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Benefit Plans Administrative Services 12/26/2018
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Benefit Plans Administrative Services 12/26/2018
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Last modified
1/17/2019 10:42:27 AM
Creation date
1/17/2019 10:40:55 AM
Metadata
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Template:
Contracts
Contractor's Name
Benefit Plans Administrative Services
Approval Date
12/26/2018
Council Approval Date
12/12/2018
Department
Human Resources
Department Project Manager
Sharon DeHaan
Subject / Project Title
HRA VEBA Account for LEOFF Trust Plan B
Tracking Number
0001615
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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B.ELIGIBILITY <br /> Reemployment <br /> 12. If an Eligible Employee has a Termination of Employment and is subsequently reemployed by the Employer as an <br /> Eligible Employee within 30 days after Termination: <br /> a. Ei the Plan Administrator shall automatically reinstate the Benefit elections in effect at the time of <br /> Termination <br /> b. 0 the Eligible Employee shall not resume or become a Participant until the first day of the subsequent Plan <br /> Year <br /> 13. If an Eligible Employee has a Termination of Employment and is subsequently reemployed by the Employer as an <br /> Eligible Employee more than 30 days after Termination: <br /> a. 0 the Plan Administrator shall automatically reinstate the Benefit elections in effect at the time of <br /> Termination <br /> b. E I the Eligible Employee shall not resume or become a Participant until the first day of the subsequent Plan <br /> Year <br /> c. 0 the Eligible Employee may elect to reinstate the Benefit election in effect at the time of Termination or <br /> make a new election under the Plan <br /> C. PARTICIPATION ELECTIONS <br /> Failure to Elect (Default Elections) <br /> 1. The election for the immediately preceding Plan Year relating to the following Benefits will apply to the applicable <br /> Plan Year: <br /> a. Premium Conversion Account (Non-Employer-sponsored Contracts) <br /> b. 0 Health Flexible Spending Account <br /> c. 0 Limited Purpose/Post-Deductible Health Flexible Spending Account (HSA-Compatible FSAs) <br /> d. 0 Dependent Care Assistance Plan Account <br /> e. 0 Health Savings Account <br /> f. 0 Adoption Assistance Flexible Spending Account <br /> NOTE:If a Benefit is not selected, an Eligible Employee who does not make an affirmative election under the Plan <br /> for a Plan Year will be deemed to have elected not to participate in that Benefit for the Plan Year. <br /> Change in Status <br /> 2. An Eligible Employee may change his or her election upon the following Change in Status events: <br /> a. 0 None <br /> b. Q Any event described in Treas. Reg. section 1.125-4 and other events permitted by IRS guidance <br /> c. 0 Pursuant to written Plan Administrative Procedures, which are incorporated herein by reference <br /> d. 0 Other: <br /> 5 Copyright©2002-2018 <br /> Benefit Plans Administrative Services LLC <br />
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