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<br />City of Arden Hills <br /> <br />Summary Plan Descriotion <br /> <br />level for the period of coverage with higher post-leave salary reductions to make up the difference, if you . <br />so elect. <br /> <br /> <br />Any revocation, request for reinstatement and post-leave coverage choice must be made using Employer <br />forms. In the case of a revocation, the form must be submitted no later than 30 days after the <br />commencement of the family and medical leave. In the case of a request for reinstatement, the form must <br />be submitted no later than 30 days after return from the family or medical leave. <br /> <br />If you take a military leave of absence you may have a right to have your coverage under the medical . <br />expense reimbursement portion of this Plan continued. Upon your retum from a military leave of <br />absence you may have a right to reinstate your coverage without any waiting periods. <br /> <br />Please contact the Assistant to the City Administrator at 651-634-5125 as soon as you know you will be <br />taking a family or medical leave or a military leave of absence. <br /> <br />HOW ARE QUALIFIED MEDICAL CHILD SUPPORT ORDERS HANDLED? <br /> <br />In certain circumstances, you may be able to enroll a child of a participant in the Plan in the health care <br />expense reimbursement portion of the Plan by filing a "Qualified Medical Child Support Order" <br />(QMCSO) with the Employer. A QMCSO may only be filed with respect to a child of a Participant in <br />the Plan. If you are interested in more information relating to QMCSO and thc procedures for filing <br />them with the Plan, please contact the Assistant to the City Administrator. <br /> <br />HOW ARE BENEFITS TAXED? <br /> <br />Subject to applicable nondiscrimination requirements discussed above, the Employer believes that <br />contributions used to pay for benefits other than the dependent care benefits will not be subject to federal <br />or Minnesota state income taxes or to social security taxes. These contributions and benefit payments <br />will not be reduced by income tax or social security withholding. <br /> <br />Dependent care benefits you receive from your dependent care reimbursement account during a calendar <br />year generally will not be taxable unless they exceed the lower of (a) $5,000 ($2,500 if you are married <br />but file a separate return for the year), reduced by the amount of any dependent care credit you claim for <br />olher expenses (see SPECIAL NOTICE CONCERNING DEPENDENT CARE EXPENSES below) or <br />(b) your income limitation for thai year. If the amount of dependent care benefits exceeds your income . <br />limilation, the excess will be taxable. If you are single, your income limitation for a year is your eamed <br /> <br />SPD-1O <br />