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2003-150RESOLUTION NO. 2003R- 110 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ANAHEIM AMENDING RESOLUTION NO. 2002R-195 WHICH ADOPTED THE ANAHEIM RETIREMENT HEALTH SAVINGS PLAN. WHEREAS, the City of Anaheim has previously adopted the City of Anaheim Retirement Health Savings Plan (the "Plan"); and WHEREAS, the Plan provides that it may be amended from time to time; and WHEREAS, it is desirable to amend the plan to clarify certain provisions regarding the payment of Plan benefits after the death of a Participant, and to clarify the Deferred Compensation Committee's duties and responsibilities; NOW THEREFORE, Section 3.01(b) of the Plan is hereby amended and restated as follows: (b) Upon the death of the Participant, Covered Persons shall be eligible to utilize the Account balance in the following order: (i) The Account may first be used by any persons who are, at the date of the Participant's death, either the Covered Spouse or a Covered Dependent who is a Dependent of the Participant. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. (ii) If there are no persons described in clause (i) above, or all persons described in clause (i) above die before the amount credited to the deceased Participant's Account is exhausted, the balance in the deceased Participant's Account may be used by any person who is a Covered Dependent hereunder because he or she is a child of the deceased Participant, but who was not, at the date of the Participant's death, a Dependent of the Participant. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. (iii) If there are no persons described in clauses (i) and (ii) above, or all persons described in clauses (i) and (ii) above die before the amount credited to the deceased Participant's Account is exhausted, the balance in the Account may be used by any person who is a Covered Dependent hereunder because he or she is a designated beneficiary of the deceased Participant's Account. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. If a beneficiary has been designated to use the Account after the death of a Participant, Covered Spouse and/or Covered Dependents, that beneficiary shall be entitled to elect to have the Account used by another beneficiary in the case of his or her death. If there are no beneficiaries that have been designated after the deaths of all persons who have become entitled to use an Account, the remaining amount in the Account shall be forfeited and used to offset Plan expenses. NOW THEREFORE, Section 2.09 and Sections 9.13 of the Plan is hereby amended and restated as follows: 2.09 "Deferred Compensation Committee" mean the Committee, consisting of the Plan Administrator, as Chairperson; the City Manager or his appointee; the Finance Director or his appointee; the Human Resources Director or his appointee; and a Participating Employee. 9.13 Miscellaneous The Deferred Compensation Committee, as defined in Article 2.09 is empowered to review, evaluate, and make recommendations for product providers to the City Council. Additionally, the Deferred Compensation Committee will serve as an advisor to the Plan Administrator in decisions, specific duties and responsibilities for overall plan administration are noted below: A. CITY COUNCIL 1. Authorize, by resolution, the Health Saving and Reimbursement Plan in compliance with Section 105(c) and Section 106 of the Code. 2. Approves additions or removal of Plan Providers, as well as approves major amendments to approved plans. 3. Authorize the administration of the Plan. B. PLAN ADMINISTRATOR Day to day administration, including approval of Plan enrollment forms. 2. Authority to sign all legal agreements with approved Plan Providers, including minor Plan amendments. 3. Communicating the Retirement Health Savings Program to employees. 5. Maintain Retirement Health Savings Programs Procedures Manual and related Plan documents. 6. Coordinate Plan Provider /City employee meeting schedule. 7. The Plan Administrator shall have the right to delegate any of the above duties to staff. C. DEFERRED COMPENSATION COMMITTEE Conduct reviews of the Retirement Health Savings Program and make recommendations as necessary. 2. Review Plan Providers performance and assist in the Plan Administrator in developing recommendations on adding, deleting or amending Plan Providers to the City Council. 3. Review and make determinations on adding, deleting or amending Investment Options. 4. The Committee shall have the power to appoint subcommittees. D. SUBCOMMITTEE Performs task within the scope of the Committee's responsibility. 2. The Subcommittee makes reports and recommendations for consideration to the Committee. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Anaheim that the Retirement Health Savings Plan be amended and restated. A copy of the Plan as amended is attached as Exhibit "A ". BE IT FURTHER RESOLVED that the effective date of the said amendment to Resolution No. 2002R -195 be dated and effective retroactively to July 22, 2002. AND BE IT FURTHER RESOLVED that, except as amended herein, Resolution No.2002R -195 shall remain in full force and effect. THE FOREGOING RESOLUTION is approved and adopted by the City Council of the City of Anaheim this 15th day of July 2003. BY: CURT PINKE,14AYOR ATTEST: r ,: /�� ''SHERYL A SC ROEDER, CITY CLERK APPROVED AS TO FORM: JACK L. WHITE, CITY ATTORNEY Y:` LARRY NEWBERRY SENIOR ASSISTANT CITY ATTORNEY EXHIBIT A 7/15/03 CITY OF ANAHEIM HEALTH SAVINGS AND REIMBURSEMENT PLAN CAO- 46230- v.2rhs -final plan 10778.00001 TABLE OF CONTENTS ARTICLEI PREAMBLE ................................................................. ............................... 