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Name of Employer <br />RETIREE WELFARE BENEFITS PLAN <br />ARTICLE I <br />Preamble <br />THIS INSTRUMENT made and published by City of Santa Ana (hereinafter called "Employer") on <br />the 28 day of November 20 11 creates the City of Santa Ana Retiree Welfare Benefits <br />Plan, as follows: <br />1.01 Establishment of Plan <br />The Employer named above hereby establishes a Retiree Welfare Benefits Plan as of the 28 day of November , 20 11 <br />1.02 Purpose of Plan <br />This Plan has been established to reimburse the eligible Retirees of the Employer for medical and dental expenses incurred by <br />them, their Spouses and Dependents pursuant to the Employer's VantageCare Retirement Health Savings (RHS) Plan. <br />ARTICLE II <br />Definitions <br />The following words and phrases as used herein shall have the following meanings, unless a different meaning is plainly <br />required by the context: <br />2.01 'Benefits" means any amounts paid to a Participant, Spouse or Dependents in the Plan as reimbursement for Eligible <br />Medical and Dental Expenses incurred by the Participant during a Plan Year by him, his Spouse or his Dependents. <br />2.02 "Code" means the Internal Revenue Code of 1986, as amended. <br />2.03 "Dependent" means any individual who is a dependent of the Participant within the meaning of Code Sec. 152, as <br />arriplified by Internal Revenue Service Notice 2004-79, 2004-49 I.R.B.898.. <br />2.04 "Eligible Medical Expenses" means those expenses designated by the Employer as eligible for reimbursement in <br />the VantageCare Retirement Health Savings Plan Adoption Agreement. <br />2.05 "Employer" means the unit of state or local government creating this Plan, or any affiliate or successor thereof that <br />likewise adopts this Plan. <br />2.06 "Entry Date" means the first day the Participant meets the eligibility requirements ofArticle III as of such Date. <br />2.07 "Participant" means any Retiree who has met the eligibility requirements set forth in Article III. <br />2.08 "Plan Administrator" means the Employer or other person appointed by the Employer who has the authority and <br />responsibility to manage and direct the operation and administration of the Plan. <br />2.09 "Plan Year" means the annual accounting period of the Plan, which begins on the 28 day of November <br />, 20 11 , and ends on Elie 31 day of December 20 11 , with respect to the first Plan Year, and <br />thereafter as long as this Plan remains in effect, the period that begins on January 1 and ends on month/day <br />December 31 <br />, <br />�x <br />a .. <br />P s <br />