HomeMy WebLinkAbout2003-39 Personal Choice PlanRESOLUTION NO. 2003- '~:::)~1
A RESOLUTION OF THE CITY OF ASHLAND ADOPTING A FULL SECTION 125 PLAN
FOR ITS EMPLOYEES BY REPEALING RESOLUTION NO, 2002-34. THE ACT OF
INVALIDATING RESOLUTION NO. 2002-34 DOES NOT INVALIDATE THE PROGRAM.
Recitals:
The governing body of the City of Ashland (City) finds and determines that it is in the
interest of the City and the City's employees that the City offer an Internal Revenue
Code Section 125 Plan to its employees; and
The Personal Choice Account, set forth in Exhibit "B" (hereafter "the Plan") provides
sufficient flexibility to permit employees of the City to select benefits that most suit
their needs by providing a choice between cash wages and the option to set aside
wages before taxes have been deducted to cover health insurance premiums,
eligible medical and dependent care expenses; and
Co
The Plan as set forth will allow the employees and the City to establish a partnership
to educate employees and their families about appropriate health care utilization and
to share responsibility for health care.
THE CITY COUNCIL OF THE CITY OF ASHLAND, OREGON, RESOLVES:
SECTION 1. That the governing body of the City hereby adopts the Personal Choice
Account as a full Section 125 Plan attached hereto as Exhibit "B" and fully incorporated by
reference.
SECTION 2. This resolution takes effect upon signing by the Mayor.
This resolution was read by title only in accordance with Ashland Municipal Code §2.04.090
duly PASSED and ADOPTED this /'.~ day of December, 2003.
SIGNED and APPROVED this
day of
~GO.,~w-~ ~ ~_.,C', 2003.
Alan W. DeBoer, Mayor
ATTACHMENT A
PERSONAL CHOICE ACCOUNT COST ANALYSIS WORKSHEET
This is a worksheet to assist City County Insurance Participating Employers to determine the cost
effectiveness of fees associated with the Personal Choice Account versus the FICA and Medicare tax
savings for the employer. The average monthly fees includes 1/12th of the annual plus any monthly fees,
the Monthly Deductions amount is the total minimum amount that must be set aside for employer to recoup
the administrative fees through FICA and Medicare tax savings.
Premium Only Cost Analysis requires the employer to insert their annual fee and average number of
eligible employees, the other calculations are then automatically updated for your review.
Full Section 125 Analysis requires the employer to put in their annual fee, average eligible employees per
month, and expected number of employees participating in Health Care or Dependent Care Spending
accounts. Once these are up updated, the other calculation fields are automatically updated for your review.
Premium Only Section 125 Cost Analysis
Average Fees
Annual Fee Per Month
[ $250.00 [ $20.83
Average Monthly
Deductions Necessary
to Cover Fees
$272.33
Avg. Employees Per Month
Average Breakeven Point Per Employee
100
$2.72
Full Section 125 Plan Cost Analysis
Average Eligible Employees Per Month
Number of Employees Participating in:
Premium Contribution Only:
Health Care or Dependent Care:
100
Not Applicable
50
Average Fees
Annual Fee Per Month
L $540.00 [ $270.00
Average Monthly
Deductions Necessary
to Cover Fees
$3,529.41
Average Breakeven Point Per Employee
Average Breakeven for Full Participation Employees
$35.29
$70.59
ATTACHMENT B
OASSOCIATED
ADMINISTRATORS, INC.
The Personal Choice Account is a flexible spending account
program that allows you to use pre-tax dollars to pay for
'dependent care expenses, medical and dental services, and
employee insurance premiums you would normally have to
buy witKafter-tax dollars.
Here's how it works. A set amount of money is withdrawn from
your paycheck before taxes are deducted. This money is set
aside to fund your Personal Choice Account. Because your
taxable income is reduced, yOu pay fewer taxes. The Tax
Reform Act of 1986 kept the provision in the tax code that
allows flexible spending like the Personal Choice Account.
Sound too good to be true? The only catch is that your account
is subject to the "use it or lose it" rule, which means that you
must use all the designated dollars in your Personal Choice
Account by the end of the year, or you forfeit the balance.
That's it! You can reduce your taxable income, pay less money
in taxes, and use the savings any way you choose.
OASSOCIATED .
ADMINISTRATORS, INC.
fou instruct your employer to set aside a
;pecific amount from each paycheck
nto one or more of three kinds of
:lexible spending accounts:
· Dependent care Spending account
· Health care spending account
· Employee insurance premium
contribution account
Fhe amount you designate for your
Personal Choice Account should be
~out the same amount you would
aormally pay for such services out of
~ur take-home pay.
