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HomeMy WebLinkAbout2006 Resolution No. 076• • • RESOLUTIC,N NO .~ SERIES OF 2006 A RESOLUTION CREATINCl A RETIREE HEALTii PLAN FOR CITY E.\fPLOYEES TO BE ADMINIST'J!RED BY 1HE INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMl::'NT CORPORATION (ICMA-RC). WHEREAS, the establilhment of a retiree health savinp plan for employees serves the interests of the City by enabling it to provide reasonable security regardina such employees' health ~eecls during retirement, by providbg increased flexibility in its personnel management system, and by assisting in the attrar.tion and retention of competent personnel; and WHEREAS, the City has determined that the establishment of the retiree health savings plan (the "Plan'') serves the above objectives; and WHEREAS , to implement this Plan, the City of Englewood, as employer desires to make the VantageCare Retirement; 'Health Savings Plan ("RHS Plan" or "Plan") provided by ICMA-RC available to its employees; and WHEREAS, ICMA-RC makes available the Vantagepoint Funds, a no-load, diversified mutual fund, for investment of public employer plan assets, including RHS Plan assets; and WHEREFORE , ICMA-RC provides a complete offering of services to public employers for the operation of employee retirement and retiree health savings plans, including, but not limited to, communications concerning inveslluent alternatives, account maintenance, account rccord- keeping, investment and tax reporting, form processing, benefit disbursement and asset management . · NOW, THEREFORE, BE IT RESOLVED: ~ That the City of Englewood hereby adopts the Plan in the form of the ICMA Retirement Corporation·:; VantageCare Retirement Health Savings program in the form attached hereto as Exhibit A. ADOPTED AND Ai PROVED this 18th day of September, 2006 . I, Loucrishia A. Ellis, Cill) 9Jc:rk for the C o is a true copy of Resolution No. 'lfL., Series of • VantagaCara Retirement Health Savings Plan Questions and A ~swers l for Employers ICMA RETIREMENT CORPORATION Tho Public Sector hper, VANTAUCAIII IIITIIIIIIIINT NIALTN SAVINGS PIAN QUDTIONI AND MIWIIII POil lMPLOYIIII • INTRODUCTION TO VANTAGECARE RETIREMENT HEALTH SAVINGS 01 : What Is the VantagaCare Retirement Health Savings Plan? ...................................................................... 1 02: Whal are the key features of RHS7 ............................................................................................................. 1 BENEms OF RHS 03: What are the benefits of RHS to the employer? ........................................................................................ 1 04: What are the benefits of RHS to the employee ?.. ....................................................................................... 2 INTEGRAL PART TRUST 05: 1 Vhat is the legal basis for RHS7 ................................................................................................................. 2 06: Why isn 't there an IRS determination letter cvailable for RHS7 ................................................................ 3 07: What are tho requirements for qualifying as an "integral part" of a governmental employer? ............ 3 08: What constitutes an elig ible employer/.. ..................................................................................................... 3 09: How does RHS compare to a VEBA or 401(h) plan ? Cen these assets be transferred to an RHS plan? ............................................................................................................................................... 3 010: Are asset s in the employer's integral part trust accessible to the employer and /or its general creditors? .............................................................. , ..................................................................... 5 011 : How does RHS compare to a Health Savings Account? ..................................................... .. ......... 5 • 012: 013: Is the RHS Plan a Health Reimbursement Arrangemem i .................................... .. Does ;CMA•RC offer a program specificall y fo r employer ,rsfund ing of retiree ..5 healthcare liabilities? .......................................................................................................... . .. .. 5 ~STABLISHING AN RHS PLAN -PLAN DESIGN, ADOPTION AND IMPLEMENTATION 014: What is the adoption procedure for establishing an RHS Plan? ................................................................ 5 015 : What documents govern the RHS Plan? ...................................................................................................... 6 016: What plan design features are available under the RHS Program I .......................................................... 7 017: How much individual choice is permitted? .................................................................................................. 7 018 : How do your employees get started? ......................................................................................................... 8 CONTRIBUTIONS 019: What type s of contributions can be made to the RHS Plan7.. .................................................................... 8 020: How are RHS contributions reported on the employee's Form W·27 ...................................................... 10 021 : What are some ex amples of contributions allowed by employers?.. ...................................................... 10 022: Are there limits to the amount of contributions that may be made in a given year? ............................ 11 023 : How are the contributions coord inated with Section 457 and 401 plans? .............................................. 11 024: Are contributions made to the account included in "pensionable " compensation? ............................ 11 025: When does the employer make contributions? ........................................................................................ 11 • PLAN INVESTMENTS 026: Where will RHS essets be Invested? .......................................................................................................... 11 MEDICAL BENEFITS AND PLAN DISTRIBUTIONS 027: At what point are employees eligible for and what procedure do they follow to begin receiving medical benefits? .............................................................................................. 12 028: What medical benefits can be provide i to participating employees? .................................................... 12 029: What circumstances permit an employee to receive assets from the account? .................................... 13 030: Ara there any emergency withdrawal provisions? .................................................................................... 13 031: What happens when employees leave the employer J2till.C to benefit eligibility? .................................. 13 032: What happens to the account balance when the participant dies? ......................................................... 14 PROCEDURES FOR MEDICAL EXPENSE REIMBURSEMENT 033: 034: 035: 036: Who will pay medical benefit claims? .............. . .. .............................................................. 14 Who is Zenith Administrators? ......................... . ... ............................ .. ........................... 14 Is Zenitl, Administrators HIPAA compliant? ........................................ . ......... 15 ......... 15 What is the procedure for reimbursement? How long does it take? ........................... . How are payments from RHS ac.counts treated for tax purposes? ..................................................... 15 TAXES 037: 038: What is the employer's responsibility with respect to tax reporting and remittance? ... ........ 15 ADMINIS rHATION 039: Are there any ongoing employer responsibilities related to the administrati on of the RHS Program? ..................................................................................................... 15 040: What is EZ Link?....................................................................................................................... .. ......... 16 041: Are there nondiscrimination requirements that apply to the RHS Plan? ............................................... 16 042: What types of reports will employers and employees receive? ........ 043: What fees does ICMA-RC charge for the RHS Program? RESOURCES .. .............................. 16 .............................. 17 044: What information will I receive to assist in ongoing plan administration? ........................................... 17 045: Whom should I call with other qu estions regarding the RHS Program? ................................................ 