COUNTY OF SANTA CRUZ
Flexible Spending Program
DEPENDENT CARE REIMBURSEMENT
PROGRAM
"D-Care
Plan"
SECTION
I ESTABLISHMENT AND INTENT OF PLAN
1.1
Establishment of Plan. The
County of Santa Cruz has determined
that it
is in the best interest of employees to adopt a plan which will
enable
Eligible Employees to provide for care of qualified dependents in a
flexible
and cost effective fashion in accordance with Sections 125 and 129
of the
Internal Revenue Code. The County
hereby establishes this flexible
benefit
plan for dependent care assistance.
1.2
Intent. The purpose of this Plan
is to reimburse Eligible Employ-
ees of
the County for the cost of dependent care assistance incurred by
them in
exchange for a reduction in the amount of salary that would other-
wise be
payable by the County to such employees, but without such reim-
bursement
being included in the employees' gross income for federal income,
Social
Security and, where permissible, state and local income tax purpos-
es. It is the intent of the County that this
Plan qualifies as a "cafete-
ria
plan" within the meaning of Section 125 of the Code, and that any Bene-
fits
paid under the Plan be eligible for exclusion from gross income to the
maximum
extent possible under Section 129 of the Code.
The County pro-
vides,
and may continue to provide, other employee benefits to some or all
of its
employees. The Benefits provided under
this "D-Care Plan" shall be
in
addition to and not in lieu of such other benefits, and such other bene-
fits
shall not constitute a part of this Plan. This Plan shall be inter-
preted,
whenever possible, to comply with the terms of Sections 125 and 129
of the
Code.
SECTION
II DEFINITIONS
2.01
Benefits. "Benefits"
means reimbursement under this Plan of Eli-
gible
Expenses incurred by Participants.
2.02
Code. "Code" means the
Internal Revenue Code of 1986, as now in
effect
and as it may be amended thereafter, and includes any regulations or
rulings
issued thereunder.
2.03
County. "County" means
the County of Santa Cruz.
2.04
Dependent. The
"Dependents" of a Participant for each Plan Year
mean
the Participant's spouse and any person for which the Participant can
claim
as an exemption as a dependent on the Participant's federal income
tax
return for that Plan Year.
2.05
Dependent Care Recipient. A "Dependent Care Recipient" means a
Dependent
who resides with the Participant in a home which the Participant
(and
the Participant's spouse, if married) maintain, and who is:
(a)
under age 13 when the care is provided; or
(b)
the Participant's spouse who is physically or mentally not able to
care for himself or herself; or
(c)
a Dependent who is physically or mentally not able to care for
himself or herself.
2.06
Earned Income. "Earned
Income" means all income derived from
wages,
salaries, tips, commissions, self-employment (as defined in Code
section
32(c)(2)(A(ii)) and other employment compensation(such as disabili-
ty
benefits ) but such term does not include any amounts which are: (a)
received
as Benefits under the Plan or any other dependent care assistance
program
under Code section 129; (b) received as pension or annuity; or (c)
received
as unemployment or workers' compensation.
In the case of a spouse
who
during at least five months of each of the calendar years covered by
the
Plan Year is a full-time student at an Educational Institution or a
spouse
who during any month is incapable of self-care, such spouse shall be
deemed
for each of such months to be gainfully employed and to have earned
income
in that month of (i) $200, if the Participant incurs Eligible Ex-
penses
during the Plan year for only one Dependent Care Recipient, and (ii)
$400,
if the Participant incurs Eligible Expenses during the Plan Year for
two or
more Dependent Care Recipients.
2.07
Educational Institution.
"Educational Institution" means any
educational
institution which maintains a regular faculty and curriculum
and
normally has a regularly enrolled body of pupils or students in atten-
dance
at the place where its educational activities are regularly carried
on.
2.08
Eligible Employee. An
"eligible employee" is an employee of the
County who is eligible to participate in the plan
under Section 3.01.
2.09
Effective Date. "Effective
Date" means the first day of Pay Peri-
od 1 of
1995, and the beginning date of the 1995 Plan Year, and the first
day of
Pay Period 1 of each subsequent Plan Year thereafter.
2.10
Eligible Expenses.
"Eligible Expenses" means all expenses for
Qualified
Dependent Care Services incurred by a Participant or his or her
spouse
which are paid to a Qualified Caregiver or Qualified Dependent Care
Center.
2.11
Enrollment Period. "Enrollment Period" means: (1) for existing
Eligible
Employees, the two pay periods immediately preceding the beginning
of the
Plan Year (e.g., pay periods 25 and 26); or (2) the first full pay
period
of employment for Eligible Employees hired after the annual enroll-
ment
period.
