CCP 12-13-2004 - Laserfiche WebLink

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Citv of Arden Hills Summary Plan Descrivtion for providing the Notice, so the Notice can be provided in any form that reasonably communicates the . information required by these Procedures to be so communicated. In the event of an unusual or urgent situation, as detennined by the Plan Administrator, the Plan Administrator, in its discretion, may accept oral notice of any of the events described herein, in lieu of written notice. Unusual or urgent situations are those situations that may make written notice impractical or that may require an immediate detennination of COBRA status in connection with an urgent-care claim. HOW DOES CONTINUATION COVERAGE FOR MY HEALTH CARE REIMBURSEMENT ACCOUNT WORK? First, continuation coverage may not be offered if the amount you would be entitled to receive for the remainder of the Plan Year if you elected to continue coverage (your annual election less the amount of any reimbursable claims submitted to The Plan before the date of the qualifying event) would be less than the amount that you would be required to pay in continuation premiums for that coverage for the remainder of the Plan Year. Second, if continuation coverage is available, you may only be entitled to elect continuation coverage for your health care reimbursement account for thc period beginning on the date you would otherwise lose coverage and ending on the last day of the Plan Year in which your qualifYing event occurs. Continuation coverage will not be available for the health care reimbursement account for any subsequent Plan Year if: · The health care reimbursement account is an "excepted benefit" under sections 9831 and 9832 of the Health Insurance Portability and Accountability Act of 1996 (HIP AA), and · The maximum amount that the health care reimbursement account can require to be paid for a year of continuation coverage equals or exceeds the maximum benefit available under the account for the Plan Year. . Additional information regarding continuation coverage rights under the healih care reimbursement account may be obtained by contacting the Plan Administrator. If you have questions about your COBRA continuation coverage, you should contact the City of Arden Hills or you may contact the nearest Regional or District Office of the U.S. Department of Labor's Employee Benefits Security Administration (EBSA). Addresses and phone numbers of Regional and District EBSA Offices are available through EBSA's web site at www.doI.l!ov/ebsa. In order to protect your family's rights, you should keep the Plan Administrator informed of any changes in the addresses of family members. You should also keep a copy, for your records, of any notices you send to the Plan Administrator. ADMINISTRATIVE INFORMATION THE PLAN YEAR The Plan Y car begins on January I and ends the following December 31. PLAN ADMINISTRATION The Plan is a sponsor-administered plan and the Plan Administrator is City of Arden Hills, whose address, business telephone number, and Employer Identification Number are: . SPD-16