2017 011 Ordinance - Laserfiche WebLink

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SECTION VI CONTINUATION COVERAGE 6.01. Continuation Coverage after termination of normal participation (COBRA) During any Plan Year during which the Employer has more than twenty (20) employees (including persons who are considered to be "employees" within Code Sec. 401(c), directors, and independent contractors to the extent that any of the three categories is eligible to participate in this Plan), each person who is a Qualified Beneficiary shall have the right to elect to continue coverage under the employer sponsored fully insured plan upon the occurrence of a Qualifying Event that would otherwise result in such person losing coverage. Such extended coverage under the plan is known as "Continuation Coverage." If a Qualified Beneficiary elects to continue coverage under the employer sponsored fully insured plan, and fulfills the obligations associated with the continuation of coverage under that plan, the benefits of this Plan will contirue during the period that eligibility for continuation coverage remains in force. SECTION VII PLAN ADMINISTRATION 7.01. Allocation of authority Except as to those functions reserved within the Plan to the Employer, the Plan Administrator shall control and manage the operation and Administration of the Plan. The Plan Administrator shall have the exclusive right to interpret the Plan and to decide all matters arising thereunder, including the right to remedy possible ambiguities, inconsistencies, or omissions. All determinations of the Plan Administrator with respect to any matter hereunder shall be conclusive and binding on all persons. Without limiting the generality of the foregoing, the Plan Administrator shall have the following powers and duties: (a) To require any person to furnish such reasonable information as it may request for the purpose of the proper administration of the Plan as a condition to receiving any benefits under the Plan; (b) To make and enforce such rules and regulations and prescribe the use of such forms as he shall deem necessary for the efficient administration of the Plan; (c) To decide on questions concerning the Plan and the eligibility of any Employee to participate in the Plan, in accordance with the provisions of the Plan; (d) To determine the amount of benefits that shall be payable to any person in accordance with the provisions of the Plan; to inform the Employer, as appropriate, of the amount of such Benefits; and to provide a full and fair review to any Participant whose claim for benefits has been denied in whole or in part; and (e) To designate other persons to carry out any duty or power that would otherwise be a fiduciary responsibility of the Plan Administrator, under the terms of the Plan. Ma~eld Village HRA Plan 0117.doc 9