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10-10-2022 Council Packet
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10-10-2022 Council Packet
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© Hitesman & Wold, P.A. 2019 <br />Cafeteria Plan <br />Summary Description (3-11) <br />7 <br />plan as a result of a change in marital status or a change in employment status, <br />you may elect to terminate or decrease your election under this Cafeteria Plan on <br />account of that change in status only if coverage becomes effective or is increased <br />under the other employer's plan. <br />(3) Dependent Care Flexible Spending Account. With respect to the Dependent <br />Care Flexible Spending Account, you may change or terminate your election only <br />if (i) the change or termination is made on account of and corresponds with a <br />change in status that affects eligibility for coverage under the Flexible Benefit <br />Dependent Care Flexible Spending Account; or (ii) the election change is on <br />account of and corresponds with a change in status that affects eligibility of <br />dependent care expenses for the tax exclusion available under the Internal <br />Revenue Code. For example, if your child attains age 13 during the Plan Year, you <br />may terminate your election under the Dependent Care Flexible Spending Account <br />because your child is no longer eligible to participate in the Dependent Care <br />Flexible Spending Account (i.e., she is no longer a qualifying individual). <br />(4) COBRA Coverage. If you, your spouse, and/or your dependent elects COBRA <br />continuation coverage (or similar health plan continuation coverage under state <br />law) with respect to a group health plan sponsored by the Employer , you may <br />increase your election for the purpose of paying the cost of the increased premium <br />for such continuation coverage, provided you are still eligible under the Cafeteria <br />Plan and are receiving compensation from the Employer. <br />(b) Other Change in Election Events. You may also change or revoke your previous <br />election during the Plan Year in the following circumstances. <br />(1) HIPAA Special Enrollment Rights. In certain cases, individuals are allowed to <br />enroll in the Employer’s Group Medical Plan pursuant to HIPAA special enrollment <br />at times other than open enrollment. Generally, special enrollment is available <br />upon: (i) acquiring a new spouse or dependent, (ii) losing other group coverage, <br />(iii) losing coverage under Medicaid or a state children’s health insurance program <br />(“SCHIP”), and (iv) becoming eligible for a subsidy under Medicaid or SCHIP for <br />coverage under the Employer’s group health plan. (Please refer to the plan <br />documentation for the Group Medical Plan for additional information regarding <br />HIPAA special enrollment, including information regarding the situations in which <br />special enrollment is available and the deadline for requesting special enrollment <br />under that plan.) <br />If you, your spouse, and/or your dependent actually enroll in the Group Medical <br />Plan pursuant to HIPAA special enrollment, then you may make a new election <br />under the Cafeteria Plan to pay the cost of that new or increased coverage. For <br />purposes of this provision an election to add previously eligible dependents as a <br />result of the acquisition of a new spouse or dependent child (a/k/a the Tag -along <br />Rule), shall be considered consistent with the special enrollment right. <br /> <br />Note: There are two separate steps involved in making an election change under <br />this exception. You and/or your spouse and dependents must enroll in the Group <br />Medical Plan within the HIPAA special enrolment time period required under that <br />plan. If such enrollment in the Group Medical Plan changes your share of the cost <br />of coverage, you must also request a change to your election under the Cafeteria <br />Plan in accordance with paragraph (h) below. The time period described in <br />paragraph (h) begins to run on the effective date of the special enrollment in the
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