amendments to the plan premiums and other eligible medical expenses (examples: copays, coinsurance,...

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Amendments to the Plan Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter cold medicine) are reimbursable Sick leave conversion Reduced Benefit Level for those with less than 5 years participation Rollover of expenses Delayed commencement of benefit

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Page 1: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Amendments to the Plan Premiums AND other eligible medical expenses

(examples: copays, coinsurance, deductible, prescription sunglasses, over the counter cold medicine) are reimbursable

Sick leave conversion Reduced Benefit Level for those with less than 5

years participation Rollover of expenses Delayed commencement of benefit

Page 2: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Who is MERP?

MERPEmployee Benefit Trust

Board of Trustees

WSCFF

Benefits ConsultantDiMartino Associates, Inc.

Investment AdvisorHalbert Hargrove

Tim Anderson

Participating IAFF Locals

Member Fire Fighters

Third Party AdministratorBenefit Solutions, Inc.

Legal CounselCarney Badley & Spellman

Shana Saichek

Page 3: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Who controls MERP? WSCFF Benefit Trust Board of Trustees The Board of Trustees is made up of 7 fire fighters

all from separate participating locals 4 are elected

Peter Craig Pat McElligott Jeff Wainwright Open position

3 are appointed by the WSCFF Kelly Fox Greg Markley Ricky Walsh

Page 4: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Components of MERP The Board of Trustees may adjust the components of this

Plan. This is only a summary of the plan and does not replace the specifics of the plan document.

Participation Contribution Amount TAX FREE Eligibility for Benefit Standard Benefit Amount (SBA) TAX FREE Reimbursable Expenses Receiving your Benefit Duration of Benefits

Page 5: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Participation Must be member of a Local that has

negotiated participation in the plan with their employer via a bargaining agreement or memorandum of understanding (MOU)

All members of the bargaining unit must participate, no individual election per IRS rules

Page 6: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Contribution Amount Currently $75 per member per month PRE-TAX

Contributions transferred to money manager for investment and pooled with all other participating group’s contributions

Pool of contributions invested in Frank Russell Funds.

Earnings grow TAX FREE

Page 7: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Eligibility for Benefits Participate in the Plan at least 5 years (60

contribution months) Cease working for the bargaining unit Attain age 53

Page 8: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

What if I don’t have 5 years participation? Buy-up to 60 months of contributions at retirement Make 18 months of contributions under COBRA ,

then buy-up the remaining 60 months if necessary Take a “reduced benefit level” As a Local, roll over sick leave cash out on a pre-tax

basis. This is available even if you have over 5 years participation in the plan.

Page 9: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Buying Additional Participation with Sick Leave Cash Out For example, the cash value of your sick leave PRE-

TAX is $5,000. $5,000 / $75 = 66.67 so 66.7 months or 5 ½ more

years of participation are added to your account. Sick leave value of $3,000 adds almost 3 ½ years of

participation. Sick leave value of $10,000 buys a little over 11

years of participation. The plan does not limit the maximum sick leave

conversion, but the Local can define a limit

Page 10: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Standard Benefit Amount (SBA) SBA based on contributions to the plan,

investment income, administrative expenses and demographics

At retirement, your specific benefit amount is determined by: 4% X # of years of contributions X SBA

Page 11: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Standard Benefit AmountCurrently SBA is $430 per month

For example:5 years of participation = 20% of SBA ($86)

10 years of participation = 40% of SBA ($172)

25 years of participation = 100% of SBA ($430)

30 years of participation = 120% of SBA ($516)

There is no maximum on the % of the SBA for which you may be eligible.

Page 12: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Benefit Duration Plan was developed to provide fire fighters a

benefit until death When a fire fighter dies at any age, spouse

can access 50% of the benefit regardless of spouse’s age and until spouse reaches Medicare eligible age (currently 65 for everyone)

If you and your spouse die, eligible dependents would receive 50% of the benefit

Page 13: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

What Are Reimbursable Expenses? Premiums for medical, dental and vision

coverage for you and your family (spouse, domestic partner, dependent children)

Other medical, dental and vision expenses (that aren’t covered by insurance) for prevention, diagnosis, and/or treatment of a medical situation for you and your dependents.

Page 14: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

What Happens If I Leave Employment At My Local? If you go to another local participating in

MERP, your participation accrual continues If you go to another job (or another local not

in MERP), your months/years of participation in MERP are frozen and you may access your benefit when you reach age 53

If you are promoted out of the bargaining unit, you may continue participation on a self-pay basis

Page 15: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

How Do I Receive My Benefit? You must incur an expense and have proof of

the expense Submit proof of expense to BSI via fax or

mail You can batch your expenses and send in

quarterly (for example) or submit them as they occur.

BSI will verify expense is eligible for reimbursement and cut a check to fire fighter

Page 16: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Future Goals Create WSCFF retiree medical plan Fund other retiree programs

Page 17: Amendments to the Plan  Premiums AND other eligible medical expenses (examples: copays, coinsurance, deductible, prescription sunglasses, over the counter

Mission StatementIt is the mission of the WSCFF Employee

Benefit Trust to provide the best possible plan benefits to its participating members and to enhance the plan as greater benefit options become available in the dynamic health care industry