Agenda - Council - 12/17/1991 - Laserfiche WebLink

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(f) The taking of unpaid leave of absence by an employee or an employee's spouse; aid (g) A significant change in the health coverage of an employee or employee's spouse attributable to the spouse's employment. ARTICLE IV Benefil~ Section 4.1. Health Care and Insurance Reimbursement Accounts. The City shall establish for each participant a Health Care and Insurance Reimbursement Account. Each Health Care and Insurance Reimbursement Account shall initially contain zero dollars ($0.00). Section 4.2. Increases in Health Care and Insurance Reimbursement Accounts. A participant's Health Care and Insurance Reimbursement Account shall be increased as follows: (a) Each pa), period, by the amount of the portion of the participant's pay conversion contribution elected to apply toward Health Care and Insurance Reimbursement Account pursuant to Article III, Section 3.1, provided, however, that in no event shall any participant's Health Care and Insurance Reimbursement Account be increased so as to contain more than $3,000.00 by reason of increases described in this subsection 4.2(a). Section 4.3. Decreases in Health Care and Insurance Reimbursement Account. A participant's Health Care and Insurance Reimbursement Account shall be reduced by the amount of any expenses paid to or on behalf of a participant pursuant to Sections 4.4 or 4.6. Section 4.4. Health Care Reimbursement Benefits. (a) Subject to limitations contained in other provisions of this Plan, and to the extent of the amount contained in the participant's Health Care and Insurance Reimbursement Account, a participant who incurs expenses for medical care or health insurance attributable to him/herself, spouse, or dependents shall be entitled to receive from the City full reimbursement under the terms of the Plan for the entire amount of such expenses incurred after the Effective Date of this Plan. An employee who becomes eligible after the Effective Date of this Plan may be enrolled on January 1. (b) The City shall pay ail qualifying health care expenses incurred under Sections 4.4 and 4.6 to the participant upon the presentation to the City of: (i) the participant's claim for reimbursement, (ii) a written statement from an independent third party (i.e. the medical provider) stating the expenses incurred for which reimbursement is sought and the amount of that expense, and 4 I 2/11/91 I I I I I I I I I I I I I I I I I !