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Modesto California Form 8546: What You Should Know

The City of Modesto offers an FSA, a FAST program, and a City-sponsored health care plan, offering health care and preventive provisions.  The programs are designed to be cost-effective, easy to follow, and simple to administer. Employees are allowed 100 of their qualified payroll expense from a qualified payroll expense deduction to be deducted from the employee's next tax deduction. Employees who enroll in the FSA program and meet the minimum enrollment requirements as determined by the City and are reimbursed for their FSA program services are considered eligible for a FAST card. Form 709—Employee Health Care Plan Form 716—Employee Welfare Benefits Plan Form 710—Health Benefit Plan Form 770—Employee Health Care Plan The City's health insurance plan is known as the Employee Welfare Benefits Plan (EBP). The primary purpose of the organization is for employees to provide health related benefits and insurance to their eligible family members. As required by the Department of Insurance, the City is required to maintain an insurance plan, or EMB plan, that meets the requirements of the Insurance Code.  The insurance plan is administered by the City and consists of an insurance carrier and a plan administrator. To qualify for an EMB plan, an employee must be covered by a valid insurance plan issued by one of several insurers. Eligibility for an insurance plan is based on whether the employee holds a valid insurance identification card. To purchase health insurance through an EMB plan, eligible employees are required to meet eligibility criteria established by the provider(s) insured with the City's insurance carrier. City Plan Administrator The plan administrator is the designated individual with whom the administrator of the plan is to communicate on a regular basis about policy, insurance, health benefits, benefits coverage, and EMB plan matters. The plan administrator is responsible for managing the City's health benefit plan, including issuing policyholder's identification cards to employees and employees' legal entities related or associated with the City.

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