Laserfiche WebLink
Exhibit B <br /> ( <br /> PLAN DOCUMENT <br /> ADOPTION AGREEMENT <br /> The undersigned Employer hereby adopts, executes and establishes the employee welfare benefit plan <br /> ("Plan'7 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. Barry Leonard <br /> 4. Effective Date of Plan: November 1, 1998 <br /> 5. ERISA Plan Year: 11/1 <br /> 6. Eligible Person means: <br /> • A full-time employee of the Employer and also includes Retirees who are otherwise eligible per <br /> terms of the 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 />