17 • • • 01: What I ■ th■ V■nt■g ■C■r■ R ■tlr■- m ■nt H ■■lth Saving ■ Pl ■n1 • VantagaCare Retirement Health Savings IRHS) Plan 11 the ICMA Retirement Corporet ion's employer-sponsored health benefit savings vehi• cle that allows employeH to accumulate assets to • pay for medical expen111 (e .g., health Insurance, co-pays , prescription expenses, etc .) at retirement lor upon meeting other eligibility criteria) on a tax- free basis . The plan brooks new ground lo, health care sevlngs in the public sectur and Is offered through a concept pioneered by ICMA-RC that has received IRS approval (see 05). RHS is similar to other ICMA-RC products such as the 401 and 457 plan s in that it allows an employ- ee to invest dollars on a pre-tax basis in the Van- tagepoint Mutual Funds• for financial needs dur- ing retirement (or when otherwise eligible). RHS offers a nu mber of benefits, including tax-deferred accumulation of earnings and, when account assets are used to pay for tax qual ified medical benefits for participants, their spouses and/o r depend ents, the additional benefit of tax-fre: -vith- drawals. • A transaction fee of 2 % may be applied to the value of amounts transferred from the Income Preservation Fund. Please consult the current Vantagepoin t Funds prospectus carefully for a complete summary of all fees, expenses, charges, financial h1t1hlights and i nves tment objectives, risks and performance information prior to inves ting any money. Vantagepoint securities are distributed by ICMA -RC Services LLC, a broker dealer affiliate of ICMA-RC, member NASDISIPC. For a current prospectus, contact ICMA-RC Services LLC, 777 North Capitol Straet NE, Washington, DC 20002-4240. 1-80 0-669 -7400. 02: What ■r■ the key fe ■ture ■ of RH:,/ • The plan allows for flexibility in plan design to meet employer/e mployee needs and permits sig~ificant employee choice (see 016). Employers may make tax-free contributions to an employee account (see 019). Mandatory, pre-ta x employee contributions mPv be required from compensation or from accrued sick and /or va cation leave (sea 019). •· The plan may permit employee elective pre- tax contributions on a one-time i rrevocable election basis (see 019). • Tho plan may permit employees to Irrevocably elect to contribute accrued leave lsee 014). • The plan may allow employees to annually el ect to contribute e portion of the following year't accruals of leave (see 019). • Emp loyees may make voluntary after-tax con- tributions (see 019). • All earnings grow tax -deferred, and with· drawals used to pay for qualified medical ben- efits for participants , their spouses and/or dependants are tax -free (see 037). • Plan assets remain i ng at the time of the employee 's death ara not forfeited . The account can continue to be used for medical expenses by the employee 's spouse or dependents, or passed on to benefici aries , for thei r med ic al expenses (see 032). BENIPITS OF RHS 03: What ■re t:,e benefits of RHS to the employer? The cost of medical care continues to go up every year, while new Medi care prescription drug bene- fits leave ben efi ciaries with large out-of-pocket deductibles and co -pays . This continuing medical i nflation, particularly for services not covered by Medicare or employer-sponsored retiree health plans, means that retirees are increasingly respo n- sible for growing medical costs. The RH S Program enables employe rs -and their employees -to save in advance for these costs . There are several benefits to employers that choose to offer the RHS Program : No unfunded liability -Existing retiree med- ical programs, offered either through a retire- ment sy!=tem or by the employer directly, may burden employers with unfunded liabilities, particularl y when the Governmental Account- ing Standards Board reporting requirements for Other Post Employment Benefits become effective. RHS now offers a way to pra-fund some or all of these costs. • Low cost -RHS provides the ability to offer a low-cost employee benefit that complements your currant ret i rement savings package. Also, employer and r,nst employee contributions are not subject to FICA and unemployment taxes, resulting in savings to the employer. • Easy ad ministration -By using ICMA-RC's EZ Link System , RHS Is offered with limited administrat ive effort by the employer l saa 039 and 40). • Retention -· RHS can help you attract and retain valued employees . • Security -Allows the employer to provide additional security to employees saving for their retirement health needs . Similar to a defined contribl!tion r,::t!~e:-,,ent plan, it also provides employees with greater responsibili- ty and control over SJving for retirement health 1113eds . • Flexibility -The employer can des ign its RHS Plan to best fit the needs of employee groups, includ ing collective bargaining units . • Unused leave -Provides the employer with additional flexibility in the payout of accrued vacation, sick or other leave . Employers can structure an RHS program to reward the responsible use of a sick and vaca ti on leave program and discourage its abuse . FICA Savings -Contributions made to the RHS Plan by the employer and the employee (other than after-tax contributions) are exempt from FICA taxation, saving the employer up to 7.65% of the amount contributed (see 019). 04: What are the b,,nefits of RHS to the employee? Employees can reap substantial benefits as well. • Conveni ence -Once an employee is elig ible to participate in RHS (see 017), the employee only has to enroll (see 018) and make deci- sions regarding investment of RHS funds lsee 026). Contributions are made directly by the employer or through converting employee !covo lsee 019). Additional employe-, contribu- tion options may include manda · ..... ry and irrev- ocably elected pre-taK, annual leave, terminal leave , and voluntary after-tax contributions lsee 019). • Tax-advantaged savings -Most contributions are pre-tax and assets grow in a tax-deferred accou nt. • Tax-free withdrawals -Withdrawal~ a re tax- free when used for the participant 's (including spouse and dependent) qualified medical 2 eKpenses as allowed by tha employer's RHS Plan . Full range of appropriate investment options -RHS allows Investment in the Vantagepoint Mutual Funds', including ICMA-RC 's low-cost index funds (see 026). • Flex ibility -Participants may use RHS assets to pay medical expenses for themselves, their spouses and dependents . No account balance forfeiture upon death - At the de ath of the part icipant, the accou 11t balance is transferred to an account for the surviving spouse and /or dependents , or for an alternate beneficiary, to use for the ir ow n medical expenses (Note : benefits paid to other than a surv iving spouse or dependent will be taxable). !See 032.) • A transaction fee of;_% may be applied to the value of amounts trans.'erred from the Income Preservat ion Fund. Pleast.' consult the current Vantagepoint Funds prosp 9c tus carefully fo r a complete summary of all ft.•es, expenses, charges, financial highlights and investment objectives, risks and perform~1nce information • prior to investing any money. Vantagepoint securities are distributed by /CMA-RC Services • LLC, a broker dealer affiliate of ICMA -RC, member NASDISIPC. For a current prospectus, contact ICMA-RC Services LLC, 777 North Capitol Street NE, Washington, DC 20002· 4240. 1-800-669-7400. INTEGRAL PART TRUff 05: What is the legal bHis for RHS7 ICMA-RC has pioneered a new concept for offer• ing retirement health savings to the public sector through the use of an integral part trust. The legal basis for RHS stems from several private letter rul- ings IPLRs) issued by the Internal Revenue Service !IRS ) which allow non-profit organizations, includ- ing state and local government bodies, to estab - lish "funds " which are deemed to be an "integral part" of the organization . Because the provision of welfare benefits is considered an essential func- tion of the government, the vehicle used to fund the activity is also considered part of the govern- mental entity, and enjoys the entity's tax-exempt status. • ICMA-RC has craf:ud program documents for you to uae b11ed on a PLR obtained from the IRS for an initial adopting employer. Your use of a similar • trust document will provide you with aBSurance that your Program la also within the IRS 's require- ments. (Thia Is Identical to the uaurance provided when you use lCMA-RC's model 457 plan docu- rr.~nts.) A copy of the RHS PLR will be provided to you by ICMA-RC In the Retain Booklet provided in the adoption proceBB (see 014). Since obtaining the original PLR, ICMA-RC's out- side counsel hos issued an opinion broadening the types of contributions which may be made to the plan and permlnlng certain elections by the participant. ICMA-RC is offering these enhanced opportunities as part of the RHS plan design. You may wish to have your benefits counsel review this opinion prior to adoption. An Executive Sum - mary of the opinion is available from your ICMA- RC Retirement Plans Specialist. The opinion of counsel is also available on request. Please note that the information in this document takes i nto account only the federal tax rules relat - ed to ICMA-RC's VantageCare Retirement Health Savings Plan. Prior to implementing an RHS plan , the employer is responsible for detarmining that there are no state or local laws that would prohibit • it from offering the plan or any of the selected options to its employees. 06: Why isn't there en IRS determina- tion letter available for RHS? Although Voluntary Employee 's Beneficiary Asso - ciations ("VEBA ") require an IRS determination letter, Integral Part Trusts are not required to fol- low this procedure. There is also no procedure available for determination leners for Health Reim- bursement Arrangements ("HRA "). (See 012.) HRAs may rece ive Private Letter Rulings (PLRs), and ICMA-RC used this process to establish the acceptability of plan features . (See 05.) 