2.12
Qualified Caregiver. A
"Qualified Caregiver" is a person perform-
ing
Qualified Dependent Care Services who is not: (a) a Dependent; (b) a
spouse
of the Participant; or (c) a child of the Participant who is under
the age
of 19 as of the close of the Plan Year in which the Qualified De-
pendent
Care Service was provided.
2.13
Qualified Dependent Care Center.
A "Qualified Dependent Care
Center"
is a licensed dependent care center that provides dependent care
for
more than six individuals and operates in compliance with all applica-
ble
state and local laws.
2.14
Qualifying Dependent Care Services.
"Qualifying Dependent Care
Services"
means services which are performed to enable a Participant (and
spouse,
if applicable) to remain gainfully employed, which are related the
care of
one or more Dependent Care Recipients, and which are performed
either
within or outside the home of the Participant.
Such Qualifying
Dependent
Care Services must be performed within the Plan Year and after
the
Participant as filed an election in order to receive Benefits under the
procedures
described in Section IV.
2.15
Participant. A
"Participant" is any Eligible Employee who is a
Participant
in the plan under Sections III and IV.
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2.16
Pay Period. "Pay
Period" means that period consisting of two
consecutive
weeks, commencing 12:01 a.m. on Saturday and ending the second
Friday
thereafter at midnight (12:00 a.m.).
Each succeeding Pay Period
runs in
bi-weekly cycles from the following pay period: 12:01 a.m. on Sat-
urday,
December 19, 1992 through midnight (12:00 a.m.) on Friday, January
1,
1993.
2.17
Plan. The "Plan" is
the County of Santa Cruz Dependent Care Reim-
bursement
Program, as it may be amended from time to time.
2.18
Plan Year. "Plan Year"
means those County pay periods which con-
stitute
each tax year, commencing with Pay Period 01 and ending with Pay
Period
26 of 1995, and similar periods each year thereafter.
SECTION
III ELIGIBILITY AND PARTICIPATION
3.01
Eligibility. All employees of
the County in budgeted full-time
or
budgeted part-time positions shall be eligible to participate in this
Plan,
but not before the Effective Date.
3.02
Duration. An Eligible Employee
will become a Participant provided
the
Eligible Employee has executed and delivered to the County an election
form to
participate in accordance with Section IV.
Participation will
commence
the beginning of the first pay period after receipt by the County
of the
properly executed election form. An
Eligible Employee will continue
to be a
Participant until the earlier of:
(a)
the date the individual is not longer an Eligible Employee; or
(b)
the Participant no longer has an election in effect, as provided
for in Section IV; or
(c)
the individual's participation ceases pursuant to Section 4.03; or
(d)
upon revocation of the Plan; or
(e)
upon exclusion from the Plan pursuant to Section 5.04.
SECTION
IV ELECTIONS TO PARTICIPATE
4.01
Annual Elections. An Eligible
Employee hired prior to or during
the
annual enrollment period may affirmatively elect to receive dependent
care
assistance Benefits by executing and filing an election form with the
County
during the annual enrollment period for the next Plan Year. An
Eligible
Employee hired after the annual enrollment period may affirmative-
ly
elect to receive dependent care assistance Benefits for the remainder of
the
Plan Year by executing and filing an election form with the County
during
the first full pay period of employment. Election forms, which may
be
obtained from the County, shall specify the exact amount of the Partici-
pant's
salary to be paid in Benefits instead of cash compensation during
the
Plan Year period covered by the election.
Any Eligible Employee who
fails
to file a completed election form with the County during the period
for
enrollment shall be deemed to have elected to receive cash benefits
under
the Plan for the Plan Year for which the election could have been
made.
4.02
Duration of Elections. Once
effective, any election to partici-
pate in
the Plan shall remain in effect until the end of the Plan Year for
which
the election was made, unless a change in made pursuant to Sections
4.03,
404, and 4.05, immediately below.
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4.03
Failure to Make Salary Reduction Contributions. Should a Partici-
pant
fail to make salary reduction contributions for any reason during a
Plan
Year, participation in the Plan automatically ceases effective the end
of the
pay period in which the Participant fails to make salary reduction
contributions.
Such a former Participant may not make a new election for
the
remainder of such Plan Year.
