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