1.01 Establishment of Plan ...................................................... ............................... 1 .02 Purpose of Plan ................................................................ ............................... ARTICLE II DEFINITIONS ............................................................ ............................... 2.01 "Account" ........................................................................ ............................... 2.02 " Benefits" ......................................................................... ............................... 2.03 "Claim Administrator" ..................................................... ............................... 2.04 " Code" .............................................................................. ............................... 2.05 "Covered Dependent ...................................................... ............................... 2.06 "Covered Participant" ...................................................... ............................... 2.07 "Covered Person" ............................................................. ............................... 2.08 "Covered Spouse" ............................................................ ............................... 2.09 "Deferred Compensation Committee" ............................. ............................... 2.10 " Dependent" ..................................................................... ............................... 2.11 "Eligible Employee" ........................................................ ............................... 2.12 "Eligible Medical Expenses" ........................................... ............................... 2.13 " Employee" ...................................................................... ............................... 2.14 " Employer ...................................................................... ............................... 2.15 " Participant" ..................................................................... ............................... 2.16 "Plan Administrator ......................................................... ............................... 2.17 "Plan Year" ...................................................................... ............................... 2.18 "Provider" ........................................................................ ............................... 2.19 "Spouse" .......................................................................... ............................... ARTICLE III PARTICPATION ..................................................... ............................... 3.01 Participation .................................................................... ............................... ARTICLE IV PLAN FUNDING ...................................................... ............................... 4.01 Integral Part Trust ......................................................... ............................... 4.02 Retirement Health Savings Plan Accounts ................... ............................... ARTICLE V PAYMENT OF BENEFITS ............................... ............................... 5.01 Eligibility for Benefits ..................................................... ............................... 5.02 Claims for Benefits .......................................................... ............................... 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 5 5 5 5 i ARTICLE VI PLAN ADMINISTRATION ..................................... ............................... 6 6.01 Allocation of Authority .................................................... ............................... 6 6.02 Provision for Third -Party Plan Service Providers ........... ............................... 6 6.03 Several Fiduciary Liability .............................................. ............................... 7 6.04 Compensation of Plan Administrator .............................. ............................... 7 6.05 Bonding ............................................................................ ............................... 7 6.06 Payment of Administrative Expenses .............................. ............................... 7 6.07 Timeliness of Payments ................................................... ............................... 7 6.08 Annual Statements ........................................................... ............................... 7 ARTICLE VII CLAIMS PROCEDURE ......................................... ............................... 7 7.01 Procedure if Benefits are Denied Under the Plan ............ ............................... 7 7.02 Requirement for Written Notice of Claim Denial ............ ............................... 8 7.03 Right to Request Hearing on Benefit Denial ................... ............................... 8 7.04 Disposition of Disputed Claims ....................................... ............................... 8 7.05 Preservation of Other Remedies ...................................... ............................... 9 ARTICLE VIII AMENDMENT OR TERMINATION OF PLAN .............................. 9 8.01 Permanency ...................................................................... ............................... 9 8.02 Employer's Right to Amend ............................................ ............................... 9 8.03 Employer's Right to Terminate ....................................... ............................... 9 ARTICLE IX GENERAL PROVISIONS ....................................... ............................... 9 9.01 No Employment Rights Conferred .................................. ............................... 9 9.02 Nonalienation of Benefits and Accounts ......................... ............................... 9 9.03 Mental or Physical Incompetency .................................... ............................... 10 9.04 Inability to Locate Payee - Forfeitures ............................... ............................... 10 9.05 Requirement of Proper Forms .......................................... ............................... 10 9.06 Source of Payments .......................................................... ............................... 10 9.07 Tax Effects ....................................................................... ............................... 10 9.08 Multiple Functions ........................................................... ............................... 11 9.09 Gender and Number ......................................................... ............................... 11 9.10 Headings .......................................................................... ............................... 11 9.11 Applicable Laws .............................................................. ............................... 11 9.12 Severability ...................................................................... ............................... 11 9.13 Miscellaneous .......................................... ............................... 11 ii ARTICLE I PREAMBLE This Instrument made and published by the City of Anaheim (hereinafter called "Employer ") on the 1st day of July, 2002, creates the City of Anaheim Retirement Health Savings Plan as follows: 1.01 Establishment of Plan The Employer named above hereby establishes a Retirement Health Savings Plan effective as of the 1 st day of July, 2002. The terms of this Plan are generally contained in this Plan Document. However, the terms of this Plan Document may be modified by one or more "Adoption Agreements" established by the Employer in conjunction with this Plan. In addition, this Plan is designed to be funded through an "Integral Part Trust." The terms of that trust are considered part of this Plan and may likewise supplement and modify the terms of this Plan document. 1.02 Purpose of Plan This Plan has been established to allow certain employees and former employees of the City, and their eligible spouses and dependents, to be reimbursed in limited amounts for the cost of certain medical expenses incurred by them. ARTICLE II DEFINITIONS The following words and phrases as used herein shall have the following meanings for the purpose of this Plan, unless a different meaning is plainly required by the context: 2.01 "Account" means the bookkeeping account maintained on behalf of a Participant pursuant to Section 3.02. 2.02 "Benefits" means any amounts paid to reimburse a Covered Person for Eligible Medical Expenses incurred by such person. 2.03 "Claims Administrator" means the Third Parry Administrator Zenith Administrators, Inc. or any other Claims Administrator appointed by the provider with the consent of the Plan Administrator. 2.04 "Code" means the Internal Revenue Code of 1986, as amended. Reference to a section of the Code shall include such section and any comparable section or sections of any future legislation that amends, supplements, or supersedes such section. 2.05 "Covered Dependent" includes a Dependent of a Covered Participant, a person who is a child of a Covered Participant at the date of the Covered Participant's death, or a person who, in accordance with the Adoption Agreement for the Integral Part Trust (referred to in Section 4.01), is otherwise a designated Beneficiary following the death of a Covered Person. 2.06 "Covered Participant" means a Participant who is either: (a) a former Employee; (b) an Employee who: (i) is a participant in a group health plan of the Employer, (ii) has attained age 50, and (iii) has at least 5 years of continuous employment with the Employer; or (c) an Employee who has become totally and permanently disabled, as determined by CALPERS, and continues to be totally and permanently disabled, as determined by CALPERS. 2.07 "Covered Person" includes a Covered Participant, a Covered Spouse and a Covered Dependent. 2.08 "Covered Spouse" includes the Spouse of a Covered Participant and a person who was the Spouse of a Participant at the time of the Participant's death. 2.09 "Deferred Compensation Committee" mean the Committee, consisting of the Plan Administrator, as Chairperson; the City Manager or his appointee; the Finance Director or his appointee; the Human Resources Director or his appointee; and a Participating Employee. 2.10 "Dependent" means any individual who is a dependent of a Participant within the meaning of Code Section 213. 2.11 "Eligible Employee" means any Employee who meets the eligibility requirements for the Plan that are outlined in the Employer's Personnel Rule 23 and/or Letters of Understanding and/or Memorandums of Understanding with the collective bargaining representative for such Employee. 