Notwithstanding the above, should a
Participant fail to make salary
reduction
contributions during a Plan Year as a result of a leave of ab-
sence
without pay which is granted under the requirements of the Federal
Family
and Medical Leave Act of 1993, participation in the Plan shall not
cease
for the remainder of such Plan Year provided the Participant returns
from
the leave prior to the end of such Plan Year and provided that the
benefits
payable under the Plan shall be limited to the total value of the
Participant's
salary reduction contribution made during such Plan Year.
4.04
Revocation of Election on Termination of Service. The election of
any
Participant who terminates or is discharged from a budgeted position
with
the County will be automatically revoked as of the effective date of
such
termination or discharge. However, claims for reimbursement for Eligi-
ble
Expenses for Qualified Dependent Care Services provided prior to the
termination
or discharge can continue to be submitted to the County in
accordance
with Section VI.
4.05
Mid-Year Changes in Elections.
Participants may change their
election
for the remainder of any Plan Year for which an election has been
made or
deemed made only if such change in election is on account of, and
consistent
with, a Life Event. A "Life
Event" is one of the events in the
life of
a Participant identified immediately below.
A. A Participant may revoke an election,
or reduce or increase salary
reduction contributions for the
remainder of any Plan Year for the
following life events, provided such
revocation or change is
consistent with the life event:
(1) divorce of the Participant; or
(2) death of the Participant's spouse
or a Dependent Care
Recipient.
B. A Participant make revoke an election
for the remainder of the
Plan Year for the following life events, provided such
revocation
is consistent with the life event:
(1) termination of employment of the
Participant's spouse; or
(2) a change in the employment of the
Participant's spouse from
full-time to part-time.
C. An Eligible Employee who elected not
to participate in the Plan
for a Plan Year may elect to
participate for the remainder of the
Plan Year when one of the following
life events occurs, provid-
ed such election is consistent with
the life event:
(1) birth of a child of the Eligible
Employee; or
(2) the legal adoption of a child by
an Eligible Employee; or
(3) marriage of an Eligible Employee.
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D. A Participant may increase the amount
of salary reduction contri-
butions for the remainder of a Plan
Year for the following life
events, provided the change is
consistent with the life event:
(1) birth of a child of the
Participant or the legal adoption of
a dependent child by the
Participant; or
(2) marriage of the Participant.
In the event that Plan contributions and
the corresponding Plan Benefits
for the
balance of the Plan Year are terminated as a result of such a
change
in an election, any Plan contributions made for the portion of the
Plan
Year extending beyond such election revocation date will be refunded
to the
Participant.
SECTION
V BENEFITS
5.01
General Benefits. From the
effective date of the Plan and for so
long as
this Plan is continued, every Participant in the Plan shall be
eligible
to elect to reduce his/her salary and receive instead Benefits for
all
Eligible Expenses incurred by such Participant for Qualified Dependent
Care
Services which are provided during the Plan Year and after the date on
which
the Participant has filed an election to receive such benefits under
the
procedures described in Section IV. The
maximum amount of such Bene-
fits
payable in response to any claim filed under the Claims Procedures
described
in Section VI shall not exceed the Participant's salary reduction
contributions
with respect to such Benefits, minus all previous reimburse-
ments
of Eligible Dependent Care Expenses paid during the preceding portion
of the
Plan Year. No Benefits shall be paid
hereunder for Qualified Depen-
dent
Care Services provided after the date on which any Participant ceases
to be
an employee.
5.02 Maximum Annual
Benefits. A Participant who is married at the
close
of a Plan Year may not receive Benefits for Eligible Expenses in-
curred
by him/her for the Plan Year in excess of the least of:
(a)
his/her Earned Income for such Plan Year; or
(b)
$5,000 (or $2,500 in the case of a married Participant filing a
separate federal income tax from
his/her spouse); or
(c)
the Earned Income of his/her spouse for such Plan Year.
A Participant who is not married at the
close of a Plan Year may not
receive
Benefits for Eligible Expenses incurred for the Plan Year in exceed
of the
lesser of:
(a)
$5,000; or
(b)
Earned Income for the Plan Year.
Notwithstanding any of the above, the
maximum Benefits paid under this
Plan
must also be reduced by the amount of any tax-exempt dependent care
assistance
benefits received by the Participant or the Participant's spouse
from
any other employer during the Plan Year.
5.03
Cash Alternative. Any Eligible
Employee who has not elected under
the
procedures described in Section IV (Elections) to receive Benefits will
be
assumed to have elected cash benefits, and his/her salary will not be
reduced
to cover payment of Benefits under this Plan.
