CCR2007249.
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COMMON COUNCIL - CITY OF MUSKEGO
RESOLUTION #249-2007
APPROVAL OF AMENDMENT TO HEALTH REIMBURSEMENT
ARRANGEMENT (HRA) PLAN DOCUMENT AND ADOPTION AGREEMENT
WHEREAS, The Common Council approved a Health Reimbursement Arrangement
(HRA) Plan Document and Adoption Agreement in January of 2007 with the adoption of
Resolution #018-2007; and
WHEREAS, The Finance Committee reviewed and recommended a higher deductible
for 2008 with the City funding the change in deductible amount; and
WHEREAS, The HRA Plan Document for the City's Section 105 program must be
amended to reflect the change in the deductible amount; and
WHEREAS, The Finance Committee has reviewed the attached amendment entitled
"Exhibit A" and has recommended approval to the Common Council.
NOW, THEREFORE, BE IT RESOLVED That the Common Council of the City of
Muskego, upon the recommendation of the Finance Committee, does hereby approve
the attached amendment to Health Reimbursement Arrangement (HRA) Plan
Document and Adoption Agreement (Exhibit A).
DATED THIS 11th DAY OF December ,2007.
SPONSORED BY:
FINANCE COMMITTEE
Ald. Bob Melcher
Ald. Neil Borgman
Ald. Keith Werner
This is to certify that this is a true and accurate copy of Resolution #249-2007 which
was adopted by the Common Council of the City of Muskego.
12/07jmb
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EXHIBIT A
AMENDMENT TO THE
City of Muskego
HEALTH REIMBURSEMENT ARRANGEMENT
Plan Document 8r. Summary Plan Description
The Plan Sponsor Section of the Adoption Agreement is revised to read as follows:
Maximum Plan Year Reimbursement Amount
Single Deductible:
Employee Plus One Deductible:
Family Deductible:
$ 1,750
$ 3,500
$ 3,500
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CITY OF MUSKEGO
Staff Report to Finance/Common Council
To: Common Council Re. Strategic Goal #: (for future use)
From: City Administrator Presenter(s): Jennifer Sheiffe~~
Subject: Topic for Presentation/Report to Common Council: ].Cpî\,val of
Amendment to Health Reimbursement Arrangement (HRA) Plan Document and
Adoption Agreement
Date: December 6, 2007
Background Information:
The City is required under IRS Section 105 rules to have a Plan Document for our health
reimbursement accounts. The City set up the Section 105 program as a tool to reimburse
employees for City funded health insurance deductibles.
As you will recall, Council approved moving to a health plan deductible of $2,000 per
indiv./$4,000 per family. The employees share of that is $250/$500 if it is needed and
the City would pay the balance if it is needed ($1,750/$3,500).
Key Points and/or Information for Discussion (Maximum of 5):
1. Since we are changing the deductibles from what we initially set up, we are required
to amend the Plan document accordingly and distribute that to employees.
Recommendation for Action by Finance/Common Council: Approval ofthe
resolution amending the HRA Plan Document to reflect the new deductible amounts and
City funded share.
Fiscal Note(s): N/A
Total $ Requested: $0
Amount of Total Requested Budgeted:
Amount of Total Requested Unbudgeted:
Expenditure Account(s) number recommended be used: