Section 125 Premium Conversion Plan a) Eligible employees shall be provided with a Section 125 Premium Conversion Plan. The purpose of the Plan is to provide employees a choice between paying premiums with either pre-tax salary reductions or after-tax payroll deductions for health insurance, dental insurance, voluntary life (to the IRS specified limit) and accidental death and dismemberment insurance premiums currently maintained for Unit employees or any other program(s) mutually agreed upon by the parties. The amount of the pre-tax salary reduction or after-tax payroll deduction must be equal to the required insurance premium. b) Benefit Plan elections shall not reduce earnable compensation for purposes of calculating benefits or contributions for the San Bernardino County Employees’ Retirement Association. c) To be eligible for this benefit, an employee must be in a regular position and be regularly scheduled to work at least forty (40) hours in a pay period or be on an approved leave pursuant to the FMLA. d) Election of pre-tax salary reductions and after-tax payroll deductions shall be made within thirty (30) days of the initial eligibility period in a manner and on such forms designated by the County Human Resources Employee Benefits and Services Division Chief. Failure to timely submit appropriate paperwork will result in after-tax deductions for all eligible premiums for the remainder of the Plan Year. e) Once a salary reduction has begun, in no event will changes in elections be permitted during the Plan Year except to the extent permitted under Internal Revenue Service rulings and regulations and with the County’s Plan Document. Examples of mid-year qualifying events include: marriage, divorce, birth, adoption, death, over age dependent, loss of student status, your or your spouse’s or domestic partner’s reduction in work hours, loss of spouse’s or domestic partner’s employment, gain or loss of spouse’s or domestic partner’s insurance, relocation outside an HMO network service area, entitlement to Medicare for you or your dependent, significant increase in County Fire sponsored insurance cost during the plan year, loss or gain of Medicare or Medicaid coverage and spouse’s, domestic partner’s or dependent’s open enrollment. The employee must submit request for a change due to a mid-year qualifying event within thirty-one (31) days of the qualifying event. The Human Resources Employee Benefits and Services Division Chief, or designee, will authorize changes as long as the change is m...

Section 125 Premium Conversion Plan. Eligible employees shall be provided with a Section 125 Premium Conversion Plan. The purpose of the Plan is to provide employees a choice between paying premiums with either pre-tax salary reductions or after-tax payroll deductions for medical insurance. The amount of the pre-tax salary reduction or after-tax payroll deduction must be equal to the required insurance premium.

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Section 125 Premium Conversion Plan. (a) Eligible employees shall be provided with a Section 125 Premium Conversion Plan. The purpose of the Plan is to provide employees a choice between paying premiums with either pre-tax salary reductions or after-tax payroll deductions for health insurance, dental insurance, voluntary life (to the IRS specified limit) and accidental death and dismemberment insurance premiums. The amount of the pre-tax salary reduction or after-tax payroll deduction must be equal to the required insurance premium. (b) Benefit Plan elections shall not reduce earnable compensation for purposes of calculating benefits or contributions for the San Bernardino County Employees’ Retirement Association. (c) To be eligible for this benefit, an employee must be in a regular position and be regularly scheduled to work at least forty (40) hours in a pay period or be on an approved leave pursuant to the Family Medical Leave Act (FMLA). (d) Election of pre-tax salary reductions and after-tax payroll deductions shall be made within sixty (60) calendar days of the initial eligibility period in a manner and on such forms designated by the Human Resources Benefits Chief. Failure to timely submit appropriate paperwork will result in after-tax deductions for all eligible premiums for the remainder of the Plan Year. (e) Once a salary reduction has begun, in no event will changes in elections be permitted during the Plan Year except to the extent permitted under Internal Revenue Service rulings and regulations and with the County’s Plan Document. Examples of mid-year qualifying events include: marriage, divorce, birth, adoption, death, over age dependent, you or your spouse’s or domestic partner’s reduction in work hours, loss of spouse’s or domestic partner’s employment, gain or loss of spouse’s or domestic partner’s insurance, relocation outside an HMO network service area, entitlement to Medicare for you or your dependent, significant increase in County Fire-sponsored insurance cost during the Plan Year, loss of Medi-Cal or Medicaid coverage, and spouse’s, domestic partner’s or dependent’s open enrollment. The employee must submit a request for a change due to a mid-year qualifying event within sixty (60) days of the qualifying event. The County’s Human

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Section 125 Premium Conversion Plan. ALL UNITS

Section 125 Premium Conversion Plan. Employees who select the Modified Benefit Option shall be eligible to participate in the Section 125 Premium Conversion Plan in the same manner as the full benefit option.

Section 125 Premium Conversion Plan. The Quilcene School Board has approved the above named plan, which would allow eligible employees, through salary conversion, to pay for health insurance benefits with "pre-tax" dollars. The full agreement is available in the business manager's office.

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