Automatic payroll deductions are made
&om your paycheck each month before
income taxes are deducted from your
gross salary. Once money is set aside
into your Personal Choice Account,
it's not subject to federal or state
income taxes. Since your taxable
income is lowe~; you'll pay fewer taxes.
The difference 'is extra income for
~,ou to spend any way you like.
Here is a .brief description of each
kind of account:
The Dependent Care Spending
Account can be used for care for
children under age 13 or adult care
expenses for a disabled spouse or other
dtsablM dependent ff such care is
necessary in order to allow you to work.
In addition, this dependent must spend
at least eight hours per day in your
household.
A per, on claiming the Federal Child
Care Tax Credit or excluding from
~ ..come re!m_bur~0menti' for dependent
c~. turin,provide the nam~ addre.~,
information may be provided on tax
Form 2441 (Credit for Child and
Dependent Care Expenses). This form
is available from the IRS and should be
filed with your income tax return.
Eligible Dependent Care Expenses
Expenses that are eligible for reimburse-
ment under the Dependent Care
Spending Account include, but are
not limited to, the following:
· Care provided by individuals who
care for your children under age 13
in or outside your home
· Preschool and care provided
by care centers
· Care (not residential care) for adults
· Home care which is non-medical
for a dependent parent who lives
with you
· Special care for mentally or
physically handicapped dependents
Excluded'Dependent Care Expenses
The following expenses are not eligible
for reimbursement and are not
limited to:
· Payments to your spouse or any
dependent that can be claimed
by you or your spouse as an
exemption
· Care provided by your child
who is under age 19
· Expenses incurred prior to
your enrollment or after
your tenuination date
· Cost of food, clothing, education or
transportation between your home
and the dependent care facility (food
and education will be eligible if these
amounts are incident to and cannot
be separated from the cost)
· Cost of overnight camp
· Care during nOn-working hours
· Nursing homes
· Educational Expenses
The Federal Tax Credit versus the
Dependent Care Spending Account
Income tax credits for dependent care
are available. Your individual circum-
stances will determine whether the tax
credits or spending account is more
advantageous to you. The IRS limits the
amount of dependent care expense that
can be financed through the spending
account to $5,000 annually ($2,500 if
married and filing separately).
Some people receive a greater savings
from the dependent care spending
account and others from the federal tax
credit. If you are unsure, ask for a copy
of the dependent care spending account
addendum. This addendum includes
worksheets to help you make your
determination.
The Health Care Spending Account
can be used for medical, dental or vision
expenses normally allowed by the IRS
as deductions. A listing of the eligible
expenses are located on the back of
this brochure.
The Employee Insurance Premium
Contribution Account can include
payments you make for insurance
through your Company for you and your
dependents. This account does not
require you to submit for reimburse-
ment, but simply authorizes your
employer to take the deduction on a
pre-tax basis. Once that's completed,
payroll will do the rest for you.
Basically, you should estimate how
much you would normally pay for the
designated expenses out of after, tax
income and designafe that amount
for your Personal Choice Account.
Be conservative, though. The IRS '
has a "use it orlose it" rule!
The "use it or lose it" rule means
that if there's anything left in your
account(s) at the end of the plan year,
it is retained by your employeg Under
IRS regulations, they can use these
dollars to offset administrative costs
that have been incurred.
You can carry balances from your
account(s) forward from month to
month, but you have to use all YOur
designated dollars by the end of the
plan year. Remember, the services
must take place during the plan year.
If your participation ends mid-plan
year; only expenses incurred while
you were making contributions to your
account would be eligible.
That's why it pays to be conservative
about variable or unknown expenses
when you decide how much to put into
your'Personal Choice Account.
Also keep in mind that funds allocated
to one account carmot be moved
to another account. For instance,
you can't use funds from a dependent
care account to pay for health
' care expenses.
In addition, amendments to your
Personal Choice Account are
allowed only for family status changes
(i.e., death, birth, divorce, adoption,
marriage, or termination of spouse's
employment) after the effective date
of the Plan.
You may also contribute less to
SoO__~! Securtty, possibly reductng'
pot~tial,b~neflts.
When your employer deducts the
money from your paycheck, it is placed
in a special account. We use that
account to reimburse you directly for
your expenses.
You then submit proof that the services
were incurred within the plan year or
when you were making contributions
to your account, along with a reim-
bursement request form. Examples of
proof that the expenses were incurred
would be:
· An itemized bill
· Explanation of benefits (EOB)
· An itemized receipt for payment
Canceled checks or statements
showing payment on account or
balance due are not acceptable.
Reimbursement requests are processed
daily. Typically, checks are issued
within 48 hours after your reimburse-
ment request is received. If the
reimbursement request exceeds your
dependent care spending account
balance or the health care spending
account pool is at zero, the remainder
will be paid as funds .become available.
