HomeMy WebLinkAbout2017-036 (HSA Adoption Agreement – Health Saving Account Master Service Agreement, FSA Adoption Agreement – Section 125 Cafeteria Flexible Benefits Plan Master Services Agreement & Respective Plan Summaries with MII Life, Inc., dba: Selectaccount) RESOLUTION 2017-036
APPROVING THE HSA ADOPTION AGREEMENT - HEALTH SAVING ACCOUNT MASTER
SERVICE AGREEMENT, FSA ADOPTION AGREEMENT -SECTION 125 CAFETERIA-
FLEXIBLE BENEFITS PLAN MASTER SERVICES AGREEMENT AND RESPECTIVE PLAN
SUMMARIES WITH MII LIFE, INC., DBA: SELECTACCOUNT
WHEREAS,the City of Stillwater is part of the Southwest West Central Cooperative; and
WHEREAS,the City of Stillwater has added a high deductible medical plan with a HSA
as an option for medical insurance for its employees; and
WHEREAS, the City of Stillwater has retained the Section 125 Cafeteria Flexible
Benefits Plan as an employee option; and
WHEREAS,to provide consistent administration for the HSA and FSA the City of
Stillwater changed service providers from Secure Benefits to MII Life, Inc.; DBA:
SelectAccount for the HSA and FSA Benefits Plans effective January 1, 2017.
NOW THEREFORE, BE IT RESOLVED by the Stillwater City Council that the following
agreements, as on file with the City Clerk, are hereby approved:
1. HSA Adoption Agreement- Health Saving Account Master Service Agreement and
plan summary.
2. FSA Adoption Agreement- Section 125 Cafeteria-Flexible Benefits Plan Master
Services Agreement and plan summary
3. Flexible Benefit Plan Document
BE IT FURTHER RESOLVED,that the Stillwater City Council authorizes the City
Administrator to sign said agreements on the City's behalf.
Adopted by the Stillwater City Council this 21st day of February, 2017.
"Z•4419
Ted Kozlowski, Mayor
ATTEST:
_� �
Diane F.Ward, City Clerk
CITY OF STILLWATER
SELECTACCOUNT FLEXIBLE BENEFIT PLAN DOCUMENT
SIGNATURE PAGE
CITY OF STILLWATER restates its cafeteria plan by adopting the attached SelectAccount Flexible
Benefit Plan and applicable Benefit Summaries (collectively the "Plan Document").
This restatement is effective as of January 1, 2017.
The Company has caused this instrument to be executed by its authorized officer, this 22nd day
of February, 2017
**Please sign and keep this page for your records**
CITY OF STILLWATER
2)41441
•By�:
J. Thomas McCarty
Its: City Administrator