10-10-2022 Council Packet - Laserfiche WebLink

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© Hitesman & Wold, P.A. 2019 Cafeteria Plan Summary Description (3-11) 8 Group Medical Plan. It is the coverage attributable to the HIPAA special enrollment that triggers the need to change election under the Cafeteria Plan. (2) Certain Judgments, Decrees and Orders. If a judgment, decree, or order (an "Order") resulting from a divorce, legal separation, annulment or change in legal custody (including a qualified medical child support order) requires you to cover your child (including a foster child who is your dependent) under the Group Medical Plan, Group Dental Plan, the Health Flexible Spending Account, or the Limited Scope Health Flexible Spending Account, you may change your election to pay the increased cost of coverage incurred to add the dependent child to your coverage. If an Order requires another individual to provide health coverage for your child (including a foster child who is your dependent) and the child is currently enrolled in the Group Medical Plan, Group Dental Plan, the Health Flexible Spending Account, or the Limited Scope Health Flexible Spending Account, you may terminate coverage for the child and change your election to reflect the reduced cost of coverage (if any), provided the other individual actually provides coverage to the child as required by the Order . For example, if you have enrolled in single coverage under the Group Medical Plan, become divorced during the Plan Year, and are ordered to provide coverage to your child following the divorce, you may increase your election to pay the additional cost of the child’s coverage under the Group Medical Plan. (3) Medicare and Medicaid. If you, your spouse, or your dependent is enrolled in the Group Medical Plan or Group Dental Plan, such individual subsequently enrolls in Medicare or Medicaid, and such individual’s coverage under the Employer’s plan is cancelled, you may change your election to reflect the reduced cost of coverage (if any) under the applicable Employer-sponsored group health plan. You may also reduce or cancel your election with respect to the Health Flexible Spending Account or the Limited Scope Health Flexible Spending Account. Further, if you, your spouse, or your dependent has been enrolled in Medicare or Medicaid, such individual loses eligibility for such coverage, and such individual enrolls in the Group Medical Plan or Group Dental Plan, you may change your election to reflect the increased cost of coverage (if any) under the applicable Employer -sponsored group health plan. You may also make or increase your election with respect to the Health Flexible Spending Account and the Limited Scope Health Flexible Spending Account. NOTE: Certain changes to an individual’s Medicaid coverage also create a HIPAA special enrollment right. Election changes based upon HIPAA special enrollment rights are described above. (c) Change in Cost. NOTE: Although the Plan Administrator will be aware of an increase or decrease in the cost of many Optional Benefits, you will need to notify the Plan Administrator of any changes to the cost of benefits under the Dependent Care Flexible Spending Account. NOTE: This exception does not allow changes to your election under the Health Flexible Spending Account and the Limited Scope Health Flexible Spending Account. Furthermore, this exception does not apply to the Dependent Care Flexible Spending Account if the dependent care provider is your relative.