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Plan Document Amendments
Clark County Employee Welfare Benefit Plan

Amendment #2 to Plan Document and Summary Plan Description

Effective: January 1, 2012

The Clark County Employee Welfare Benefit Plan (the "Plan) plan document (the "PD" and summary plan description (the "SPD," and collectively with the PD, the "plan documents") are hereby amended as follows:

The section entitled "General Information" "Participation Contribution" is amended to read:

Participant Contribution
A Participant Contribution is the amount an employee is required to pay in order to participate in the Plan.  Any required premium for coverage will be automatically taken pre-taxed unless the participant notifies the Plan Sponsor that they elect to have the deduction after taxes.  Contact your employer for contribution requirements.  Individuals who are participating in the Plan by virtue of having exercised their rights under the section of the Plan entitled "Continuation of Coverage (COBRA)" will receive a separate notice which will indicate the cost to participate in the Plan.

Amendment #3 to Plan Document and Summary Plan Description

Effective January 1, 2012

The section entitled "Limitation and Exclusion of the Medical Plan" is amended to read:

Charges for third party examinations and treatments, such as those requested for employment, purchase of insurance or school; except immunizations that are required as part of schooling for medical careers.

All other provisions of the plan documents shall remain unchanged.

Clark County Courthouse
Hours:  8 a.m. to 4:30 p.m.
517 Court St., Room 301
Neillsville, WI 54456
Phone: (715) 743-5148
Fax: (715) 743-5154