2.12 "Eligible Medical Expenses" means medical expenses that are (i) incurred by a Covered Person, and (ii) described in Section 213 of the Code; provided, however, that notwithstanding the foregoing: (a) the term "Eligible Medical Expenses" shall not include any amounts paid by a Covered Person as premiums or employee contributions to the group health care plan of another employer; 2 (b) with respect to a Covered Participant described in Section 2.06(b), the term "Eligible Medical Expenses" shall only include the cost of premiums payments and/or employee contributions that are required as a condition of such person being covered under a group health care plan of the Employer; and (c) the term "Eligible Medical Expenses" may be further restricted for a particular group or groups of Covered Person as provided under an Adoption Agreement. 2.13 "Employee" means any individual who is a common law employee of the Employer and who is considered to be in a legal employer- employee relationship with the Employer for federal withholding tax purposes. 2.14 "Employer" means the City of Anaheim. 2.15 "Participant" is described in Article III. 2.16 "Plan Administrator" means the City Treasurer (unless another person or entity is designated by the City Council) who has the authority and responsibility to manage and direct the operation and administration of the Plan. 2.17 "Plan Year" means the calendar year except the first year which begins on the effective date of July 1" 2002 and ends on the 31" day of December 2002. 2.18 "Provider" means the ICMA Retirement Corporation. 2.19 "Spouse" means the a person who satisfies both of the following requirements: (i) the person is the Participant's lawful spouse as determined under the laws of the state in which the Participant has his or her primary place of residence, and (ii) the person is considered to be the Participant's spouse for purposes of Code Section 213. All other defined terms in this Plan shall have the meanings specified in the various Articles of the Plan in which they appear. ARTICLE III PARTICIPATION 3.01 Participation (a) Each Eligible Employee shall become a Participant in this Plan at the time that a credit is made to the Account of such person under this Plan. A Participant's participation in the Plan shall cease at the earliest of (i) the date that the Participant's Account balance is either exhausted or forfeited, or (ii) the date of the Participant's death. (b) Upon the death of the Participant, Covered Persons shall be eligible to utilize the Account balance in the following order: 3 (i) The Account may first be used by any persons who are, at the date of the Participant's death, either the Covered Spouse or a Covered Dependent who is a Dependent of the Participant. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. (ii) If there are no persons described in clause (i) above, or all persons described in clause (i) above die before the amount credited to the deceased Participant's Account is exhausted, the balance in the deceased Participant's Account may be used by any person who is a Covered Dependent hereunder because he or she is a child of the deceased Participant, but who was not, at the date of the Participant's death, a Dependent of the Participant. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. (iii) If there are no persons described in clauses (i) and (ii) above, or all persons described in clauses (i) and (ii) above die before the amount credited to the deceased Participant's Account is exhausted, the balance in the Account may be used by any person who is a Covered Dependent hereunder because he or she is a designated beneficiary of the deceased Participant's Account. The Account may be used by any of such persons until such time as the amounts credited to the Account are exhausted. If a beneficiary has been designated to use the Account after the death of a Participant, Covered Spouse and/or Covered Dependents, that beneficiary shall be entitled to elect to have the Account used by another beneficiary in the case of his or her death. If there are no beneficiaries that have been designated after the deaths of all persons who have become entitled to use an Account, the remaining amount in the Account shall be forfeited and used to offset Plan expenses (c) A Participant shall be an Active Participant in the Plan as long as the Participant is an Eligible Employee. Active Participation in the Plan shall cease of the date that a Participant ceases to be an Eligible Employee. ARTICLE IV PLAN FUNDING 4.01 Integral Part Trust This Plan shall be funded solely through the "Integral Part Trust" that is being established in conjunction with the adoption of this Plan. The Employer shall make contributions to the Trust as is required under the terms of the Adoption Agreements, any applicable City policies established for non - bargaining unit employees and the terms of any applicable collective bargaining agreements. in 4.02 Retirement Health Savings Plan Accounts. A separate Retirement Health Savings Plan Account shall be established for each Plan Participant. As is provided in the Trust, the Adoption Agreements, any applicable City policies and the terms of any applicable collective bargaining agreements: (a) The Account of a Participant shall be credited for certain amounts of Employer contributions and other contributions that are made to the Trust on behalf of a Participant, (b) such Account may be subdivided into sub - accounts that are designed to track one or more types of contributions that are being made to the Plan on behalf of a Participant, and (c) all or some of the sub - accounts of the Participant may be subject to