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Section 3.2 Application to Participate. (a) Eligible Employees that have elected to participate in the Employer's health, dental plan and/or life insurance plan(s) shall be deemed to have elected to participate in the premium portion of this Plan and to have the employee portion of the premiums for coverage under the Employer's health, dental and/or life insurance plan(s), as well as contributions to the Health Savings Account (HSA) paid for on a pre-tax basis under this Plan, unless written notification, on Employer forms, is supplied to the Employer, stating that the employee does not wish to participate in the premium portion of this Plan and that the employee portion of the premium for coverage under the Employer's health, dental plan and/or life insurance plan(s) should be paid for on an after-tax basis. Eligible Employees shall have the right to waive participation in the Employer's health, dental plan and/or optional life insurance plan(s) and the Health Savings Account (HSA) and, take any contributions the employee would have made, as taxable cash compensation. (b) As a condition of participation, in the medical reimbursement and/or dependent care reimbursement portions of this Plan, each Eligible Employee shall execute and deliver to the Employer within thirty (30) days of becoming eligible for the Plan, a written and signed application by which the Eligible Employee applies to participate in the medical reimbursement and/or dependent care reimbursement portions of this Plan, designates the required amount of Compensation for the Plan Year in question as Pay Conversion Contributions as described in Section 4.2, and supplies any other pertinent information that the Employer reasonably requires. 16 City of Roseville MPD