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Docusign Envelope ID: 5BE638E3-9A4C-4D19-9586-Al7352C599AA <br />4. City Contributions <br />The City's contribution for retiree medical coverage is established as the same <br />dollar contribution paid for active employees at the single rate of the lowest cost <br />HMO Plan early retiree plan. <br />5. Reimbursement for non -City Plans <br />In the event that a retiree obtains medical coverage through a plan not offered <br />through the City of Pleasanton, the City will reimburse the retiree up to the eligible <br />amount, but no more than the amount paid by the retiree. Retirees must supply <br />proof of coverage and proof of payment in order to be reimbursed. <br />6. Benefits for Medicare Eligible Retirees <br />Retiree health benefits, including reimbursement, will cease once the employee <br />becomes Medicare eligible. <br />Retiree Health Savings Plan <br />For employees hired on or after January 21. 2009, the City will contribute one <br />hundred fifty dollars ($150) per month to the employee's RHSP. Additionally, each <br />employee eligible for the City contribution will have a mandatory, pre-tax <br />deduction of one hundred fifty dollars ($150) per month toward the RHSP. The <br />total monthly contribution to the RHSP will be three hundred dollars ($300). <br />Employees have a vested right to the funds at the time of deposit. Funds deposited <br />in the RHSP are portable and belong to the employee, regardless of length of <br />service or reason for separation. <br />12.3 Dental <br />The City shall contribute an amount necessary to provide dental care benefits for the individual <br />employees and eligible dependents. The City shall provide a lifetime maximum orthodontia <br />coverage of $2,000 for individual employees and eligible dependents. <br />12.4 Life Insurance <br />The City shall contribute an amount necessary to provide $100.000 life and $100.000 accidental <br />death and dismemberment insurance coverage for individual full-time employees. <br />Employees may purchase at their own expense and within the limits set by the insurance carrier, <br />additional amounts of life insurance under the existing policy. <br />12.5 Vision Care <br />A vision care plan will be provided as an option for employees and the cost of such coverage shall <br />be included in the 125 Plan. <br />25 <br />