forfeiture upon a Participant's termination of employment or other circumstances. Accounts shall be maintained only for purposes of bookkeeping under this Plan and its related Integral Part Trust; and the Employer shall not be required by the terms of this Plan and such trust to maintain on its books for any Participant or other Covered Person an account or accounts with respect to this Plan. The Account of a Participant shall be debited whenever the Plan reimburses the Participant or a Covered Person associated with such Participant for the Eligible Medical Expenses of such persons. When a Participant terminates employment, any portion of the Account that is not nonforfeitable shall be forfeited. Accordingly, the forfeited amount shall be deducted from the Participant's Account; and any assets of the Trust attributable to such forfeited amounts shall be used for other Plan purposes. ARTICLE V PAYMENT OF BENEFITS 5.01 Eligibility for Benefits Each Covered Person shall be entitled to reimbursement for his documented Eligible Medical Expenses in an amount not to exceed the nonforfeitable Account balance of the Participant (or deceased Participant). 5.02 Claims for Benefits No benefit shall be paid hereunder unless a Participant has first submitted a written claim for benefits to the Claims Administrator on a form specified by the Claims Administrator or Provider, and pursuant to the procedures set out in Article VI, below. Upon receipt of a properly documented claim, the Claims Administrator shall pay the Participant the benefits provided under this Plan as soon as is administratively feasible. 5 ARTICLE VI PLAN ADMINISTRATION 6.01 Allocation of Authority The Plan Administrator shall control and manage the operation and Administration of the Plan. The Employer 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 Employer with respect to any matter hereunder shall be conclusive and binding on all persons. Without limiting the generality of the foregoing, the Employer shall have the following powers and duties: (a) 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; (b) To determine the amount of benefits that shall be payable to any person in accordance with the provisions of the Plan; to inform the Claims Administrator, 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 (c) To designate other persons to carry out any duty or power which would otherwise be a responsibility of the Plan Administrator, under the terms of the Plan. (d) 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 anv benefits under the Plan: (e) 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. 6.02 Provision for Third -Party Plan Service Providers The Provider, subject to approval of the Plan Administrator, may employ the services of such persons as it may deem necessary or desirable in connection with operation of the Plan. The Plan Administrator, the Employer (and any person to whom it may delegate any duty or power in connection with the administration of the Plan), its Employees or Agents, the Trustees and all persons connected therewith may rely upon all tables, valuations, certificates, reports and opinions furnished by any duly appointed actuary, accountant, (including Employees who are actuaries or accountants), consultant, third party administration service provider, legal counsel, or other specialist, and they shall be fully protected in respect to any action taken or permitted in good faith in reliance thereon. All actions so taken or permitted shall be conclusive and binding as to all persons. C� 6.03 Several Fiduciary Liability To the extent permitted by law, neither the Plan Administrator, the Trustees, Employees or Agents of the Employer shall incur any liability for any acts or for failure to act except for his own willful misconduct or willful breach of this Plan. 6.04 Compensation of Plan Administrator Unless otherwise agreed to by the Employer, the Plan Administrator shall serve without compensation for services rendered in such capacity, but all reasonable expenses incurred in the performance of his duties shall be paid by the Employer. 6.05 Bonding Unless otherwise determined by the Employer, or unless required by any Federal or State law, the Plan Administrator shall not be required to give any bond or other security in any jurisdiction in connection with the administration of this Plan. 6.06 Payment of Administrative Expenses All reasonable expenses incurred in administering the Plan shall be paid by the Employer, provided, however that the Account of each Participant shall be debited for the cost (if any) charged by the Provider or Claims Administrator for maintenance of his Benefit Account unless otherwise paid by the Employer. 6.07 Timeliness of Payments Subject to Section 7.01, payments shall be made as soon as administratively feasible but no longer than 30 calendar days after the required forms and documentation have been received by the Claims Administrator. 