07: What are the requirements for qualifying aa an "integral part" of a governmental employer? In order for a trust to qualify as an "i ntegral part" of the employer, the employer must exert "sub- stantial control " directing the plan and must have "substantial financial Involvement". • "Substantial control" simply means that the employer controls the integral part entity by hold- ing the power to amend or terminate it, and by 3 naming the parties that manage the daily opera - tions of the entity. These parties include trustees appointed _by the employer to hold title to trust assets on behalf of the employer. The trustees can be named solely bv the employer, named in con- j unction with th & employee group(s) covered by the Trust, or ca, be a directed trustee hired by the employer.• ICMA-RC 's model trust egreement gives the employer the authority to amend or ter- minate the trust and to name the trustees . Thus, the requisite level of control is eutomatically pres- ent. "Substantial financial involvement" means that the employer has the primary responsibility for funding the trust. The IRS considers direct employer contributions, mandatory contributions of accumulated unused leave, mandatory contri - butions from compensation , and irrevocably elect- ed pre-tax contributions to be employer contribu- tions (see 019). • Employers that are interested in obtaining the services of a directed trustee can contact ICMA -RC for additional information . 08: What constitutea an eligible employer? Any state or local government employer or its agency or instrument ali ty is eligible to use the program. Employers wishing to pursue adopt ion may contact (800 ) 299-9249 to i nitiate a discussion on adoption. 09: How ,., , RHS compare to a VEBA or 40·, '"' plan? Can theae assets be transferred to an RHS plan? The RHS Program is considerably more flexible and less restrictive than either a Voluntary Employees' Beneficiary Association (VEBA) or a Section 4011h) medical account. The chart on the next page lays out the similarities and differences between these three types of retirement medical funding vehicles . Based on advice of ICMA-RC's counsel, assets of the employer that are in a VEBA may be trans• !erred to RHS accounts for the individual employ- ees covered. Section 401(h) assets may also be transferred; however, the employer should obtain a determination letter on the 401 plan to which the 401(hJ account is ettached to ensure that the quali· fied status of the retirement assets is protected . ~---V1nug.C1ro RHS Slc:tlon 401(hl Account• VEBA• egal Basis Pr ivate Letter Rulings IRC Sect ion 401(h) IRC Section 501(cl(9) and Treas . Reg . • 301 .7701 -1(11(3) Type ■ of Contributions Allowed • Employer Available Available Available • Mandatory Unused Ava il able Unclear+ Ava II able Leave • Mandatory Pre-Available Available with 4141h) Available Tax Employee "pick-u p " • Irrevocable Elective Available Unclear+ Unclear+ Pre-Tax • Voluntary after-tax Available Unclear+ Unclear Employee Limit on Contributions None, except 25 % Limited to 25 % of total None for governmental limit on voluntary Section 401 Plan VEBA after-tax co ntributions (or 33 % of retirement contributions) Tax Treatment Tax-deferred Tax-deferred Tax -deferred of Earnings Types of Benefits • Healt h . Hea lth . Health Allowed • Survivor health benefits . Death Benefit • De minimis account . Other welfare distributions be nefits • Tax Treatm ent of Part icipan t Tax -free Tax-free Tax-free Health Benefits Part icipation . Mandatory Mandatory for Mandatory for . Irrevocable electio n covered employees covered employe es (see 012) Treatment of Assets Balance remains Must revert to Determined by VEBA Remein i ng After available to survivors for the employer provisions: balance may Employee's Death medica l expenses be forfeited back to trust or remain available to survivors Application of Welfare Apply to self-insured, Apply to self-i nsured , Apply to self-insured , Plan Non-Discriminatio n non-col lective ly non-collectively non-collectively Rules bargained plans (see 034) bargain ed plans bargained plans Assets Subject to Claims No No No of Employer's Creditors? IRS Ruling Required? No Part of qualified Yes Section 401 plan determination letter • Please note that the theoretical ability of a 401(h) or VEBA to include a particular feature does not suggest tha. the programs currently offered to local governments are str Jctured with these features. ICMA-RC makes evall • abla an RHS summary chart that may be useful in comparing other programs to AHS . + ICMA-RC is not aware of an existing 401 (hi or VEBA program that allows these feetures. 4 If there ere general assets of the employer that are held for future retiree health care costs, they may be transferred to RHS so long as the individual • employee doesn't have a vested Interest in the useta (i.e ., no option to receive the assets in cash rather then transferring them to the RHS pro- gram). ICMA-RC will work with employers on a case-by- case basis to determine if their existing retiree health assets are transferable and to assure an efficient transition. Employers should also consult with their own counsel. 010: Are aaaeta in th• employer'• Inte- gral part truet acceeeible to the employer end/or ita general cradi• ton? The employer/plan sponsor and its general credi- tors do not have access to the assets in the RHS integral part trust. The assets in the trust are reserved for the stated purpose of being for the "exclusive benefit of the participants and their beneficiaries." This security measure is language similar to that used in describing a trust for quali- fied 40'. and 457 plan assets . 011: How does RHS compare to a • Health Savings Account? Health Savings Accounts l "HSAs") were enacted by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Individuals that are panicipating in a "high deductible health plan" may be able to establish and make contributions, subject to statutory limitations, to lin HSA. The HSA assets are primarily used to cover current health expenses, such as the deductible amount under the health plan. Most insurance premiums, including those of the high deductible health plan, cannot be paid through the HSA prior to age 65. Any HSA assets remaining in the account at termi- nation of retirement can be used to pay for retiree health care costs. VantageCare RHS is primarily a post-employement health savings program sponsored hy an employ- er. There is no need for an individual employee to be panicipating in a high deductible health plan in order to panicipate in RHS. There is no stautory limit on RHS contributions. Insurance premiums may be reimbursed when the panicipant attains the eligibility criteria established in the adoption • agreement. There is no prohibition on use prior to age 65. 5 If you are interested in additional information on the differences between the two types of health savings p(ograms, please contact your ICMA-RC Retirement Plans Specialist or call 1-800-299-9249 . 012: la the RHS Pl ■n ■ H ■-lth Relm- burum ■nt Arrangement? The IRS Issued guidance regarding "health reim- bursement arrangements" or "HRAs" in 2002 . Any retiree or post-employment health savings plan has many elements in common with the specific HRA for which the IRS issued their ruling, though there are several areas within the HRA guidance that don't quite fit the RHS program. Nonetheless, ICMA-RC has determined that it is prudent to fol- low the requirements of the 2002 guidance to gain the comfort of the most recent guidance from the IRS. As such, the RHS program complies with the HRA rules . 013: Does ICMA-RC offer• program specifically for employer prefund• Ing of retiree health care liabili- tiae 7 Yes. ICMA-RC's VantageCare RHS Employer Invest- ment Program ("EIP ") is available to help employ• ers meet the funding requirements of the Govern- mental Accounting Standards Board's "l"GASB") pronouncement on reporting for Other Post Employeme11t Benefits l"OPEB "). including retiree health carp costs. The GASB rules require state and local government employers to account for the cost of promised retiree health benefits over the working lives of employees. By prefunding these costs in a dedicated integral part trust (see 05 through 71 through EIP, employers can offset their financial reproting liability, as well as help assure that the assets will be there to pay the promised benefits . Contact your ICMA-RC Retirement Plans Specialist or call ICMA-RC at 1-800-299-9249 for more infor- mation about EIP. UTABUSHING AN RNI PLAN - DUIGN. ADOP11ON AND IMPLIMINTATION 014: What la tha adoption procedure for aetabllehlng an RHS Plan7 1. The empl~yer first talks to an ICMA-RC Retire- ment Plans S~ecialist and reviews the ber,efits and features of ,:·,c 'IHS program and how they mey apply to the employer's current need, and capabllltlea. A preliminary decl1lon Is made on the following : a. Whether benefit■ will apply to all employ- 111 or to e ■pacific group or collective bar• !}tining unit (If applicable). b. Whet contributions will be made and whet the fun di ng formula(s) will be. c. What medical benefit& the program will reimburse. d. When employees w i ll become eligible for benefits . 2. The employer makes a decision to proceed with the adoption and implementation process . The employer notifies the Retirement Plans Specialist that it is ready to proceed and undertake a complete evaluation of relevant adoption materials . 3. The employer meets with covered employee groups as appropriate. These may include col- lect ive bargaining groups. 