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CCR2002113AMENDED COMMON COUNCIL - CITY OF MUSKEG0 RESOLUTION #I 13-2002 ACCEPTANCE OF PROPOSAL SUBMITTED BY AFLAC FOR FLEXIBLE SPENDING CAFETERIA PLAN WHEREAS, The City desires to initiate a Flexible Spending Cafeteria Plan for employees; and WHEREAS, The Finance Committee, in consultation with the City's Finance Director, reviewed proposals submitted by Eflexgroup.com and AFLAC to perform the reimbursement services of the plan for the City; and WHEREAS, The Finance committee has recommended acceptance of the proposal submitted by AFLAC at a monthly cost of $4.50 per participant with the company waiving the initial set-up fees. NOW, THEREFORE, BE IT RESOLVED That the Common Council of the City of Muskego, upon the recommendation of the Finance Committee, does hereby accept the proposal submitted by AFLAC to perform the reimbursement services of the City's Flexible Spending Cafeteria Plan for 2002 at a monthly cost of $4.50 per participant. DATED THIS 14th DAY OF Mav ,2002. SPONSORED BY: FINANCE COMMITTEE Ald. Rick Petfalski Ald. David Sanders Ald. Nancy Salentine RECONSIDERED, AMENDED AND ADOPTED MAY 28,2002 This is to certify that this is a true and accurate copy of Resolution #I 13-2002 which was adopted by the Common Council of the City of Muskego. 5/2002jmb PROPOSED AMENDMENT COMMON COUNCIL - CITY OF MUSKEGO RESOLUTION #I 13-2002 ACCEPTANCE OF PROPOSAL SUBMITTED BY AFLAC FOR FLEXIBLE SPENDING CAFETERIA PLAN 1 ,/ WHEREAS, The City desires t employees; and WHEREAS, The Finance Com y’s Finance Director, reviewed proposals submitted reimbursement services of the WHEREAS, The Finance Corn ended acceptance of the proposal submitted by AFLAC at a mont per participant with the company waiving the initial set-up fees. NOW, THEREFORE, BE IT t the Common Council of the City of Muskego, upon the recommend ance Committee, does hereby accept 0 the proposal submitted by AFLAC to erform the reimbursement services of the City’s Flexible 002 at a monthly cost of $4.50 per participant. DATED THIS 14th ,2002 FINANCE COMMITTEE Ald. Rick Petfalski Ald. David Sanders Ald. Nancy Salentine This is to certify that this is a true and accurate copy of Resolution #113-2002 which was adopted by the Common Council of the City of Muskego. 0 5/2002jmb Clerk-Treasurer AFLAC Mary Hock-Roemer 245 Regency Court, Suite 200 Brookfreld, WI 53045 Phone: 262-78&1130 Ext. 27 - Fax: 262-186-7758 May 9,2002 City of Muskego W 182S8200 Racine Avenue P.O. Box 149 Muskego, WI 53150 Attention: Dawn R Gunderson, Attached is the proposal that you requested in regards to the Flexible Spending Account that we have been discussing. Included in the proposal are some basic facts about AFLAC in general and the services that are offered at no charge to the City of Muskego. I have also attached a Memo f?om AFLAC Administrative Services that states that they will not only reduce the monthly participant fees from $5.00 per person to $4.50 per person but, they will also waive the initial set-up fees if certain requirements are met by the requested effective date of the plan. The memo states that the requested effective date is June 1,2002. Please feel free to contact me with any questions that you may have in regards to this proposal at 262-786-1130 Extension 27 0 0 Thank you, MW R. Roemer District Sales Coordinator Cc: Geri Peterson TO: Mary Roemer ~nm Janet PeMns 05/08/2002 ~g Fee Exception Request "'A copy ofthis approval letter must be faxed wiU~ your Plan Document Request" FLM ONE@ Administrative Services has rewewed your fee exception request Cify of Muskego. We have approved lo reduce the monthly FSA service fees fmm $5.00 to $4.50 per participant per month for the plan following FLEX ONE@ documentation is received beforethe &&we date of 06/01/02. year beginning 06/01/02. We have also approved to waive the initial setup fee of $450 prarided all the + Reimbursement SeMces Agreement (RSA) + Wry Redirection Agreement (SRA) + Account Information Sheet (ASI) + Banking Information effective date) (Note - sssociate is responsible for following up to ensure all documents an? returned to FLEX ONE@before the charged. If the account's dourmentation is not received befwe the effedive date, the initial set-up fee of $450 will be Should you have any questions or concerns, please wntacl me at 7086607180 or you may email me at jDerkinsfi3aflac.m. e Page 1 AFLAC is Number One in PayroUMar&dng, AFLAC markets a broad he of supplemental products to more than 200,000 payroll accounts in the United States and more than 46,800 in Japan. AFLAC is a Fortune 200 company supporting its policyholders with assets exceeding $37 billion AFLAC is a world leader in supplemental insurance witb more tbat 20 million policies in force. We insure more than 40 million people worldwide. AFLAC is rated “AA” in insurer financial strength by Standard & Poor’s (December 2000), “Aa3 (Excellent)” in insurer financial strength by Moody’s Investors Service (September 2000), “A+ (Superior)” by A.M. Best (September 1999), and “AA” in insurer financial strength by Fitch (formerly Duff& Phelps, August 2000). At AFUC we are especicrlly proud that our performance has been achieved without sacrijiang quaIiiy. The follmving services are offered to you at no charge: FORM 5500 ASSISTANCE: Upon request, based on information supplied by the. employer and provided that the. employer executes a Form 5500 assistance release in favor of AFLAC, we will assist the employer in preparing the infodon necessary for the Form 5500 filing obligabon by the IRS Section 6039D. The employer is solely responsible for any and all 6hg and reporting obligations imposed upon sponsors of welfare benefit plans. NON-DISCRIMINATION TESTING SERVICES: Upon request, based on the information supplied by the employer and provided the employer executes a nondiscrimination teshng release in favor of AFALC, we will assist the employer in determining testing percentages for the cafeteria 25% concentration te$ the dependent care plan 5% test, and the dependent care plan 55% average benefits test. CAFETERIA PLAN DOCUMENTS: Cafeteria plan documents will be provided by AFLAC to include the Adoption Agrement, Board Resol~tion, Summary Pian Description and Reimbursement Services Agreement. SALARY REDIRECTION AGREEMENTS: Salary redirection agreements will be provided for employees to indicate participation or waiver of participation. EMPLOYER ADMINISTRATIVE MANUAL: Employer administrative manual will be provided by AFLAC outluung Section 125 guidelines and plan management guidelines. NOTIFICATION OF CHANGES IN LAW: Notification of changes in law affecting the administration or design of your program, including amendments of plan documents if necessary will be provided by AFLAC. CUSTOMER SERVICE -TOLL FREE: Assistance is provided by technical information specialists trained to handle a variety of calls pertamq to all aspects of Section 125 cafeteria plans. The technical information specialists are avarlable Monday through Friday 8:30 a.m. to 7 p.m. Eastern time by calling 1-800-323-5391.