SANTA ANA POLICE OFFICERS ASSOCIATION (SAPOA) (3)

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EXHIBIT C HEALTH PLAN AGREEMENT by and between The City of Santa Ana and The Santa Ana Police Officers Association IN CONSIDERATION OF the mutual covenants, promises, and conditions set forth herein below and pursuant to Article XII of the Parties' 2023 Memorandum of Understanding ("MOU"), the City of Santa Ana ("City") and Santa Ana Police Officers Association ("Association") agree as follows: 1. The term of this Agreement shall begin on January 1, 2023. 2. Employees' required contributions towards health plan premiums shall be determined by the Association. To the extent that the Affordable Care Act ("ACA") is still the law, such employee contribution must fall below such threshold in order to meet the ACA's affordability threshold under the Federal Poverty Line Safe Harbor. This means that the employee's required contribution toward premiums for the lowest cost plan that offers minimum essential coverage shall not exceed nine and twelve hundredths percent (9.12%) (or the applicable percentage set by the ACA for the year) of the monthly Federal Poverty Line for a single individual that is in effect during the six (6) months prior to the start of the plan year (For example, in 2023, the monthly Federal Poverty Line for a single individual is one thousand one hundred thirty-two dollars and fifty cents ($1,132.50); nine and twelve hundredths percent (9.12%) of one thousand one hundred thirty-two dollars and fifty cents ($1,132.50) is one hundred three dollars and twenty-eight cents ($103.28). This means that an employee's required contribution toward the lowest cost plan for 2023 must not exceed one hundred three dollars and twenty-eight cents ($103.28).). For employees who are on approved Family Leave pursuant to applicable law, the Association shall continue to pay health insurance premiums to the same extent the City would be required under applicable law or as long as the employee is considered full-time for Internal Revenue Service's ("IRS") ACA reporting by the City. 3. The City shall contribute to the Association medical insurance trust fund the following amounts for provision and administration of health and related benefits: The City shall contribute toward health benefits (including medical, dental, and long-term disability insurance benefits) one thousand five hundred seventy-five dollars ($1,575) per month for each actively employed enrollee member of the bargaining unit. a. Employees are not entitled to cash out any of the one thousand five hundred seventy-five dollars ($1,575) per month. The Association shall ensure that for purposes of the ACA's affordability determination, the portion of the one thousand five hundred seventy-five dollars ($1,575) that makes the lowest cost plan affordable under the Federal Poverty Line Safe Harbor is applied only to health premiums and cannot be applied to other 75