HomeMy WebLinkAboutItem 06.k
Date: Item No.
FUNDED HRA SUCCESSOR TRUSTEE
CHANGE DOCUMENTS
Proposed Action
Staff recommends adoption of the following motion: Move to approve the Funded HRA
Successor Trustee Change Documents.
Overview
The City’s Plan Administrator for VEBA and H.S.A. funds, Genesis Employee Benefits, is
transferring assets from U.S. Bank to Matrix Trust Company effective April 6, 2016. The
attached documents are required to facilitate this change.
The asset conversion will begin on Monday, April 4. At that time, participants will be
temporarily unable to make investments in order to allow a quick conversion. Assets will once
again be available to participants on Wednesday, April 6.
Roger Knutson has reviewed the various agreement attached and has approved them for content.
Primary Issues to Consider
• None.
Supporting Information
• See attached documents.
Financial Impact: $ Budgeted: Y☐ N☐ Source:
Related Documents: (CIP, ERP, etc.):
Envision Lakeville Community Values: Good Value for Public Services
Report Completed by: Cindi Joosten, Human Resources Manager
March 21, 2016
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AGREEMENT OF RESIGNATION, APPOINTMENT, AND ACCEPTANCE
WHEREAS, U.S. Bank National Association (the “Bank”) is the sole trustee of the CITY OF LAKEVILLE VEBA
HEALTH SAVINGS TRUST (the “Trust”) maintained under the trust agreement entitled AMERICA'S VEBA
SOLUTION BASIC TRUST DOCUMENT - US BANK (NO. 7.0.0.0) between CITY OF LAKEVILLE AND
LAKEVILLE ARENAS (the “Plan Sponsor”) and the Bank dated 1/1/2008 (the “Trust Agreement”).
WHEREAS, Section § 5.1 of the Trust Agreement provides that the Bank may resign as trustee by providing written
notice to the Plan Sponsor; the Plan Sponsor also serves as the “Plan Administrator,” as that term is defined in the Trust
Agreement; and the Bank previously provided that notice to the Plan Sponsor.
WHEREAS, Section 5.2 of the Trust Agreement provides that the Plan Sponsor shall appoint a successor trustee of the
Trust; and the Plan Sponsor wishes to appoint ____________________________________ (the “Successor Trustee”) as
successor trustee of the Trust.
WHEREAS, Section 5.3 of the Trust Agreement provides that the Bank shall transfer and deliver the residual assets of
the Trust to the Successor Trustee, and the Successor Trustee shall succeed to the title of the Trust vested in the Bank and
shall have all the powers, rights, and duties conferred by the Trust Agreement as if originally named trustee.
WHEREAS, the Successor Trustee is willing to accept its appointment as such.
NOW, THEREFORE, the parties hereto agree as follows:
1. Resignation. The Plan Sponsor hereby acknowledges that the Bank has resigned as trustee of the Trust pursuant
to the Trust Agreement.
2. Assignment. The Plan Sponsor hereby directs the Bank to, and the Bank hereby does, assign, transfer, and
deliver the Bank’s powers, rights, duties, and interest in the Trust to the Successor Trustee pursuant to the Trust
Agreement. The Bank covenants to execute all documents and do all other acts necessary to vest title in the Successor
Trustee.
3. Acceptance. The Successor Trustee hereby accepts sole trusteeship of the Trust and accepts the powers, rights,
duties, and interest in the Trust pursuant to the Trust Agreement, effective upon transfer of Trust assets to the Successor
Trustee.
4. Consent. The Plan Sponsor hereby accepts the Bank’s resignation as trustee. The Plan Sponsor hereby appoints
the Successor Trustee as successor trustee of the Trust with all the powers, rights, and duties conferred by the Trust
Agreement as if the Successor Trustee were originally named as trustee.
IN WITNESS WHEREOF, the Bank, the Plan Sponsor, and the Successor Trustee have executed this document.
CITY OF LAKEVILLE AND LAKEVILLE
ARENAS
By: __________________________________
Its: __________________________________
U.S. Bank National Association
By: __________________________________
Its: Vice President and Relationship Manager
The Successor Trustee
By: __________________________________
Its: __________________________________
Matrix Trust Company
20195 Holyoke Avenue, Lakeville, MN 55044
952-985-4400 • 952-985-4499 fax
www.lakevillemn.gov
March 15, 2016
U.S. Bank National Association
c/o Nic Maylone
800 Nicollet Mall | BC-MN-H11T
Minneapolis, MN 55402
RE: City of Lakeville VEBA Health Savings Trust
Dear Mr. Maylone:
Please accept this notification as a formal request to discontinue our VEBA Health Savings Trust with US Bank.
This change shall become effective on April 6, 2016.
We direct U.S. Bank to transfer all of our assets to Matrix Trust Company as trustee of the City of Lakeville
VEBA Health Savings Trust via in-kind transfer on this day and provide Genesis, a TASC Division with the final
asset amounts transferred.
