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2 '� <br /> Exhibit B <br /> PLAN DOCUMENT <br /> ADOPTION AGREEMENT <br /> The undersigned Employer hereby adopts, executes and establishes the employee weifare benefit plan <br /> ("Plan") as set forth in the Plan Document to which this Adoption Agreement is attached. This Adoption <br /> Agreement forms a part of the Plan. <br /> 1. Name of the Employer: City of Decatur <br /> 2. Employer Group Number: P06856 and 992844 <br /> 3. Name of Employer's Plan Administrator(The Claim Administrator does not serve as Plan Administra- <br /> tor): Mr. J. Barry Leonard <br /> 4. Effective Date of Plan: November 1, 2000 <br /> 5. ERISA Plan Year: November 1 st <br /> 6. Eligible Person means: <br /> • A full-time employee of the Employer <br /> • � Retirees who are otherwise eligible perterms ofthe city labor agreement or administrative policy. <br /> 7. Full-Time Employee means: <br /> • A person who is regularly scheduled to work a minimum of 30 hours per week and on the perma- <br /> nent payroll of the Employer. <br /> 8. Limiting Age: <br /> • The limiting age for covered unmarried children is 23; coverage is automatically terminated on <br /> the birthday. <br /> 9. The Effective Date of Termination for a person who ceases to meet the definition of an Eligible Person: <br /> • The date such person ceases to meet the definition of Eligible Person. <br /> 10. The Eligibility Date for a person who becomes an Eligible Person after the Effective Date of the Plan <br /> is: <br /> • The date of employment. <br /> 11. Enrollment: <br /> Special Enrollment.• An Eligible Person may apply for coverage, Family coverage or add dependents <br /> within thirty-one (31) days of a qualifying event if he/she did not apply prior to his/her Eligibility Date <br /> or when eligible to do so. Such person's Coverage Date, Family Coverage Date, and/or dependent's <br /> Coverage Date will be the effective date of the qualifying event or, in the event of Special Enrollment <br /> due to termination of previous coverage, the date of application of coverage. <br /> Late Enrollment: An Eligible Person may apply for coverage, Family coverage or add dependents <br /> if he/she did not apply prior to his/her Eligibility Date or did not apply when eligible to do so. Such <br /> person's Coverage Date, Family Coverage Date, and/or dependent's Coverage Date will be a date <br /> mutually agreed to by the Claim Administrator and the Employer. <br /> Open Enrollment An Eligible Person may apply for coverage, Family coverage or add dependents <br /> if he/she did not apply prior to his/her Eligibility Date or did not apply when eligible to do so, during <br /> the Employer's Open Enrollment Period. <br /> � _ <br />