4. ICMA-RC supplies the employer with the Van- tageCare RHS Return and Retain Booklets. These booklets contain all materials necessary to adopt the plan. 5. The necessary documents are prepared: VentegeCare Retirement Health Savings Plan Adoption Agreement. ICMA-RC pro• vides this document as pert of the Return Booklet. All specifics of the program are outlined in the Adoption Agreement. (See 015 and 016.) RHS Declaration of Trust. ICMA-RC pro- vides e model trust declaration in the Retain Booklet. (See 015.) • Welfa re benefit plan (if one does not . already exist-see 015). The Retain Book- let includes a sample which may be adopt· ed by the employer. Administrative Services Agreement. This document contains the agreement for the plan administration services provided by ICMA-RC to the omployer's RHS plan . 6 6. ·'. he employer obta i ns governing body approval to estebliah the RHS Program . ICMA· RC pr1ivld11 a modal reaolutlon and model alflrmatlva llatement In the Return Booklet. 7. Employer returns required document■ to ICMA-RC. 8. The employer submit• employee enrollment information via EZLlnk. 9. The employer begins to transmit data and con- tri butions to ICMA-RC via EZ Link (see 039 end 40). 015: What documant■ govarn the RHS Plan? The provisions of an employer's RHS Program are governed by three documents that collectively comprise the VantageCare Retirement Health Sav- ings Plan. All three documents are provided by ICMA-RC as pert of the adoption process. You may alternatively work with your human resources and benefits counsel to develop your own welfare ben- efit plan and RH S Trust documents. VantaaeCare Retirement Health Savings Plan ~: The Adoption Agreement specifies the details of the employer's RHS Pro - gram. For example, the Adoption Agreement details employee eligibility requirements , sources of contributions , the level of contrib:.Jt iv ns, vesting provisions (if any), the types of benefits that will be funded by the RHS trust, and procedures to be followed in case of the death of tt,e employee. See 016 for more information on employer options in the RHS program . BHS Dodaration of Trust: The Declaration of Trust establishes the legal entity ("integral part trust") that holds the assets set aside to pay for employees' retirement health benefits. As part of the adoption process , tCMA-RC provides a model trust agreement that has already received approval by the IRS for another employer for the basic plan concepts . (See 05.) You should check with appropriate coun- sel prior to adopting this document. Alternatively, this document may be drafted by you in conjunction with your human resc.iurces or benefits counsel. However, if you develop your own Trust agreement, it mull be reviewed by tCMA-RC piior to adoption to ensure compliance with Integral part trust rules and r~nforrn ity with ICMA-RC's administration of the RHS program. • • • Tho welfare benefit plan : A written document should be In place In order to offer en\' tax -advan• taged waif are benefit plan , and you rr.ay have one • in place already. This document(&) identifies the underlying benefits available to the employee/ret iree such as medical, dental anti • • long-term care covarage. As part of the adoption agreement process, ICMA-RC provides a sample welfare benefit plan that can be executed If an appropriate plan is not already in place. 016: Whet plan dealgn fHtUrH ere av111leble under the RHS Program? The RHS Program has been designed to both (1) allow the employer flexibility in establishing its Plan to best meet the needs of its employees and (2) minimize the adm inistrative effort by the employer. In completing the RHS Plan Adoption Agreement, the employer may make choices regarding the following features . 1. Emolovee groups : The employer can deter- mine which groups of employees will be included in the RHS Plan (e .g. all employees , full -time employees , or a specific unit of col- lectively-bargained employees). A separate plan should be adopted for eac ' group if dif • ferent features are selected for d ifferent groups. 2. Emolovee olan oart icioation and eliaibil itv crite- ri.11; The employer may make participation by th e covered employees mandatory or elective based on an irrevocable election (see 017) and can establish a minimum age and/or period of service for participation. 3. Contributions: The employer can determine the funding typs and leve ls (e .g., direct employer contributions and /or elective employee contributions). (See 019.) 4. l,ltsling; The employer may establish a vesting schedule ,·or direct employer contributions if desired . II.II employee contributions are auto- matically fully vested .) 5. ~ The employer determines how for- feited funds will be used when an employee separates from service prior to becoming fully vested, or in the rare case that assets must reven to the trust after the participant 's or sur- vivor's death (see 032). 8. Benefit ejjgjbj)lty· The employer determines when participants will become eligible to use their RHS uaet■ for medical benefits (e .g., at retirement or upon attainment of a certain age). (See 027.) 7. Permiaslblo medical boootit1 · The employer can choose the types of med ical expenses that will be reimbursed by the RHS Plan . (See 028.) 8. Pe Minimis benefits · The plan may al low par- ticipants that separate from serv ice prior to attaining benefit eligibility to receive a payout of their account balance of $5,000 or less . The employer may select a de minimis value of less than $5 ,000 if desired . (See 031 .) 017: How much lndh•ldual choice I• permitted? A significant amount of individual choice is avail - able depending on options selected by the employer in the Adoption Agreement. • A plan may permit employees in the covered group to irrevocably elect to participate. Until such time as the employee elects to partici - pate , he or she does not participate in the pro- gram and does not receive or make contribu- tions. Once an employee elects to participate , ther e is no opportunity for the participant to res ci nd participation . Employers may provide an election "window " of up to 60 days. For newly hired or newly eli- gible employees, the election to participate may be effective no earlier than the calendar rr.onth ,allowing the end of the election win- dow. If an employee does not make the elec - tion in the year of initial eligibility, the election may be made in a later ye ar. However, in this case , participation may not begin until the year following the election year. • A plan may permit employees to make a one- time irrevocable election to make pre-tax con- tributions from compensation {either a fixed dolla r amount or a percentage of compensa- tion) on an ongoing basis. Once the election is made, the participant may not elect to receive the contributi,n as cash or part of compensa- tion . (See 019.) • A plan may permit employees to Irrevocably elect to contribute accrued vacation, sick or other leave to the plan. Acc rued leave may be contributed each year or at separation, but only a single election will cover contributions o f accrued leave. (See 019.) • A plan may permit employees to annually make an election to contribute a portion of the followlr,g year's accrual of vacation, sick or other leave . (See 019.) • A plan may permit voluntary after-tax contri• butions . (See 019.) 018: How do your employee ■ get aterted7 1. The employer announces the RHS Plan to employees , notifies them of their eligibility to participate, and informs them of the Plan pro- visions as selected in the Adoption Agree- ment. ICMA-RC will provide an Aanounce - ment Letter which may be used for thi3 pur- pose. ICMA-RC also provides enrollment kits containing forri is and necessary information. 2. The employee completes the enrollment form and any applicable contribution election forms and returns them to the employer. The enrol- ment form includes participant indicative data (e .g., name and address) and a beneficiary designation (see 032). Employees that are not electing to participate (see 017) should not complete the enrollment form . 3. Once the employer receive, the completed enrollment form , the employer verifies the participant's eligibility to participate, and trans- mits the participant data to ICMA-RC via EZ Link (see 040). The employer retains the con - tribution election forn:s and uses the informa- tion on the forms to est · lish payroll process- ing of employee contri tions. 4. ICMA-RC sets up the participant's account that day, if the enrollment information is received prior to 4:00 p.m. East ern lime. 5. ICMA-RC sends the participant a welcome let- ter the business day following the establish- ment of the new account. 6. The participant can make changes to the account, includmg investment allocation (see 026), by Vantageline, Vantagclink or by speaking to an ICMA-RC Investor Services associate. 