5.04
Nondiscriminatory Benefits. The
Plan is intended not to discrimi-
nate in
favor of highly compensated individuals as to eligibility to par-
ticipate,
contributions and/or Benefits, and to comply in this respect with
the
requirements of the Code. If the
operation of the Plan in any Plan
Year
would result in such discrimination, then the County may select and
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exclude
from coverage under the Plan such highly compensated Participants
and/or
reduce contributions and/or Benefits under the Plan by such highly
compensated
Participants, all as shall be necessary to assure that, in the
judgment
of the County, the Plan does not discriminate.
5.05
Maximum Overall Contributions.
No Participant shall be entitled
to
reduce compensation by more than the aggregate maximum amount of Bene-
fits
specified in Sections 5.02 and 5.04 above.
5.06
Forfeiture of Unused Benefits. A
Participant shall receive no
reimbursement
for Benefits elected, but unused, during a Plan Year for any
reason.
SECTION
VI CLAIM PROCEDURES
6.01
Claims for Benefits. Each
Participant who desires to receive
reimbursement
under the Plan for Eligible Expenses incurred for Qualified
Dependent
Care Services shall submit to the Payroll Unit of the Auditor's
Office
of the County, at the time indicated in Section 6.03, a specified
claim
form provided by the County together with necessary receipts for
expenses
for Eligible Expenses. Each Participant who desires to receive
reimbursement
under the Plan shall certify or provide factual information,
as
specified by the County, which is necessary to verify that: the Partici-
pant
meets the tests under the Code for a dependent care assistance plan;
Eligible
Expense requirements are met; Maximum Annual Benefit requirements
are
met; and that the Participants will include on their income tax returns
the
name, address, and (except when tax exempt) the taxpayer identification
number
of the provider of Qualified Dependent Care Services.
6.02
Time Limits. No Benefits will be
paid in a Plan Year for services
provided
or received after termination of participation in that Plan Year.
No
Benefits will be paid for a Plan Year unless the Participant applies for
such
reimbursement by the January 31st following the end of that Plan Year.
SECTION
VII PAYMENT OF BENEFITS
7.01
Source of Benefit Payments. The
sole source of payments of Bene-
fits
under this Plan shall be the unfunded accounts established for each
Participant
pursuant to his/her election under Section IV to receive such
Benefits.
The County shall pay to each Participant the Benefits which is is
entitled
to receive under this Plan, and his/her reimbursement account
under
the Plan shall be debited accordingly.
The aggregate reimbursements made as of any
point during the Plan Year
shall
not exceed the Participant's total Plan contributions for Benefits
made to
that point during the Plan Year.
7.02
Forfeitability of Unpaid Benefits.
Any balance remaining in the
Participant's
reimbursement account after the last Eligible Expense has
been
drawn down for a given Plan Year shall be forfeited to the County by
the
Participant, and the account balance reduced to zero.
7.03
Annual Statement. The County
shall forward to each Participant
receiving
Benefits during any Plan Year a statement that shall show the
total
Plan contributions for Benefits during the Plan Year. Such statement
shall
appear on the Participant's W-2 form,
and shall be furnished to the
Participant
by the January 31st following the end of such Plan Year.
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The
County may also, as determined by the County, provide a statement of
total
benefits received during any Plan Year by the February 28th following
the end
of the Plan Year.
SECTION
VIII PROCEDURES FOR RESOLUTION OF
DISPUTES
8.01
Authority of County. The County
shall have the exclusive power
and
authority to interpret the provisions of this Plan and to resolve any
disputes
arising under the Plan. Any dispute
related to the interpretation
or
administration of the Plan shall be resolved in accordance with the
procedures
set forth in this Section VIII.
8.02
Filing a Protest. If an Eligible
Employee or Participant has any
disagreement
with a determination of the County regarding the interpreta-
tion or
administration of the terms and conditions of the Plan, they may
file a
protest with the County stating their objection to the determination
and
setting forth facts sufficient to apprise the County of the basis for
their
objection. A protest will be considered
only if it is in writing and
delivered
in person or by first class mail to the Employee Relations Divi-
sion of
the County Personnel Department.
8.03
Appeal. If a protest is wholly
or partially denied, notice of the
decision
shall be furnished by the County to the Participant or Eligible
Employee
within 90 days after actual receipt of the protest by the County.
If
special circumstances require an extension of time for processing the
protest,
written notice of the extension shall be furnished to the Partici-
pant
prior to the end of the 90-day period.
