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3.04 Mid-Plan Year Election Changes. <br /> An eligible Employee may enroll in Qualified Benefits, change prior elections, or cease <br /> participation in Qualified Benefits during a Plan Year only under the following conditions: <br /> a. The Employee or a Dependent experiences a Qualifying Event that is listed under <br /> Section 125 of the Internal Revenue Code, as amended. Such Qualifying Events <br /> include but are not limited to marriage, divorce, legal separation, adding an eligible <br /> dependent, losing an eligible dependent, or a change in employment that affects <br /> eligibility for coverage including changes pursuant to FMLA. <br /> b. The Employee must notify the Human Resources Department of the Employer of <br /> the Qualifying Event and any desired changes in elections in writing on an <br /> Employer-approved form or electronic enrollment system on or before 30 days after <br /> the Qualifying Event. <br /> c. Any requested changes in elections (whether a new election, change or ceasing <br /> participation) must be on account of the Qualifying Event and consistent with the <br /> nature of the Qualifying Event. <br /> Except for special enrollment rights required by HIPAA for birth, adoption or placement <br /> for adoption for a child, all election changes will be prospective and will take effect on the <br /> date determined by the Plan Administrator. <br /> 3.05 Effect of Termination of Employment and Loss of Eligibility on Elections <br /> Termination of employment or cessation of eligibility will automatically revoke any <br /> elections made under this Plan. The effective date of such revocations will be determined <br /> by the Plan Administrator and may vary for each Qualified Benefit. Participants may have <br /> rights to continue certain Qualified Benefits under COBRA. Rehires that meet all <br /> eligibility requirements may make new elections in the Qualified Benefits subject to <br /> availability and timing with respect to the Plan Year. <br /> ARTICLE IV—BENEFIT FUNDING <br /> 4.01 Source of Benefit Funding <br /> The cost of Qualified Benefits may be funded through any or all of the following: <br /> • Employee pre-tax contributions <br /> • Employee post-tax contributions <br /> • Conditional Employer contributions <br /> The Employee's cost of each Qualified Benefit shall be reduced by conditional Employer <br /> contributions, if any. The Employee's contributions, if any, shall be pre-tax if made via <br /> payroll deductions and permitted by Section 125. Employee contributions made by some <br /> Page 7 <br />