8 7. If any employees are eligible for benefits upon enrollment, the employer should notify ICMA- RC of Jholr benefit ellglblllty through EZ Link when the employee is enrolled . The employee • should also complete a VantsgeCare RHS Ben- efit Eligibility Form . (See 027 .) C0NTRIBmONs 019: What type ■ of contribution• can be mede to the RHS Plan? All contributions must be specified in the Adop- tion Agreement. These contributions may be any or all of the fo ll owing : • Direct employer contributions+ Direct employer contributions can be either a flat dollar amount or a percentage of earnings for each participating employee. (Note that percent- age-of-earnings contributions may be subject to nondiscrimination testing for non-collectively-bar- gained plans or plans that permit benetit pay- ments for other than insurance premiums. (See 041)), No FICA (Social Security and Medicare) or income tax applies to the contributed funds. and, if used • for pa1ticipant, spouse or dependent medical expenses, no FICA or income tax will be due at distribution . The RHS Program default is immediate 100% vest- ing for direct employer contributions, but, if de~ired, the employer can establish a vesting schedLle . • Mandatory unused leave contributions+ The RHS Plan can also provide a way to defer unused sick, vacation and other types of leave. No FICA or income tax applies to the contributed funds and , if used for participant, spouse or dependent medical expenses, no FICA or income tax will be due at distribution . Ttiese unused leave contributions are mandated by th , employer -employees may not choose V'•hether or not to make these contributions. The contribution formula may provide for annual con- tributions or balloon contributions at the time of retirement. The employer can establish an unused leave contribution formula that best fits the noeds of its covered employees . • Contributions of unused leave ere always 100% vested . •• Mandatory pre-tax tontrlbutlons of compen&a• tion A plan may require individuals to contribute acer- tain portion of their salary. For example, the employer might grant a salary increase of which part is paid to the individual and the other portion directed to RHS for ell covered employees . Alter- natively, the employer might mandate that all or a portion of an incentive payment be contributed to the RHS Plan . Employees may not choose whether or not to make these contributions; they are mandated by the employer. Ma11datory pre-ta,c contributions are always 100% vested. As with mandatory unused leave contributions, neither the employer nor the employee will pay FICA or income tax on the con- tributed funds , and , if used for participant, spouse or dependent med ical expenses, no F1CA or income tax will be due at distribution. • Irrevocable elective pre-tax contributions of compensation or c,.;c rued leave+ A plan may also provide for pre -tax contributions • to be made by the individual on an elective basis . Once elected , these contr ibutions may not be changed or rescinded. Employers may prov ide an annual election "wi n- dow" of up to 60 days for employee elections . For newly hired or newly covered employees , the election to contribute may be effective no earlier than the month following the end of the election window. A participant that does not make t he election in the yea r of initial eligibi lity may make the election in a subsequent year. However, in this casa, contributions will not begin until the year following the election year. Neither the employer nor the employee will pay FICA or income tax on elective pre -tax contribu- tions, and, if used for participant, spouse or dependent medical expenses , no FICA or income tax will be due at distribution. Compensation : The plan may provide for an employer-fixed per- centage (e .g., 5%) that all electing employees • would make, a range chosen by the employer (e .g., 3%, 5%, 7% or 10%), or amployee choice of 9 the percentage (e.~ .• up to 10%J , a ■ long H the election ia Irrevocable . The employer speclfiH the acceptable range or the limit In the Adoption Agreement.• • Employers should discuss with coun,ol the number or range of choices provided to partici- pant:. The IRS guidance upon which this ele.:tion is based consisted of three specific percentages of compensation . Accrued Leava: The employee may also be permitted to irrevoca- bly elect to contribute accrued vacation, sick , or other leave. Accrued leave contributions may be made annually (e .g., all leave in excess of a speci- fied number of hours). or at separation from serv- ice or retirement. A single election covering accrued leave must be made no later than the cal • endar year prior to the contribution . Newly hired or newly eligible employees may make the elec- tion to contribute in the month prior to the month of contribution . Although ICMA-RC ac ce pts these contributions and is confident that the IRS would find them accept· able, employers should be aware that the PLR doesn't cover elective pre-tax contributions of compensation or accrued leave . ICMA-RC accepts them as a result of an opinion of outside counsel , which is available from ICMA-RC . (See Q 5.) • Prosp ect ive election to contribute annual ,eave+ The employer's plan may allow part ic ipants to make an election each year to contr ibute annual leave (sick, vacation , etc.) to their accounts . The election is valid for accruals earn ed during the fQ1: I.Qn1Qg calendar year and may be changed for subsequent years. However, the election may not be revised or rescinded for the imm ediately fol- lowing year. Neither the employer nor the employee w iil pay FICA or income tax on prospective annual leave contributions, and, if used for participant, spouse or dependent medical expenses, no FICA or income tax will be due at distribution . Although ICMA-RC accepts prospective annual leave contributions and is confident that the IRS would find them acceptable, employers should be aware that the RHS PLR doesn't cover prospective annual leave contributions. ICMA-RC accepts t~em as a raault of an opinion of outside counsel, which is available from ICMA-RC. (See 05.) • Voluntary after-tax contributions• Up to 26% of total RHS plan contributions may be voluntary after-ta• participant contributions, (These contributions are the only RHS contrlbu• tions subject to FICA and income tax .) Earnings on these contributions are tax-deferred , and bene- fit payments are , of course, nontaxahla if used for partici pant, spouse or dependant medical expense reimbursements. These contributions should be tested ior the 25% limit at the plan level although the er,,ployer may wish to set a partici pant level limit as well. The contributions may oe st arted and stopped by the participant as permitted by the employer. Althougt 1 IC MA-~C accepts these contributions an CI is confident that the IRS would find them acce ptable , employers should be aware that the PLR doesn't cover voluntary after-tax cortribu- tions. ICMA-RC accepts them as a result of an opinion of outside counsel. (See O 5.) + These contributions are treated as employer contributions by the IRS and not subject to FICA or income tax. Since they are considered employer contributions by the IRS, these con- tributions satisfy the requirement for #sub- stantial financial involvement " as required by the integral part trust rules (see 06). However, ICMA-RC will recordkeep the contributions separately in employer (subject to vesting) and employee pre-tax (mandatory leave, mandato- ry pre-tax and elective pre-tax} sources. ~ Voluntary after-tax contributions will be source d separately and are subject to FICA and income tax . Q20: Hr>w are RHS contributiona report- ed on the emplryee'a Form W-27 Beca\.1S8 direct empioyer and pre-tax emplcyee contribu ti ons (whether ma•1datory or irrevoi;ably elected) are not taxable wages and are not subject to FICA taxation (see 037), these cor.tributions are not reportable at all on Form W-2 . (The employer may report these contributions for information purposes i n Box 14 "Other", if desired.) Employee voluntary after-t ax contributions to the RHS Plan are subject to both income and FICA tax- 10 atlon. These contri butions are reportable as Gron Wages and FICA Wages (Boxes 1, 3, and 5), There 11 no raqulred reporting in Form W-2, Box 12, for any RHS Plan contributions . 021 : Wh ■t ■r■ aom• ■x■mpl ■• of contri- bution• ■llow■d by ■mployera7 Emp)oyer #1 has chosen to provida all of the fol - lowing types of contributions for employees : Flat dolla r contribution for all employee~ 1,1 •he amount of $350 to a reimburs er1e nt account covering all medical expenses ; I % of each full -time employee's salary above $35,000 as a direct employer contribution to an acco Jnt that re im burses only for insurance premium reim bursement in order to eli minate any potential for nondiscrimination issues (see 034); 10% of an emplo yee's accumulated sick leave at the time an emp loyee leaves service witt-, the employer, if the employee has at least 10 years of service with the City. Emp)oyer #2 contributes $1,300 per employee per • year. In addition, at retirement , the dollar equiva-• lf!:nt of accrued va cation and sick leave up to $40,000 per retiree is contributed on a mandatory basis. Emolover #3. contributes on a mandatory basis : • Annual unused sick leave as prescribed in the existing employee contract ; • One-time bonuses and awards ; • Annual unused vacation accru als exceeding 320 hours; • Annual unused administrative leave , not to exceed 64 hours ; • All unused sick leave not to exceed 500 hours upon retirement or other separation of service ; • All unused administrative leave and vacation accrual on retirement or separation. Emolover #4 contr ibutes direct employer contribu - tions equal to 3% of compensation per employee, • plus additional 1 % of compensation for employees • • • contributing annual leave of 16 hours per year. An employee who hes accrued 40 or more hours r,f unused annuel leave must contribute on a mend ■· tory b11l1 all such leave over 40 ho~ra to I ma•I• mum of 16 hours per year. Employee #6 granted 1 1% aalory Increase which must be contributed to RHS II a mandatory pre· tax employee contribution. Panki pants may Irrev- ocably elect to contribute a whole percentage of salary as a pre-ta• contribution; the contribution may be from 1 to 5% of salary. The participant may irrevocably elect in the year prior to retire - ment eligibility to contribute accrued vacation and sick leave at sepa :-ation from service. Emolover #6 may make a discretionary direct employer contribution; the level of the contribu- tion will be determined each year by the govern · ing board. In some years, no employer contribu- tion will be made. A mandatory accrued sick leave contribution will be made on behalf of ell partici- pants that elect to make et least e 1 % of compen• sation contribution, or to contribute at least tJ hours of vacati on leave on a prospective basis. Participants may irrevocably elect to contribute up to 10% of compensation on a pre-tax basis. In addition, participants may make a prospective election to contribute the followi;ig year's •1 acation lea ve in 8-hour increments. Ot her employers use age, years of service end date of hi re as part of th e formulas that deter mine contributions. 