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AI- 78407
Budget and Management   14.E.
CC REGULAR AGENDA REGULAR MTG
Other
Meeting Date:
11/24/2020
Submitted By:
Angelica M. Tapia, BUDGET & MANAGEMENT
Department:
BUDGET & MANAGEMENT

CAPTION

Approval of medical coverage for the temporary employee listed below as per the Affordable Care Act (ACA) IRS Code Section 4980H - Shared responsibility for employers regarding health insurance.
1. E#235016 effective 12/1/20
2. E#190780 effective 12/1/20

BACKGROUND


Fiscal Impact

CALENDAR YEAR:
2020
ACCT. #:
see below
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

0-1200-431-00-121-005-0-121
0-1100-414-00-130-001-0-121

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Veronica Ortiz 11/20/2020 01:27 PM
Final Approval Monica Salinas 11/20/2020 06:44 PM
Form Started By:
Angélica M. Tapia
Started On:
11/20/2020 12:13 PM
Final Approval Date:
11/20/2020