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ACA Employer Mandate. The Board will establish appropriate initial and on-going
measurement periods for purposes of determining which ineligible employees meet the
definition of “full-time employee” as required by Code section 4980H. If the Board chooses
to use a look-back measurement period, the look-back measurement period may vary in
length by category of employee and may be changed prospectively from year to year at the
Board’s discretion and to the extent permitted by 26 C.F.R § 54.4980H-3. If an employee
meets the definition of “full-time employee” during the applicable measurement period, as
determined by the Board, the employee will be offered coverage for the duration of the next
stability period that begins immediately following the measurement period and subject to any
administrative period established by the Board. The length of the stability period and
administrative period will comply with 26 C.F.R § 54.4980H-3.
Notwithstanding the above, the following individuals are not eligible to participate in the
Plan: (1) employees covered by a collective bargaining agreement other than the Basic
Agreement between the Office of the Commissioner and World Umpires Association
effective January 1, 2010 and any predecessor or successor to that agreement; (2) any person
performing services pursuant to an arrangement with a leasing organization, including but
not limited to a “leased employee” within the meaning of section 414(n) of the Internal
Revenue Code (“Code”); (3) a non-resident alien with no U.S. source income; (4) individuals
who the Employer classifies as independent contractors and any other individual the
Employer does not treat as an employee for purposes of withholding federal employment
taxes, regardless of any contrary governmental or judicial determination relating to such
employment status or tax withholding; (5) any individual who is eligible for benefits in the
Minor League Trust; and (6) any individual who is a participant or beneficiary under another
Employer’s group health plan.
Dependent Coverage. You may also elect coverage for your spouse and your dependent
children. In general, a “spouse” is a person to whom you are legally married in accordance
with the laws of the State or foreign jurisdiction where the marriage was licensed or
performed, and “dependent children” include your legal children (for example, any biological
child, adopted child, or child for whom you are the legal guardian), foster children, or step
children who are under age 26.
To the extent that a child does not qualify as a tax dependent under section 152 of the Code
(for example a child over the age of 18 who is not financially dependent on his or her parent),
under some state tax laws, you will have taxable income equal to the value of the coverage.
Although this income is not actually received by you in your paycheck, it is taxable to you
and must be reported as income on your Form W-2.
Your Employer also extends coverage for an unmarried dependent child beyond age 26
provided that prior to attaining age 26 he or she was enrolled in the Plan and is incapable of
self-sustaining employment by reason of mental retardation or physical handicap. For a
handicapped child to remain covered, you must submit proof of the child’s inability to
engage in self-sustaining employment by reason of mental retardation or physical handicap
within 31 days of the child’s attainment of the age 26. The proof must be in a form approved
by your Employer and must be resubmitted as required by your Employer.
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