022: Are there limit• to th& am'.lunt of contribution• that ma\• b1t made in a given year7 There are no percentage or dolla r limitations on the amount of contributions to RHS made on a ta•·•dventaged basis to RHS . T~e only currant limitation is that no more than 25% of total plan contributions (or 33 1/3% of pre-ta• employer end employee contributions) may be voluntary after- tax contributions. The employer may want to consider placing a rea - sonable fixed dollar limit 01 elective pre-ta• con- tributions, in order to ensure the RHS pron rem does not provide benefits in excess of re fi aonable benefits normally provided by such e w elfare plan . 11 023: How ara tha contribution ■ ooordl• n■ted with Section 417 and 401 pl ■n17 Contribution, to RHS are not coordinated with and do not off11t contribution, that may b~ made to Sect ion 457 and 401 plan,. Howeve,, there may be an Ind i rect impact relative to mandatory and elective pra-tax contrlbu:Jc.,,a, Since these contri- bution, reduce "gro11 comp~o11tlon" for Form W-2 purposes, they may lower the base on which the contributions to a 45; or 401 plan are calculat- ed , d•pa11dlng upon the terms of the 457 or 401 pla 1 . ICMA-RC's model 4b 7 end 401 plan docu - ments i nclude RHS c~ntributions es compensation for retirement plan contribution calculations (see 0191 .• • Nore that RHS contribuliors will not be counted as compensation for purposes of the statutory limits on 457 and 401 plan contributions. 024: Ara contribution• made to the account included In Mpan ■ion­ ■blaw compan ■ation7 The definition of compensation covered by the employer's pension will need to be examined to determine whether any of the RHS contribution types ere considered pert of compensation on which penalon benefit calculations are made . The employer should contact the pension plan provider to determine proper treatment. 021: Whan doH tha employer make contribution•? The employer can elect to se nd contributions to ICMA-RC et any Interval (e .g., weel:I " bi -weekly, monthly, quarterly, annually, at reti,l,,ne nt or at sr,me other prearranged date). Th e employer can re nit the contributions via check o r electronic fur ds transfer (EFT). l'LAal INVUTIIIINTS 028: Where wlll RHB a ■■■t• be invHted7 The investment funds available to RHS partici- pant, ara ICMA-RC'1 Vantagepolnt Fund•*· These 19 fund, conIiIt of nine actively mannged fund,, five model portfolio f•Jntt,. ,nd five •~.dax funds . Upon Initial anrollm,·nt In the RHS Program, a par- ticipant's invastment allocation 11 automatically established as the Vantagepolnt Money Mark,•t Fund•. The participant may subsequently cha, ge the investment allocation for future contributions at any time through ICMA-RC 's VantageLlne ltoll- free automated service line), VantageLink !Internet Web site), or an ICMA-RC Investor Services Repre- sentative. Additionally, existing balances can be transferred among the Vantar,epoint Funds at any- time through VantageLine, VantageLink, or an ICMA-RC Investor Services I1epresentative. When ICMA-RC is notified of a participant's death , the account balance will automatically be trans- ferred into the Vantagepoinl Money Market Fund. Moving the account balance into the Vantagepoint Money Market Fund may provide protection to the employee's spouse/dependents or beneficiarylies) against a market downturn. Th i .. will avoid poten- tial problems arising from a reduction in the value of a participant 's account due to a dn .. p in the mar- ket . The spouse/dependents or beneficiarylies) may transfer the account balance from the Money Market Account into the investments of their choice at any time. ::t A transactio., fee of-'% may be applied to the value of amc:.nts transferred from the Income Preservation .Cund. Please consult the current VsntageJ.,oint Funds prospectus carefully for a complete summary of all fees, expenses, charges, financial highlights and investment objectives, risks and performance information prior to investing any money. Vantagepoint secu rit ies are distributed by ICMA-RC Services LLC, a broker deafer affiliate of /CMA -RC, merrber NASO/Sf PC. For a current prospectus, c,:,.o tact ICMA -RC Services LLC, 777 North Capitol Street NE, Wa shington, DC 20002- 4240. 1-800-069-7400. An investment in the Vantagepoint Money Market Fund is neith er insured nor guaranteed by the U.S. Government and there ca n be no assurance that the Fund will be able to main - tain a stable net asset value of $1 .00 per share. MEDICAL BENEFITS AND PLAN DISTRIBUTIONS 027: At what point are amployeaa eligi- ble for and what procedure do they follow to begin receiving medical banefita7 The employer determines the benefit eligibility cri- teria for participating employees via the Adoption 12 Agreement (see 015). The RHS program hes been designed to allow the employer the flexibility to choose the benef,1 eligibility criteria thet best meets the needa of Its employee group. For exam-• pie , the employer might select separation from service or Hretirement"• as the appropriate time for benefit eligibility. Alternatively, a specific age (e .g., 65) could be chosen , or a comlilnation of separation and a specific age. • If the employer selects •retirement " as the pri- mary eligibility criteria, a secondary criteria {e .g., age 55) must also be provided for. Employees that separate from service prior to Hretirement H will become eligible for benefits under the se co ndary criteria. There are two steps that must be taken when an employee becomes eligible for medical benefits . Benefit payments cannot be processed until both steps are completed. • The employer must notify ICMA-RC vie EZ Link (see 040) when an employee becomes eligible under the employer's chosen cri teria . • Th e employee must co mplete and send the VantageCare RHS Plan Employee Benefit Eligi- bility Form to Zenith Administrators, Inc , ICMA-RC 's third party claims administrator • (see 034). This form provides information on the spouse and eligible dependents to Zenith. The employee will then be able to submit reim- bursement requests directly to Zenith on the Van - tageCare RHS Plan Benefits Reimbursement Request Form, available through the employer, ICMA-RC , or Zenith . Medical expenses incurred before the participant is eligible will not be reim - bursed. 028: What medical benefit• can be pro- vided to participating employeea 7 When adopting th • RHS Plan , the employer chooses the medical benefits that will be offered to participating employees. The employer may offer reimbursement for ell qualifying medical expenses as defined in Internal Rev enue Code Section 213 (i.e., medical costs that would other- wise be deductible to the employee on his or her in dividual income tax return) other than direct long-term care expenses.• • Direct long -term cars expanses are defined as • amounts paid for long-term care (of a custodial rather than medical nature) other than through a • • • long-term care insurance policy. Long-term care insurance premiums are an allowable eJ1penses un1er the RHl plan . Alternatively, the employer may choose the bone• fits that will be provided. Fo r example, reimburse• ments may be made aveilable only for health insurance premiums, COBRA premiums, Medicare supplemental insurance premiums, dental insur- ance premiums, out-of-pocket medical costs, qual• ified long-term care insurance, etc . The employer may allow reimbursement for only one benefit, or for any combination of qualifying medical costs . Information about what constitutes a qualifying medical expe nse can be found in IRS Publication 502, Medical and Dental Expenses, availat>le on the IRS Web site at http://www.irs.gov/ and in the RHS Employer Manual (see 044). Generally, the expenses permitted ere all expenses "paid for diagnosis, cure, mitigation, treatment, or preven- tion of disease, and for treatments afferting any part or function of the body." Insurance premi ums covering these expenses are also permissible, as are expenses for certain over-the-counter medica- tions. Cosmetic surgery and expenses that may be merely beneficial (such as vacations) are not per- missible. 02~: What circumstances permit a par- ticipant to receive aBBeta from tha account? As the sole functio n of the trust is to provide for medical expenses for th e participant, spouse, dependents, and survivors, t here are no other cir- cumstances under which the participant may receive account assets, except in the case of de minim is accounts (see 031 ). 