6.08 Annual Statements The Provider and/or Claims Administrator shall furnish each Participant with an annual statement of his medical and dental expense reimbursement account within ninety (90) days after the close of each Plan Year. ARTICLE VII CLAIMSPROCEDURE 7.01 Procedure if Benefits are Denied Under the Plan Any Covered Person or his duly authorized representative may file a claim for a plan benefit to which the claimant believes that he is entitled. Such a claim must be in writing on a form provided by the Claims Administrator and delivered to the Claims Administrator, in person or by 7 mail, postage paid. Within thirty (30) days after receipt of such claim, the Claims Administrator shall send to the claimant, by mail, postage prepaid, notice of the granting or denying, in whole or in part, of such claim, unless special circumstances require an extension of time for processing the claim. In no event may the extension exceed ninety (90) days from the end of the initial period. If such extension is necessary, the claimant will be given a written notice to this effect prior to the expiration of the initial 30 -day period. The Claims Administrator shall have full discretion to deny or grant a claim in whole or in part, subject to review by the Plan Administrator as set forth below. If notice of the denial of a claim is not furnished in accordance with this Section, the claim shall be deemed denied and the claimant shall be permitted to exercise his right to review pursuant to Sections 7.03 and 7.04. 7.02 Requirement for Written Notice of Claim Denial The Claims Administrator shall provide, to every claimant who is denied a claim for benefits, written notice setting forth in a manner calculated to be understood by the claimant: (a) The specific reason or reasons for the denial; (b) Specific reference to pertinent Plan provisions on which the denial is based; (c) A description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material is necessary; and (d) An explanation of the Plan's claim review procedure. 7.03 Right to Request Hearing on Benefit Denial Within sixty (60) days after the receipt by the claimant of written notification of the denial (in whole or in part) of his claim, the claimant or his duly authorized representative, upon written application to the Plan Administrator, in person or by certified mail, postage prepaid, may request a review of such denial, may review pertinent documents, and may submit issues and comments in writing. 7.04 Disposition of Disputed Claims Upon its receipt of notice of a request for review, the Plan Administrator shall make a prompt decision on the review. The decision on review shall be written in a manner calculated to be understood by the claimant and shall include specific reasons for the decision and specific references to the pertinent plan provisions on which the decision is based. The decision on review shall be made not later than sixty (60) days after the Plan Administrator's receipt of a request for a review, unless special circumstances require an extension of time for processing, in which case a decision shall be rendered not later than one hundred - twenty (120) days after receipt of a request for review. If an extension is necessary, the claimant shall be given written notice of the extension prior to the expiration of the initial sixty (60) day period. If notice of the decision on the review is not furnished in accordance with this Section, the claim shall be deemed denied and the claimant shall be permitted to exercise his right to legal remedy pursuant to Section 7.05. 7.05 Preservation of Other Remedies After exhaustion of the claims procedures provided under this Plan, nothing shall prevent any person from pursuing any other legal or equitable remedy otherwise available. ARTICLE VIII AMENDMENT OR TERMINATION OF PLAN 8.01 Permanency While the Employer fully expects that this Plan will continue indefinitely, permanency of the Plan will be subject to the Employer's right to amend or terminate the Plan, as provided in Sections 8.02 and 8.03, below. 8.02 Employer's Right to Amend The Employer reserves the right to amend the Plan at any time and from time -to -time. Any such amendments may be made retroactively if it is deemed necessary or appropriate to meet the requirements of the Code, or any similar provisions of subsequent revenue or other laws, or the rules and regulations in effect under any of such laws or to conform with governmental regulations or other policies, to modify or amend in whole or in part any or all of the provisions of the Plan. 8.03 Employer's Right to Terminate The Employer reserves the right to discontinue or terminate the Plan at any time. ARTICLE IX GENERAL PROVISIONS 9.01 No Employment Rights Conferred Neither this Plan nor any action taken with respect to it shall confer upon any person the right to be continued in the employment of the Employer. 9.02 Nonalienation of Benefits and Accounts No benefit or Account balance under the Plan shall be subject in any manner to anticipation, alienation, sale, transfer, assignment, pledge, encumbrance or charge, and any attempt to do so shall be void. 0] No benefit or Account balance under the Plan shall in any manner be liable for or subject to the debts, contracts, liabilities, engagements or torts of any person. No Participant or Covered Person shall be permitted or required to anticipate, alienate, sell, transfer, assign, pledge, encumber or charge any benefit or Account balance under the Plan; and any attempts to do so shall be void. Notwithstanding the foregoing, a valid domestic relations order issued by a court of competent jurisdiction may require that all or a portion of the nonforfetiable Account balance of a Participant be used to reimburse the Eligible Medical Expenses of an "Alternate Payee ". Any such order may provide that such reimbursement shall be provided directly from the Participant's Account or that all or a portion of the Participant's Account shall segregated into a separate account and used solely for such purposes. For this purposes, an Alternate Payee may be a Spouse or former Spouse of a Participant, or a child of a Participant. 