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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 />55 <br />PART X. <br />CONTINUATION COVERAGE <br />10.1 What are my continuation rights under COBRA? <br />The Consolidated Omnibus Budget Reconciliation Act of 1985 ("COBRA”) requires most employers <br />with twenty (20) or more employees to offer employees and their families (spouse and/or dependent <br />children) the opportunity to pay for a temporary extension of hea lth coverage (called "continuation <br />coverage") at group rates in certain instances where health coverage under employer sponsored group <br />health plan(s) would otherwise end. There is no requirement that a person be insurable to elect continuation <br />coverage. However, a person who continues coverage may have to pay all of the premium for the <br />continuation coverage. The Group Medical Plan, Group Dental Plan, Health Flexible Spending Account, and <br />Limited Scope Health Flexible Spending Account shall be operated consistent with COBRA. Please refer to <br />the Employer’s COBRA policies and procedures contained in a separate document and is incorporated by <br />reference into this summary. This document is available to you upon request, at no charge. <br />10.2 What special COBRA rules apply to the Health FSA and Limited Scope Health FSA? <br />Modified COBRA continuation coverage rules apply to the Health FSA and Limited Scope Health <br />FSA. Continuation coverage is generally available on the same terms and conditions that apply to the group <br />health plans. There are, however, several differences. For example, the beginning date of the continuation <br />coverage is earlier. If elected, continuation coverage begins on the date of the qualifying event . <br />Furthermore, the maximum duration of the continuation coverage is much shorter. If the account is <br />“underspent” at the time of the loss, the maximum duration of COBRA is through the end of the Plan Year <br />in which the loss takes place. If the account is “overspent” at the time of the loss, there is no requ irement <br />that COBRA be offered. <br /> <br />Underspent. An account is UNDERSPENT when the remaining annual limit (elected annual limit minus <br />expenses reimbursed as of date of COBRA qualifying event) is greater than the maximum COBRA premium <br />(sum of monthly contributi ons for the rest of the plan year plus 2%) that can be charged for the rest of <br />the plan year. <br /> <br />Overspent. An account is OVERSPENT when the remaining annual limit (elected annual limit minus <br />expenses reimbursed as of date of COBRA qualifying event) is less than the maximum COBRA premium <br />(sum of monthly contributions for the rest of the plan year plus 2%) that can be charged for the rest of <br />the plan year. <br />10.3 What are my continuation rights under USERRA? <br />If you are called to active duty in the uniformed services, you may elect to continue coverage for <br />you and your eligible dependents under USERRA for a period of up to 24 months. You and your eligible <br />dependents qualify for this extension if you are called into active or reserve duty, whether voluntary or <br />involuntary, in the Armed Forces, the Army National Guard, the Air National Guard, full -time National Guard <br />duty (under a federal, not a state, call-up), the commissioned corps of the Public Health Services and any <br />other category of persons designated by the President of the United States. This continuation right is <br />similar to, and runs concurrent with, your continuation right under COBRA (if any). The Group Medical <br />Plan, Group Dental Plan, Health Flexible Spending Account, and Limited Scope Health Flexible Spending <br />Account shall be operated consistent with USERRA and pursuant to USERRA policies and procedures <br />contained in a separate document and is incorporated by reference into this Cafeteria Plan. This document <br />is available to you upon request, at no charge.
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