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AmeriFlex Presents. The ePOP Plan Document: A Guided Tour. Outline of Presentation. What is the plan document? Walkthrough Introductory Provisions/Definitions Eligibility and Participation Election Rules Benefits Offered/Method of Funding Premium Component - PowerPoint PPT PresentationTRANSCRIPT
AmeriFlex PresentsAmeriFlex Presents
The ePOP Plan Document: A The ePOP Plan Document: A Guided TourGuided Tour
Outline of PresentationOutline of Presentation
►What is the plan document?What is the plan document?►WalkthroughWalkthrough
Introductory Provisions/DefinitionsIntroductory Provisions/Definitions Eligibility and ParticipationEligibility and Participation Election RulesElection Rules Benefits Offered/Method of FundingBenefits Offered/Method of Funding Premium ComponentPremium Component Appeals, Recordkeeping and Other Appeals, Recordkeeping and Other
General ProvisionsGeneral Provisions►What’s next?What’s next?
What is the Plan Document?What is the Plan Document?
► The “Rulebook” for the planThe “Rulebook” for the plan What benefits are offered?What benefits are offered? Who is eligible for those benefits?Who is eligible for those benefits? Who pays for those benefits—and how?Who pays for those benefits—and how? How do you elect the benefits?How do you elect the benefits? How can you change the elections for How can you change the elections for
those benefits?those benefits?► The plan document is “adopted” by the The plan document is “adopted” by the
plan sponsorplan sponsor► The plan document is the final authority The plan document is the final authority
on the planon the plan► No POP plan without itNo POP plan without it
Plan Document WalkthroughPlan Document Walkthrough
► Introductory Provisions/DefinitionsIntroductory Provisions/Definitions
Establishment of planEstablishment of plan DefinitionsDefinitions
►Capitalized Terms RuleCapitalized Terms Rule
Plan Document WalkthroughPlan Document Walkthrough
►Eligibility and ParticipationEligibility and Participation
Who is eligible to participate?Who is eligible to participate?►Hours a weekHours a week►Waiting periodWaiting period
When is participation terminated?When is participation terminated?
Plan Document WalkthroughPlan Document Walkthrough
►Election RulesElection Rules
When eligibleWhen eligible Open EnrollmentOpen Enrollment IrrevocabilityIrrevocability Change in status/other eventsChange in status/other events
Plan Document WalkthroughPlan Document Walkthrough
►Benefits Offered/Method of Benefits Offered/Method of FundingFunding
BenefitsBenefits Employer/ParticipantEmployer/Participant Salary ReductionsSalary Reductions
Plan Document WalkthroughPlan Document Walkthrough
►Premium Payment ComponentPremium Payment Component
Benefits DescribedBenefits Described Insurance Benefits ExplainedInsurance Benefits Explained COBRACOBRA
Plan Document WalkthroughPlan Document Walkthrough
►Appeals & RecordkeepingAppeals & Recordkeeping
AppealsAppeals Recordkeeping and AdministrationRecordkeeping and Administration
Plan Document WalkthroughPlan Document Walkthrough
►General ProvisionsGeneral Provisions
ERISA/CodeERISA/Code Plan document provisions controlPlan document provisions control Affiliated employers appendixAffiliated employers appendix
What’s Next?What’s Next?
►ReviewReview►Signature & AdoptionSignature & Adoption
►Keep on file/plan established!Keep on file/plan established!►ConclusionConclusion