Transfer Type B-52
Matrix Clearing ID 5954
Trading Level Zero
Receiving Fund Account # Will be sent under a
separate cover
Once the assets have been successfully transferred to Matrix, please close our account with U.S. Bank.
Sincerely,
City of Lakeville and Lakeville Arenas
By: ______________________________
Its: Authorized Officer
AMENDMENT
TO
ADMINISTRATION AGREEMENT
WHEREAS, Total Administrative Services Corporation d/b/a Genesis Employee Benefits and City
of Lakeville (as Adopting Employer and Plan Administrator) have heretofore entered a Non-ERISA
Administration Agreement (the “Agreement”) effective January 1, 2014; and
WHEREAS, the Agreement provides that it may be amended by mutual written agreement of the
parties;
WHEREAS, the parties wish to amend the Agreement as provided herein.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein and
the Agreement, effective April 6, 2016, the parties hereby agree to the following amendments to the
Agreement:
1. Section IV.F. of the Agreement is amended by adding the following paragraph:
7. Trustee Fees. Adopting Employer has appointed a trustee of the Trust. To the extent
the trustee charges an annual fixed fee for its services as trustee, Plan Supervisor shall
pay such fixed fee on Adopting Employer’s behalf and then obtain reimbursement for
such payment from Adopting Employer or the Trust as provided in the Adoption
Agreement. Adopting Employer agrees to reimburse Plan Supervisor for such fixed fee or
authorize reimbursement from the Trust. To the extent the trustee charges an asset
based fee for its services as trustee, Plan Supervisor shall pay such asset based fees on
Adopting Employer’s behalf. The trustee’s asset based fees are included in the quarterly
asset based fee reflected in Exhibit B, which Adopting Employer has agreed to pay to
Plan Supervisor pursuant to this Section IV.F.
2. Exhibit B (Administrative Fees) to the Agreement is replaced by the Exhibit B attached to this
Amendment.
IN WITNESS WHEREOF, the parties have executed this Agreement to be effective as of the
effective date indicated above.
City of Lakeville
By:
Title: ___________________________________
TOTAL ADMINISTRATIVE SERVICES
CORPORATION
By:
Title: ____________________________________
EXHIBIT B
Administrative Fees
The following describes the standard and optional Funded HRA claims administration and recordkeeping
services and fees, and the party which will be responsible for paying the fees:
STANDARD SERVICES
Recordkeeping PPPM1 Fee $2.50
Quarterly Asset Based Fee 0.075%
Claims PPPM Fee $5.00
Recordkeeping PPPM Fee for Additional Accounts2 $1.00
Claims PPPM Fee For Additional Accounts3 $1.00
Minimum Monthly Fee (excluding asset based fees or fees charged to
Participant accounts): $250
1 “PPPM” means per participant per month.
2 Fee applies for each additional recordkeeping account or sub-account created under the Plan for a Participant in excess of one
account.
3 Fee applies for each additional claims account or sub-account created under the Plan for a Participant in excess of one account.
OTHER FEES (as applicable)
Description of Service Fee
Standard communication materials (some materials will reflect actual plan provisions,
but no custom fonts, wording, logos, etc.; customization is available – see below for
optional services and fees)
N/C
Annual participant statements mailed to employer for distribution (mailed within 22
business days following plan anniversary) N/C
Standard Plan – Plan and Trust documents N/C
Preparation of Annual IRS Form 990 N/C
Preparation of Summary of Benefits and Coverage (SBC) N/C
Check re-issue fee (charged to participant) $25
Fee to correct erroneous data provided by Adopting Employer or Plan Administrator $150/hour
Custom file formatting $150/hour
Wire transfer fee (ACH deposits, no additional fee) $20
Record review and transfer upon termination $150/hour
OPTIONAL SERVICES
Initial to
Authorize
Optional
Service
Description of Optional Service Fee
__________ Custom Plan – Plan and Trust documents, Form 1024 filing* **
__________ Plan amendments/restatements requested by Adopting Employer* $250
__________
Mailing of statements to participants’ homes (fee per participant per
statement; includes postage)
$1.00 per
statement
__________
Additional participant statements mailed to employer or participants’
homes (fee per participant per statement; includes postage)
$1.00 per
statement
__________ Discrimination testing (per test) $150/hour
__________ Consulting to correct failed discrimination tests $150/hour
__________ Employee meetings (per meeting, plus travel expenses) $275
__________ Multi-site billing and accounting (per site) $25
__________
Customized communication materials (e.g., custom fonts, wording,
logos, etc.) (annual fee)
$150/hr +
production costs
+ .25¢ PPPM
* Work may be performed on behalf of Plan Supervisor by Hitesman & Wold, P.A.
** As provided in the Engagement Letter between Hitesman & Wold, P.A. and the Adopting Employer.