All receipts must include dates of
service. The services, must take place
during the plan year (regardless of
when you are billed or pay for
the expenses) and while you are
contributing to your account for
you to receive reimbursement.
Here's How the Personal Choice
Account Can Work for You
Whether you're a single parent,
one half of a working couple, or a
one-income, two parent family, the
Personal Choice Account means
more money in your pocket. This
example will help you see how:
Like many couples, Jim and his wife
Susan both hold down full-time jobs.
They have one child. Before signing
up for the Personal Choice Account,
they paid $200 a month for dependent
care and $50 a month for dental and
orthodontic expenses out of their
take-home pay.
Jim's employer offered him the
Personal Choice Account and Jim
decided to use it to pay for those
expenses. Jim's monthly gross sala~
is $2,000. Before he signed up for
his Personal Choice Account, his
monthly spendable income was
$1,360.67. Now it's $1,437.42 --
$75.75 more per month!
See the estimate below to find out
how Jim did it.
Without the Personal Choice Account
Gross Monthly Salary $2,000.00
Less:
Federal Income Tax 128.75
State Income Tax 107.58
Social Security Tax 153.00
Net Income 1,6 t0.67
Less:
Dependent Care 200.00
Health Related Expenses 50.00
Spendable Income ~ 1,360.67
With the Personal Choice Account
Gross Monthly Salary $2,000.00
Less:
Dependent Care 200.00
Health Related Expenses 50.00
New Gross Salary 1,750.00
Federal Income Tax 91.25
State Income Tax 88.45
Social Security Tax 133.88
Spendable Income ~;1,.~36.42
That's an annual increase of $909.00
or 5.3%1
'Ihx savings are general estimates only.
· 8~ ~ tax sx:lvi$or for advice specffic
m ~ situatiom
ELII31BLE HEALTH CARE
EXPEN-mE-~
Health Care Expenses that
are eligible for reimbursement
under the health care spending
account include:
· Acupuncture
· Ambulance
· Artificial limbs
· Birth control pills
· Braille books and magazines
· Car controls for a disabled person
· Care for mentally disabled child
· Chiropractors' fees
· Christian Science
practitioners' fees
· Coinsurance/copayments
· Contact lenses and contact lens
cleaning solutions
· Crutches
· Deductibles for medical,
dental or vision plans
· Dental fees
· Dentures
· Diagnostic fees
· Disabled person's cost
for special home
· Drug addiction treatment
· Eyeglasses
· Eye examinations
* Fertility drugs
· Hearing aids and batteries
· 'Home improvements for
medical reasons
· Hospital bills
· Hypnosis for treatment
of an illness
· Insulin
· Laboratory Fees
· Laser eye surgery
· Learning disability
· Life fee to retirement home
for medical care
· Maternity care
· Naturopathic fees
(not for supplements)
· Obstetrical services
· Operations
(non-cosmetic purposes)
· Optometrist
· Orthodontics
(non-cosmetic purposes)
· Orthopedic shoes
· Oxygen
· Physicians' fees
· Prescription drugs
(must have Rx number)
· Psychiatric care
· Psychologists' fees
· Routine physicals
· Seeing-eye dog and its upkeep
· Skilled nurses' fees (including
board and Social Security taxes
you pay)
· Smoking cessation
· Spa/Pool equipment prescribed by
physician and allowed by IRS
· Special schools (for mentally
impaired or physically disabled)
· Telephone designed for hearing
impaired person
· Television audio display equipment
for the hearing impaired
· Therapeutic care for drug
and alcohol addiction
· Therapy received as medical
treatment
· Transportation expenses
for medical purposes
· Tuition at special school
for disabled
· Tuition fee portion that goes
for medical care
· Vaccines
· Well-baby and well-child care
· Wheelchairs
· Wigs required for medical purpose:
· X-rays
EXP-LLIDED HEALTH CARE
EXPENSE5
The following expenses are not
eligible for reimbursement under
the health care spending account,
and are not limited to:
· Insurance premiums
· Cosmetic procedures unless they
are related to an injury, disease
or birth defect
· Athletic club memberships
(unless prescribed by your
physician as treatment for
an illness or injury)
· Marriage counseling
· Weight loss classes
· Personal use items such as
Band-Aids, vitamins, aspirin,
supplements and minerals
Note: Associated Administrators,
Inc. is not liable to the participant
or any other entity for taxes, intere.~
penalties or other consequences tha
may be assessed by any taxing
authority for disallowed expenses.
I:)Ul~TOIvlER I~ E:F~VIClE:
POI~Ti' AN 0 AREA:
TOLL FF~=~': 1-B00':~4-4340