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; <br />' 1,.i r <br /> � b. Premium Conversion <br /> i. Medical Plan X <br /> ii. Group Life Plan X <br /> (only to $50,000) <br /> ' i ' . Shor erm Disabilit Plan X <br /> i i t T y <br /> iv. Long Term Disability Plan X <br /> v. Other <br /> AFSCME Local 268 Dental Plan X <br /> 2 . Basic Contributions <br /> a. For the Flexible Spending Account, the Employer <br /> establishes the following levels of coverage and <br /> maximum amounts of reimbursement: <br /> i. Medical and Dental <br /> Minimum: $ <br /> Maximum: $ 3 . 000. 00 (may not exceed $5000) <br /> ii. Dependent Care Plan � <br /> Minimum: $ <br /> Maximum: $ 5, 000. 00 (may not exceed IRC 129 <br /> limits) <br /> b. For Premium Conversion, a Participant's Compensation <br /> shall be reduced by an amount equal to the cost for <br /> Participant's and, if applicable, Dependent's coverage <br /> under the particular Constituent Plan(s) . <br /> If the Plan Year is less than twelve months, the maximum <br /> Compensation reductions shall be prorated over a twelve <br /> month period to determine the maximum. <br /> 3 . Eligible Expenses <br /> a. Flexible Spending Account <br /> i. Medical and Dental Benefits: All medical and dental <br /> care IRC deductible under Section 213 (d) except <br /> ii. Dependent Care: All IRC Section 129 dependent care <br /> assistance expenses except <br /> 2 <br />