ,''-�jia,, ., -, '�- ..:::: _ -3iM..,. mk,.;-r a-,x'r•,:,+r c=,a-:•.4„ '
<br /> athis two-month Elapse€period;upon,reinstatement.Louise s eIeciibif46f the'<PIa'Y6ar wi11
<br /> ' - -,:';, ;5• ':.r '„ +;y-.s .fix.; - _ - - -�-..,;•ai.n;'- '- a.; " .-"i'>,"TM.xe,zt"�"="'= $ a"->
<br /> ;' ::XD`s•'.
<br /> Abe-.adjusted�from�$31;200,•to=$1;000�(�150%12)�`�wBecause;shehas�already.�,receixed $400�of;
<br /> benefits;I owse;swill'be eligible forup°gto $600 of addirional:revntiursement forthe'Plan
<br /> �" ,r• a " ?"a-1r",-�,6i.�
<br /> YearF If°'Lqui"se;elects=the;liigheislevel ($1,2UU) ) er post leavessalaryXreductions uvill >?e
<br /> .^.t: - ,.:.'trfsri..`."`&•aar . i�..j;;-. -
<br /> 1'28:5 7 afi&= er'aciditional `"v .` ur E`
<br /> $ ,a ailablereunburseinent".:amount for,the'Plaa<YeaTa;willrbe=
<br /> y3.�
<br /> a« �s,,` grz• c,,. :-`-?;`"i - "-+-aa'�=`;T��•3,�„?. - ..:4"x:. §'.i.iv>----`.:;`°,:`�,.,• -
<br /> ' -`nr:°• ,;c;�.,- t`-B�s,«, � rai-_ {,tee,^ ;;���-�,4t^✓'�':�^' �'T�,.z,'- - '„r°- - - _
<br /> m.x µ ,
<br /> •
<br />
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