9.03 Mental or Physical Incompetency If the Plan Administrator determines that any person entitled to payments under the Plan is incompetent by reason of physical or mental disability, he may cause all payments thereafter becoming due to such person to be made to any other person for his benefit, without responsibility to follow the application of amounts so paid. Payments made pursuant to this Section shall completely discharge the Plan Administrator and the Employer. 9.04 Inability to Locate Payee - Forfeitures The Plan Administrator is authorized to declare a forfeiture to the Plan of all Plan payments, distributions and any income or other increment thereon if the Covered Person cannot be found and has not, within three years after it becomes payable or distributable, accepted the payment or distribution, corresponded in writing concerning the payment or distribution, or otherwise indicated an interest as evidenced by a memorandum or other written record on file with the Plan Administrator. All forfeitures shall be used to offset future Plan expenses. 9.05 Requirement of Proper Forms All communications in connection with the Plan made by a Participant shall become effective only when duly executed on forms provided by and filed with the Plan Administrator. 9.06 Source of Payments The Integral Part Trust shall be the sole source of benefits under the Plan. No Covered Persons or other person shall have any right to, or interest in, any assets of the Employer upon termination of employment or otherwise. 9.07 Tax Effects Neither the Employer nor the Plan Administrator makes any warranty or other representation as to whether any payments received by a Participant hereunder will be treated as includible in 10 gross income for federal or state income tax purposes; and the Employer or Plan Administrator shall withhold taxes from reimbursements and report reimbursements as taxable income to the extent that that the Employer or Plan Administrator deems is required by law. 9.08 Multiple Functions Any person or group of persons may serve in more than one capacity with respect to the Plan. 9.09 Gender and Number Masculine pronouns include the feminine as well as the neuter gender, and the singular shall include the plural, unless indicated otherwise by the context. 9.10 Headings The Article and Section headings contained herein are for convenience of reference only, and shall not be construed as defining or limiting the matter contained thereunder. 9.11 Applicable Laws The provisions of the Plan shall be construed, administered and enforced according to the laws of the State of California. 9.12 Severability Should any part of this Plan subsequently be invalidated by a court of competent jurisdiction, the remainder thereof shall be given effect to the maximum extent possible. 9.13 Miscellaneous The Deferred Compensation Committee, as defined in Article 2.09 is empowered to review, evaluate, and make recommendations for product providers to the City Council. Additionally, the Deferred Compensation Committee will serve as an advisor to the Plan Administrator in decisions, specific duties and responsibilities for overall plan administration are noted below: A. CITY COUNCIL Authorize, by resolution, the Health Saving and Reimbursement Plan in compliance with Section 105(c) and Section 106 of the Code. 2. Approves additions or removal of Plan Providers, as well as approves major amendments to approved plans. Authorize the administration of the Plan. 11 B. PLAN ADMINISTRATOR Day to day administration, including approval of Plan enrollment forms. 2. Authority to sign all legal agreements with approved Plan Providers, including minor Plan amendments. 3. Communicating the Retirement Health Savings Program to employees. 5. Maintain Retirement Health Savings Programs Procedures Manual and related Plan documents. 6. Coordinate Plan Provider /City employee meeting schedule. 7. The Plan Administrator shall have the right to delegate any of the above duties to staff. C. DEFERRED COMPENSATION COMMITTEE 1. Conduct reviews of the Retirement Health Savings Program and make recommendations as necessary. 2. Review Plan Providers performance and assist in the Plan Administrator in developing recommendations on adding, deleting or amending Plan Providers to the City Council. 3. Review and make determinations on adding, deleting or amending Investment Options. 4. The Committee shall have the power to appoint subcommittees. D. SUBCOMMITTEE 1. Performs task within the scope of the Committee's responsibility. 2. The Subcommittee makes reports and recommendations for consideration to the Committee. 12 IN WITNESS WHEREOF, we have executed this Plan the date and year first written above. CITY OF ANAHEIM (Employer) BY: CURT PRINGLE, MAYOR ATTEST, 4- SHE LL SCHROEDER, CITY CLERK APPROVED AS TO FORM: JACK .WHITE. CITY Ate( Y NEWBERRY SENIOR ASSISTANT CITY ATTORNEY 13 STATE OF CALIFORNIA ) COUNTY OF ORANGE ) ss. CITY OF ANAHEIM ) I, SHERYLL SCHROEDER, City Clerk of the City of Anaheim, do hereby certify that the foregoing Resolution No. 2003R -150 was introduced and adopted at a regular meeting provided by law, of the Anaheim City Council held on the 15th day of July, 2003, by the following vote of the members thereof: AYES: MAYOR/COUNCIL MEMBERS: NOES: MAYOR/COUNCIL MEMBERS: ABSTAINED: MAYOR/COUNCIL MEMBERS: ABSENT: MAYOR/COUNCIL MEMBERS Pringle, Tait, Chavez, Hernandez, McCracken None None None Y CLEW OF THE CITY OF ANAHEIM (SEAL)