The extension notice shall
indicate
the special circumstances requiring an extension of the time and
the
date by which the County expects to render the final decision. The
following
information must be provided in a written notice to the Partici-
pant or
Eligible Employee whose protest shall been denied:
(a) specific reason(s) for the denial;
(b) specific reference to a pertinent
Plan provision on which the
denial is based;
(c) a description of any additional
material or information necessary
for the Participant or Eligible
Employee to perfect the protest
and an explanation of why such
material or information is neces-
sary;
(d) appropriate information as to the
steps to be taken if the Partic-
ipant or Eligible Employee wishes to
submit his or her protest for
review; and
(e) that the Participant or Eligible
Employee or his or her duly
authorized representative has a
reasonable opportunity to appeal
the denial of a protest, including
but not limited to:
(1) requesting a review upon
written application to the Plan;
(2) reviewing pertinent documents;
(3) submitting issues and comments
in writing.
SECTION
IX EMPLOYER CONTRIBUTIONS
All contributions to the Plan shall be
designated and deemed to be Coun-
ty
contributions. These County
contributions are made pursuant to elec-
tions
made or deemed made under Section IV which shall have the effect of
salary
reduction agreements between the Participants and the County. A
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separate
fund or trust may, but need not, be established by the County as
necessary
to hold any contribution to be later transferred to Participants
as
Benefits hereunder.
SECTION
X AMENDMENT OR TERMINATION
10.01
Amendments. The County reserves
the right to make from time to
time
any amendment or amendments to this Plan, provided, however, that the
County
may make any amendment it determines necessary or desirable, with or
without
retroactive effect, to comply with the law.
10.02
Termination of Plan. The County
may terminate the Plan at any
time.
Upon termination of the Plan, the
rights of all Participants affect-
ed
hereby shall become payable as the County may direct.
SECTION
XI MISCELLANEOUS
11.01
No Guarantee of Employment. Nothing
contained in this Plan shall
be
construed as a right of any Eligible Employee or Participant to be con-
tinued
in the employment of the County, or as a limitation on the right of
the
County to discharge any of its employees, with or without cause.
11.02
No Rights to County Assets. No
Participant or a Participant's
Dependent
shall have any right to on interests in, any assets of the County
upon
termination of employment or otherwise, except as provided from time
to time
under this Plan, and then only to the extent of the Benefits pay-
able
under this Plan.
11.03
Assignment and Alienation of Benefits.
Benefits provided under
this
Plan shall not be such to assignment or alienation.
11.04
No Personal Liability. Nothing
contained herein shall impose on
any
officer or employees of the County any personal liability for any Bene-
fits
due a Participant or Dependent pursuant to this Plan.
11.05
Not an Employee Contract. This
Plan shall not be deemed to con-
stitute
a contract between the County and any Eligible Employee or Partici-
pant or
to be a consideration or any inducement for the employment of any
Participant
or Eligible Employee. This Plan shall
not be deemed to give
any
Participant or Eligible Employee the right to be retained in the ser-
vice of
the County or to interfere with the right of the County to dis-
charge
any Participant or Eligible Employee at any time regardless of the
effect
which such discharge shall have upon such person as a Participant in
this Plan. This Plan shall not be deemed to give the
County the right to
require
any Participant or Eligible Employee to remain in the employ of the
County
or to restrict any such person's right to terminate employment at
any
time.
11.06
Severability. If any provision
of this Plan shall be held in-
valid
for any reason, such illegality or invalidity shall not affect the
remaining
parts of this Plan, and this Plan shall be construed and enforced
as if
such illegal or invalid provisions had never been included.
11.07
Construction. The terms of the Plan shall be construed under the
laws of
the State of California except to the extent such laws are preempt-
ed by
federal law.
11.08
Non-Coordination with Health Care Reimbursement Plan. All Par-
ticipants
in this Plan may be eligible to receive benefits under the sepa-
rate
Health Care Reimbursement Plan of the County.
The enrollment and
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termination
of participation under the Health Care Reimbursement Program
shall
not constitute enrollment and termination of participation under this
Plan.
11.09
Gender and Number. In the
construction of this Plan, reference
to any
gender shall include the masculine, feminine and neuter genders, the
plural
shall include the singular and the singular the plural, whenever
appropriate.
11.10
Additional Procedures. Any rules
or procedures that may be nec-
essary
for the proper administration or functioning of this Plan may be
promulgated
and adopted by the County.
SECTION
XII ENTIRE PLAN
This
documents sets forth the entire Plan.
Except as provided in this
Plan,
no other employee benefit plan which is, or may hereafter be, main-
tained
by the County shall constitute a part of this Plan.
TO
RECORD THE ADOPTION OF THIS PLAN, the County has caused this
document to be executed by its duly
authorized Board of Supervisors
this 8th day of November 1994.
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