HomeMy WebLinkAboutResolution - 2010-R0633 - Amendment 9 To Master Welfare Benefit Plan - 12/15/2010Resolution No. 2010-RO633
December 15, 2010
Item No. 5.6
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Amendment Number Nine (9) to the City of Lubbock Master Welfare
Benefit Plan is hereby adopted and approved. Said Amendment is attached hereto and
incorporated in this resolution as if fully set forth herein and shall be included in the
minutes of the City Council.
Passed by the City Council on December 15,_ 2010
,�/�-�'-
TOM MARTIN, MAYOR
ATTEST:
Retie ca Garza, City Secretary
APPROVED AS TO CONTENT:
Leisa Hutcheson, Human Resources Director
APPROVED AS TO FORM:
Chad Weaver, Assistant City Attorney
vw:ccdocs RES.Amend :79 -Master Welfare Benefit Plan
December 3, 2010
Resolution No. 2010-R0633
APPENDIX B
SUMMARY PLAN DESCRIPTION SUPPLEMENT
The following information, along with the information contained in the attached Plan
document, is intended to constitute the Summary Plan Description.
Name of Plan City of Lubbock, Texas Master Welfare Benefit Plan
Plan Number 502
Plan Sponsor City of Lubbock
1625 13`h Street
Lubbock, Texas 79547
(806)775-2277
Employer Identification Number: 75-600059
Plan Year The Plan Year begins on January 151 and ends on the
following December 3151, and Plan records are maintained
on that basis.
Effective Date The initial Effective Date of the Plan was January 1, 2004.
Plan Administrator Lee Ann Dumbauld, City Manager
and Named City of Lubbock
Fiduciary 1625 13`h Street
Lubbock, Texas 79457
The Plan Administrator is responsible for maintaining
records on Participants, determining eligibility for benefits,
and interpreting and administering the provisions of the
Plan.
Type of
In cases where a Participant requests an exception to the
Administration /
Plan and the cost to the Plan is less than twenty five
Funding Medium /
thousand dollars, the Participant shall secure the approval
Source of
or rejection from the Plan Administrator.
Contributions
In cases where a Participant requests an exception to the
Plan and the cost to the Plan is for twenty five thousand
dollars or more, the Plan Administrator shall submit the
request to the City Council for approval or rejection.
Benefits under the Plan are paid from the general funds of
the Employer and are self-administered by the Employer
Appendix B — Summary Plan Supplement
Rev. 12-10
(or a third -party administrator). The Plan is funded through
employer and employee contributions.
Agent for Service of The Plan Administrator is the agent for service of legal
Legal Process process.
Request for Plan Requests to review Plan Documents, requests for copies of
Information Plan documents, and questions regarding Plan operations
should be directed to Plan Administrator at the address and
telephone number provided above.
Appendix B — Summary Plan Supplement Z
Rev. 12-10