030: Are there any emergency with- drawal provisions? Unlike Section 457 plans, there are no provisions for withdrawals in the event of a financial hard- ship. However, an RHS participant that is eligible for medical ex pense reimbursement will be able to use RHS assets in the event of a medical emer- gency or hardship. 031: What happens when a participant leavea the employer mim: to benefit eligibility? When an employee separates from service, imme- diate lump-sum payment will be made if the account balance is de mir1imis. A de m i r imis ban- 13 efit Is provided for employees that sep1rate from service and aro not booefit eligible on mWll.a.n (see 027) with vested account balarces of $5,ooo• or less . I, :1 par.i1..iµo~! is benefit-P.:1glble upon se p- aration or has a balanr.e c,f mor•, than $5,000, the de minimis provision will n'".lt ,-pply. • The employer may sele,.t an amount lower than $5,000 or may chc ose not to include the de minimis benefit. In the situation where a separating participant's account balance is not de minimis, the employer's plan will provide for medical benefit eligibility either immediately or at a future date (e .g., age 65). (See 027.) See 037 for a discussion of the tax treatment of de minimis benefits. 032: What happens to the account bal• ance when the participant dies? An important feature of the RHS Program is that it provides for continuing benefits for survivors of deceased participants. • ~c:oouse and/or deoendentlsJ : Upon the participant's death, remaining assets will be transferred to an acco unt for continuing tax-free use by the surviving spouse and /or dependents for their own qualifying health expenses. If there are assets remaining upon the death of the spouse and all dependents, they will continue try he available for medical expense use on a taxab1 e basis by the named beneficiary(ies) of the last spouse or depend· ent to die. This taxable use by a named bene· ficiary(ies) will continue until there are no longer any asse ts , or no named beneficiary can be located . At that time, any remaining assets w i ll revert to the RHS trust to be used as a "forfeiture" in the employer's RHS plan . • No survivin g spouse or deoendent(s): It the participant is not survived by a spouse or dependents, the account assets will be trans- ferred to an account for medical expenses on a taxable basis by the named alternate benefi• ciary(ies) of the participant. If assets remain in the account upon the death of the named beneficiary(ies), they will continue to be used on a taxable basis for health expenses of the beneficiary(ies) of the participant's beneficiary. This taxable use by a named beneficiary(les) will continue until there are no longer any assets, or no named beneficiary can be lo cat- ed. At that time, any remaining assets will revert to the RHS trust to be used as a "forfei- ture" In the employer's RHS plan. In tha cue of medical expenses relmburse- menll for a non-spouul or non-dependent beneficiary, no payments will be allowed until the year following the year of the participant's death. This will ensure that no FICA taxes will be due on tha disH butions. See 037 for a discussion of tho tax treatment of survivor benefits. rul3: Who wlll pay medical benefit claims? The participant (or his/her survivor) will make the initial payment for medical expenses that are paid directly to the service or insurance provider. The employer may also make the initial payment for insurance premiums. Reimbursement for eligible benefits (whether direct expenses or insurance premiums) will be handled by Zenith Administrators, Inc., a third- party administrator hired by ICMA-RC (see 028). Zenith will reimburse the participant or employer on receipt of completed benefit reimbursement forms. An exception to this procedure exists for situations where the participant has recurring expenses fe .g. insurance pay,nents). In this case, reimbursem en 1 can be made on an automatic pay- ment ba sis to the participant after the appropriate- ly completrrl re quest is filed with Zenith. In situations where the employer pays insurance premiums on behalf of the participants, the employer may request reimbL,rsement directly from Zenith by using the approi)riate form. An automatic reimbursement can bb es tablished for recurring premium payments. 034: Who is Zenith Administrator ■? Zenith Administrators, Inc., is a third-party claims administrator hired by ICMA-R C to perform administrative services for the RHS i:;rngram as directed by ICMA-RC. Zenith is well -ve rsed in medical benefit claims processing (its 70 0 employ- ees currently serve 400 client funds), and is famil - iar with the workings of lCMA-RC's RHS Program. All questions regarding claims should be directed to Zenith at 1-800-788-5885. Please request to speak with the ICMA-RC VantageCare RHS claims representative. Zenith's claims representatives are available from 9:30 a ,m. to 5:30 p .m . Eastern Time. 74 0311: I• Zenith Administrators HIPAA compliant? Zenith Administrators, the third party claims • processor utilized by ICMA-RC for the RHS pro- gram (see 034), has instituted procedures to com- ply with Health Insurance Portability end Account- ability Act of 1996 ("HIPAA") requirements . At the request of employers, ICMA-RC will sign HIPAA "business associate " agreements after legal review of the agreement. 036: What I• the procedure for reim- bursement? How long does It take? When a participant becomes benefit-eligible, the employer notifies ICMA-RC and the participant notifies Zenith Administrators (see 027). The par- ticipant may then submit medical claims to Zenith Administrators for reimbursem ent on the Vantage- Care RHS Plan Benefits Reimbursement Request Fo rm . Zenith reviews the claim to ascertain that the individual is benefit-e ligible and that the expense is one covered by the employer's plan . 1f these conditions are met, Zenith will process the claim and coordinate payment with ICMA-RC . All claims will be paid, suspended, or denied in writ- ing within 30 days . If claims are denied, there is an appeal process, which ends with a final determ i-• nation on any denied claim by the employer. The RHS Plan Employer Manual includes a detailed description of the appeal process (see 044). TAXES 037: How are payments from RHS accounts treated for tax purpose■? RHS benefits peid in the form of medical expense re imbursements Nill never be taxed to the partici- pant, his or her spouse, or dependents (whether paid before or after the death of the participant). No income tax withholding or reporting ls required, and the benefits need not be reported at all by the recipient on his or her income tax return . De minimis benefits and medical expense reir,- bursements paid to a non-spousal /non-depeno~nt beneficiary, on the other hand, are taxable ban.• lits. In these instances, the recipient of the fund, (either a beneficiary or the participant) will rece ive a tax reporting form, and income tax will be • payable. In the case of de minimis benefits, FICA taxes will also be payable. (See 031 .) • 11111:)meT~•n Typo ol llHS klOllt llthollfMftl •-II Income lncomeT.-1 T11 Wllhhlldl Medical benollll No No p1ld to employee ' Medical benefits No No psld to spouse/dependents Med ical benefit Yao -to ba_neficlory No paid to non-1pou11, receiVlng non-dependent the paymant . beneficiary (In year followi~g . y~a,r ot d~~th or ' ' lsterl.(Sae 03~.) ,,)~ De Mlnlmis YBs • to participa nt Yes account payout (See 031 .) • OASDI = Social Security and HI = Medicare • The chart above outlines the tax rules for RHS payments . • 038: What I• the amployer'• respon•I• blllty with respect to tax report- Ing and remittance? The responsibilities of Zenith and the employer relative to FICA taxes and federal and state income taxes are outlined in the RHS Plan Employer Manual (see 044.) For de minimis payments, the distribution will be sent by Zenith to the employer, along with a transaction summary. The employer will then cal- culate, withhold, and transmit the employer and employee shares of FICA (if applicable) as well as the applicable Federal and state/local income taxes and pay the net amour! to the participant. The employer includes the distribution on the employee's W-2 as FICA and income tax wages. Survivor benefit payments made In the form of medical expense reimbursements to a beneficiary (other than the participant, spouse, or depend- ents) are taxable. These payments will be made only in years following the year of the partlci- 15 Tu • Raportlng FICA by ..'.. llltm/l.c<allnaomt IIOAIDI/HI' T1aWlthheld1 Wllhhlld ~ Appllclbll7 No No NIA . " ·,,' ... , No No NIA No No· OASDIIHI taxeaare not rsqulredto be paid -~ ·•. Yes , if required Yes -if employee Employer by state/local law was covered by OASDI and /or HI pant 's death . This will ensure that no FICA taxes will be due on the distributions. ICMA-RC will prepare Forms 1099-MISC for the total reimburse- ment made to each beneficiary. No income tax withholding win be performed. The beneficiary is responsible for payment of income taxes either through estimated payments or when his or her income tax return if filed . ADMINISTRATIVE 039: Are there any ongoing employer responalbllltles reletad to the administration of the RHS Pro- grem7 The pri;nary responsibilities of the employer are to provide enrollment materials to employees when they become eligible to enroll in the Pro- gram and to send RHS contributions and contribu- tion detail to ICMA-RC. Ongoing responsibilities include the following: Provide enrollment data via EZ Link (see 040) for employees participating in the Plan . Retain file copies of employee enrollment and change forms . Submit all RHS Plan employee information changes (a.g., address changes) via EZ Link. Provide benefit eligibility dates, termination dates, and rea~on for termination via EZ Link , Remit withheld employee FICA, federal and state income taxes to the appropriate taxing authori- ties and file Forms W-2 for any de minimis bene- fit (see 038). 