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Benefit Plan AdministrativeS ervices BPAS 4/28/2020
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Benefit Plan AdministrativeS ervices BPAS 4/28/2020
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Last modified
5/20/2020 12:41:20 PM
Creation date
5/20/2020 12:41:04 PM
Metadata
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Contracts
Contractor's Name
Benefit Plan AdministrativeS ervices BPAS
Approval Date
4/28/2020
Department
Fire
Department Project Manager
Marcy Hammer
Subject / Project Title
Fire VEBA HRA Plan Adoption
Tracking Number
0002326
Total Compensation
$0.00
Contract Type
Agreement
Retention Period
6 Years Then Destroy
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w;. . <br /> ARTICLE 12 - MEDICAL BENEFITSIINSURANCE <br /> 1. EMPLOYEE AND DEPENDENT MEDICAL: <br /> ;: <br /> A. The City agrees to offer the City's self-insured and kaiser permanen#e plan. As <br /> an option, the City also agrees elfia e Trustplan A.to allow sThe employee will their dmakeents #a <br /> choose the LEOFF Health an <br /> 5% contribution to the cost of medical coverage. <br /> If the LEOFF Health and Welfare Trust plan A is elected in 2018, <br /> the employee <br /> an <br /> e <br /> shall pay the premium difference rtbetween inhe addition tolf 5 la self-insured <br /> ahel City'sdtLEOFF Health and Welfare plan <br /> self- <br /> insured plan premium. <br /> Effective January 1, 2019, in lieu of LEOFF Health and Welfare Trust Plan A, the <br /> City shall offer the LEOFF Hmon Health <br /> and <br /> B p emium folfare Trust r thn e empioye. The ieyandll Tu Trust <br /> y <br /> ninety percent (90%) of they <br /> eligible dependent(s) medical coverage <br /> through <br /> LEOFFe Welfare <br /> Trust. The City will make contributions an HRA in the amount <br /> nly <br /> e or <br /> nth <br /> ily <br /> $166.66/month for employeento the LEOFF Trust Plan 8.3Caantribu6ons to for nthe <br /> coverage if the employee enrolls <br /> HRA will be made by the City and are subject tote rules Medicala and <br /> pl liimin t Robs <br /> ns <br /> contained within the Internal Revenue Code. <br /> The administered by the LEOFF Health and Welfare Trust and their <br /> ad smi gnter <br /> (Premera Blue Cross). The City will select and retain a third party <br /> to the HRA account(s). <br /> B. <br /> The employee has the choice of plans, but the plan must be the same for all <br /> family members. <br /> 2. DENTAL COVERAGE: The City will pay 100% of the monthly premium for the basic <br /> dental insurance plan offered through Washington e Dental <br /> antd# Service. Said dental <br /> t their dependents, with an <br /> insurance will be provided for all bargaining i -dependents, with <br /> it <br /> -,- --annua4-maximum..of42,0U4_--- - - - - - <br /> 3 In lieu of the City's historical practice n of making <br /> n aemdest contribution <br /> ha City toward <br /> the <br /> e a <br /> _ _- _ purchase of -a- disability income to P <br /> monthly contribution to the Premium Reimbursement Plan of the Washington lch ataee <br /> Council of Fire Fighters Employee Benefit Trust(the "Plan") on behalf of First Class Fire <br /> The monthly contribution will be the equivalent of one hour's pay <br /> for a Fighter at the then-applicable rate. <br /> By making such contributions, the City does not make any representations concerning <br /> the tax treatment of City contributions or of payments made by the Plan and relies on the <br /> Plan's representation that the Plan will properly <br /> withholn tsanm de to report ldornespcl such yments in <br /> partners. <br /> accordance with applicable law, including for Payme <br /> Further, the City does not agree to make any further contributions to the Plan for any <br /> other liability or claim beyond the monthly <br /> contributions <br /> narb individualagainst bove.e In,the <br /> event <br /> than <br /> any claim by the Plan or any other y <br /> concerning the above-described monthly contributions, the Union agrees to indemnify <br /> t6 <br />
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