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RES 25-016 ADOPTING A RESTATEMENT OF THE CITY OF SAV FLEXIBLE BENEFIT PLAN
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RES 25-016 ADOPTING A RESTATEMENT OF THE CITY OF SAV FLEXIBLE BENEFIT PLAN
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1/22/2025 7:26:04 PM
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Participants). Such change shall take place on a prospective basis, unless otherwise required by Code Section 9801(f) to be <br />retroactive. <br />(c) Qualified Medical Support Order. Notwithstanding subsection (a), in the event of a judgment, decree, <br />or order (including approval of a property settlement) ("order') resulting from a divorce, legal separation, annulment, or <br />change in legal custody which requires accident or health coverage for a Participant's child (including a foster child who is a <br />Dependent of the Participant): <br />(1) The Plan may change an election to provide coverage for the child if the order requires coverage under the <br />Participant's plan; or <br />(2) The Participant shall be permitted to change an election to cancel coverage for the child if the order <br />requires the former Spouse to provide coverage for such child, under that individual's plan and such coverage is <br />actually provided. <br />(d) Medicare or Medicaid. Notwithstanding subsection (a), a Participant may change elections to cancel or <br />reduce accident or health coverage for the Participant or the Participant's Spouse or Dependent if the Participant or the <br />Participant's Spouse or Dependent is enrolled in the accident or health coverage of the Employer and becomes entitled to <br />coverage (i.e., enrolled) under Part A or Part B of the Title XVIII of the Social Security Act (Medicare) or Title XIX of the Social <br />Security Act (Medicaid), other than coverage consisting solely of benefits under Section 1928 of the Social Security Act (the <br />program for distribution of pediatric vaccines). If the Participant or the Participant's Spouse or Dependent who has been entitled <br />to Medicaid or Medicare coverage loses eligibility, that individual may prospectively elect coverage under the Plan if a benefit <br />package option under the Plan provides similar coverage. <br />(e) Cost increase or decrease. If the cost of a Benefit provided under the Plan increases or decreases <br />during a Plan Year, then the Plan shall automatically increase or decrease, as the case may be, the Salary Redirections of <br />all affected Participants for such Benefit. Alternatively, if the cost of a benefit package option increases significantly, the <br />Administrator shall permit the affected Participants to either make corresponding changes in their payments or revoke their <br />elections and, in lieu thereof, receive on a prospective basis coverage under another benefit package option with similar <br />coverage, or drop coverage prospectively if there is no benefit package option with similar coverage. <br />A cost increase or decrease refers to an increase or decrease in the amount of elective contributions under the <br />Plan, whether resulting from an action taken by the Participants or an action taken by the Employer. <br />(f) Loss of coverage. If the coverage under a Benefit is significantly curtailed or ceases during a Plan Year, <br />affected Participants may revoke their elections of such Benefit and, in lieu thereof, elect to receive on a prospective basis <br />coverage under another plan with similar coverage, or drop coverage prospectively if no similar coverage is offered. <br />(g) Addition of a new benefit. If, during the period of coverage, a new benefit package option or other <br />coverage option is added, an existing benefit package option is significantly improved, or an existing benefit package option <br />or other coverage option is eliminated, then the affected Participants may elect the newly -added option, or elect another <br />option if an option has been eliminated prospectively and make corresponding election changes with respect to other benefit <br />package options providing similar coverage. In addition, those Eligible Employees who are not participating in the Plan may <br />opt to become Participants and elect the new or newly improved benefit package option. <br />(h) Loss of coverage under certain other plans. A Participant may make a prospective election change to <br />add group health coverage for the Participant, the Participant's Spouse or Dependent if such individual loses group health <br />coverage sponsored by a governmental or educational institution, including a state children's health insurance program <br />under the Social Security Act, the Indian Health Service or a health program offered by an Indian tribal government, a state <br />health benefits risk pool, or a foreign government group health plan. <br />(i) Change of coverage due to change under certain other plans. A Participant may make a prospective <br />election change that is on account of and corresponds with a change made under the plan of a Spouse's, former Spouse's <br />or Dependent's employer if (1) the cafeteria plan or other benefits plan of the Spouse's, former Spouse's or Dependent's <br />employer permits its participants to make a change; or (2) the cafeteria plan permits participants to make an election for a <br />period of coverage that is different from the period of coverage under the cafeteria plan of a Spouse's, former Spouse's or <br />Dependent's employer. <br />Q) Change in dependent care provider. A Participant may make a prospective election change that is on <br />account of and corresponds with a change by the Participant in the dependent care provider. The availability of dependent <br />care services from a new childcare provider is similar to a new benefit package option becoming available. A cost change is <br />allowable in the Dependent Care Flexible Spending Account only if the cost change is imposed by a dependent care provider <br />who is not related to the Participant, as defined in Code Section 152(a)(1) through (8). <br />(k) Health FSA cannot change due to insurance change. A Participant shall not be permitted to change <br />an election to the Health Flexible Spending Account as a result of a cost or coverage change under any health insurance <br />benefits. <br />(1) Health Savings Account changes. With regard to the Health Savings Account Benefit specified in <br />Section 4.7, a Participant who has elected to make elective contributions under such arrangement may modify or revoke the <br />election prospectively, provided such change is consistent with Code Section 223 and the Treasury regulations thereunder <br />
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