RES 25-016 ADOPTING A RESTATEMENT OF THE CITY OF SAV FLEXIBLE BENEFIT PLAN

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TABLE OF CONTENTS ARTICLE I DEFINITIONS ARTICLE II PARTICIPATION 2.1 ELIGIBILITY...............................................................................................................................................................................2 2.2 EFFECTIVE DATE OF PARTICIPATION................................................................................................................................. 2 2.3 APPLICATION TO PARTICIPATE............................................................................................................................................ 2 2.4 TERMINATION OF PARTICIPATION....................................................................................................................................... 3 2.5 TERMINATION OF EMPLOYMENT.......................................................................................................................................... 3 2.6 DEATH.......................................................................................................................................................................................3 ARTICLE III CONTRIBUTIONS TO THE PLAN 3.1 EMPLOYER CONTRIBUTION.................................................................................................................................................. 3 3.2 SALARY REDIRECTION........................................................................................................................................................... 3 3.3 APPLICATION OF CONTRIBUTIONS...................................................................................................................................... 4 3.4 PERIODIC CONTRIBUTIONS.................................................................................................................................................. 4 ARTICLE IV BENEFITS 4.1 BENEFIT OPTIONS.................................................................................................................................................................. 4 4.2 HEALTH FLEXIBLE SPENDING ACCOUNT BENEFIT........................................................................................................... 4 4.3 DEPENDENT CARE FLEXIBLE SPENDING ACCOUNT BENEFIT........................................................................................ 4 4.4 HEALTH INSURANCE BENEFIT..............................................................................................................................................4 4.5 DENTAL INSURANCE BENEFIT.............................................................................................................................................. 4 4.6 VISION INSURANCE BENEFIT.......................................................................................................................................I........ 5 4.7 HEALTH SAVINGS ACCOUNT BENEFIT................................................................................................................................ 5 4.8 NONDISCRIMINATION REQUIREMENTS...............................................................................................................................5 ARTICLE V PARTICIPANT ELECTIONS 5.1 INITIAL ELECTIONS.................................................................................................................................................................5 5.2 SUBSEQUENT ANNUAL ELECTIONS..................................................................................................................................... 5 5.3 FAILURE TO ELECT................................................................................................................................................................. 6 5.4 CHANGE IN STATUS................................................................................................................................................................6 ARTICLE VI HEALTH FLEXIBLE SPENDING ACCOUNT 6.1 ESTABLISHMENT OF PLAN.................................................................................................................................................... 8 6.2 DEFINITIONS........................................................................................................................................................................-, 8 6.3 FORFEITURES......................................................................................................................................................................... 9 6.4 LIMITATION ON ALLOCATIONS.............................................................................................................................................. 9 6.5 NONDISCRIMINATION REQUIREMENTS............................................................................................................................... 9 6.6 COORDINATION WITH CAFETERIA PLAN............................................................................................................................. 10 6.7 HEALTH FLEXIBLE SPENDING ACCOUNT CLAIMS............................................................................................................. 10 6.8 DEBIT AND CREDIT CARDS................................................................................................................................................... 10