040: What Is EZ Link? EZ Link is an Internet-based program developed by ICMA-RC that provides employers with g '•ater con- trol over plan admi nistration. EZ Link gives employ- ers electronic access to a wide range of plan specific information, transaction -processi ng capabilities such as contribution processing , enrollments and indica- tive data changes and keeps employers up-to-date on the latest in plan change s. RHS Plan administra• tion is done almost enti rely through EZ Link • partici- pant enrollment. acc ount changes, ben ef it eligibility notification, and termination notification are all com- municated to ICMA-RC electronically via th e Internet . More information on EZ Link is available from the Employer Services Unit of the Investor Services Divi- sion at ICMA-RC's Corporate Office . Pleas e call (800) 326-7272. Q41: Are there nondiacrimination require- ments that apply to the RHS Plan? As with y our other health and welfare benefit plans , RHS plans are generally covered by nondiscrimi na- ~i on requirements found under Internal Revenue Co de Section 1051h). Th ese rules are similar to the non-discrimination rules that apply to cafeteria plans and flexible spending accounts . There are two ci rcumstances under which an AHS pl an will not be subj ect to these requ i rements: 1. If your RHS Plan is limited to one or more collec- tive bargaining groups. 2. If your RHS Plan limits reimbursement to insur• ance premiums only (health insura nce p remi - ums, Medicare supplemental insurance premi- ums, Medicare Part B insurance premiums, COBRA insurance premiums, long-term care insurance premiums, etc.) 16 If your RHS Plan falls into one of the two catsijorles above, health and welfare nondiscrimination require- ments will not apply. What does all th is mean for your RHS Plan? It means that if your plan covers only a collectl 10 bargaining unit or only reimburses insurance premi- ums, you can establish It without concern for tho nondiscrimination requirements. Otheiwlse, you need to consider the nondiscrimination requirements when developing your Progra m. Planr that do not meet nondiscrimination requirement. ,re not disal- lowed; they must test benefit reimbursements . Should your plan be determined to not meet the nondiscrimi nation requirements, the effect will be that the non-insurance benefits paid for your highly compensated employees may be axable to those individuals . You may want to consider talking to your benefits counsel regarding your re sponsibilities for teating nis and other welfare benefit plans . Q42: What typas of reports will employer• and employee ■ receive? The RHS ~ will rece ive two types 01 sta te- m ents for an RHS Plan - Quarterly Summary Plan Statements prov ided by ICMA-RC and listing information on contribu- tions, investment earnings , and d istributions for all participating employees. The statements will use the same format as ICMA-RC's 457 ao1 401 retirement plan statem ents . • Quarterly Disbursement Aeport provided by Zen ith Administrators , Inc . summarizing all claims paid out of the employer's RHS Plan . This quarterly Disbursement Report w i ll outline on an aggregate basis, as well as on a per-porticipant basis, the typ es of claims paid (i.e ., insurance, other medical, and de minimis).* This report will allow the employer to track participant usage of its RHS Plan . • Protected health information (sea 035/ will not be included in the qu arterly disbursement report. The employer will also receive confirmations of con- tributions and reinvested earnings. Note : all employer-level reports will be sent to the employer's RHS Trustee . If the employer is not the Trustee, the employer may request a copy be sent to itself as well. • • • RHS p1nlclp1nt1 will rece ive Quinerly Summery Pian St1tement1, 1howlng the activity In their Individual RHS 1ccount1. P1nlclp1nta will 1110 receive conllrmt• • ona of benefit peymenta, 1ddre11 changaa, Invest• ent allocetlon changoa, and fund to fund tran1fera. 043: Wh ■t fH■ do ■■ ICMA-RC '.'h ■rg ■ for th■ RH8 Program? ICMA-RC does not charge any e1.,,:loyer-level fees for the RHS Plan . Each quarter, the following fees wili ~e assessed to panicipant accounts . These fees will be reflected on perticipants' quarterly statements. • Account fee · An annual ac count fee of S30 will be charged to the participant's account on a quarterly basis ($7 .50/quarter), and • ~ An annual asset fee of 30 or 40 basis points (0 .30 % or 0.40 % of the account) will be assessed to the parti cipant's account on a quarterly basis. Your ICMA-RC-administered 401 and 457 plan average • articipant account balance determines the asset fee at w i ll apply to your RHS Plan . If your average par· tici pant account balance totals $25 ,000 or more, the annual asset fee will be 30 basis points (0 .30 %). If your average participant account balance is less than $25 ,000 , or if you do not have a 401 or 457 plan with ICMA·RC, the annual asset fee will be 40 basis points (0 .40 %). (When the av erage participant account ba l· an ce in your ICMA-RC-administered sectio n 401 rmd 457 plans totals $25 ,000 or more (based on the bal · anc es in your retirement plans on the last da y ot the previous quarter), ICMA-RC will reduce the annual asset fee to 30 basis points (0 .30 %) for the subsequent quarter. Once the fee is set at 30 basi s points it will not subsequently be increased if av erage account balances go below $25 ,000). Fee example · If a participant's account balance as of the close of the priJr quarter was $10 ,000 and your plan has an annual ar,set fee of 40 basis points, the fee charged to the par• 'cicipent's account for the quarter will be $17 .50 : a $7 .50 account fee plus a $10 asset fee . For de minimis benefits (if applicable to your plan), t>:MA-RC will assess a flat $25 fee , which will be col- lected through the sale of shares in the participant's account Just prior to the peyout. RHS feea are subject to change with eppro priate prior notification. IIUOUIICU 044: Wh■t Information wlll I r■c■lve to ■■■l ■t In ongoing pl ■n ■dmlnl­ ■tr■tlon? The VantageCare Retirement Health Savings Plan Employer Manual is ava i lable on line through EZ Link, the required portal for submission of enrollment, con• tribution, termination and eligibility information to ICMA-RC (see 040). Th is document is invaluable in detailing all tho administrative procedures involved in maintaining an RHS plan . You ma y download and pri nt this manual ii desi reu . The Manual includes as exhibits all forms used in plan administration , a copy of Publi• cation 502 (the IRS publication detailing eligible med• ical expenses), and examples of confirmations for v ari - ous transaction s. 045: Whom ahould I c ■II with other quea- tion• regarding the RHS Program 7 Fo r adoption questions, your ICMA-RC Reti rement Plans Specialist (RPS) is the best starting point for questions about RHS . He or she can point you to an RHS expert at ICMA-RC for techn ical or complex inquiries . II you don't ha ve an RPS or don't know who the individual is, you may call (8001326 •72 ·,2. For EZ Link questions, supplies of publication s and forms and administrative assistan ~e once you have adopted the plan , you may contact RC 's Employer Ser· v ices Unit (ESU) in the Investor Services Division at (800) 326-7272 . Employees will be provided a separate number to call in the program materia l they are pro- v ided at the t i me of adoption . 17 ICMA RETIREMENT CORPORATION 777 North Capitol Street, NE Wash ington, DC 20002-"240 1-800-299 -9249 www.ic marc .org BRC000-050-0604-30-C331 June 2004 • • • • • • COUNCIL COMMUNICATION Date: Agenda Item: Subject September 18, 2006 9 c I Resolution approving the Retiree Health Savings Plan Initiated By: I Staff Source: Human Resources Sue Eaton , Director of H1Jman Resources PREVIOUS ACTION This was discussed by Ci ty Council at the September 11 , 2006 Study Session . RECOMMENDED ACTION Staff •~commends that City Council approve, by Resolution, implementation of a Retiree Health Savings Plan. BACKGROUND, ANALYSIS, AND ALTERNATIVES IDENTIFIED The Rt tiree Health Savings Pl an, administered by ICMA Retirement Corporation , was researched by an inter-departmental committee for purposes of establishing a plan through w hic:, the City could enable employees to save, tax-free for medical expenses after separatio n of employment from the City. Key elements 0f the plan include the employees ' options to contribute: • A pe rcentage of compe nsation to the plan, • All or a percentage of unus ed personal lea ve to the plan , • All or a percentage of longe vity pay (for those receiving such pay) to the plan, • All or a percentage of sick lea ve bank pay (for those receiving such pay) to the plan, and • All or a perce ntage of any paid leaves that would otherwise be paid out upon separation from employment. FINANCIAL IMPACT There is no financial impact to the City. All contributions to the plan are employee contributions. LIST OF ATTACHMENTS Resolution