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If a Participant to whom this special rule applies ceases to be eligible for HSA <br /> contributions within the twelve (12) month period beginning with the last month of such <br /> taxable year other than by reason of death or disability (as described in Section 72(m)(7) <br /> of the Code), then any contribution made in excess of the annual limit under the general <br /> rule described above will be included in the Participant's gross income and will be subject <br /> to an excise tax as provided in Section 223(b)(8)(B) of the Code. <br /> (e) Special Rule for Married Participants. If the Participant is married and both the <br /> Participant and Participant's Spouse have coverage under a high deductible health plan <br /> (as defined in Section 223 of the Code), the applicable limit is divided equally between <br /> them (unless they agree to a different allocation). <br /> (f) Rollover Contributions. Rollover contributions may also be made to the HSA from <br /> another health savings account or from an Archer MSA. Rollover contributions are not <br /> subject to the contribution limit described above. <br /> (g) Treatment of Excess Contributions. To the extent total contributions to a <br /> Participant's health savings accounts made during the taxable year exceed the applicable <br /> limit on such contributions, then the contributions in excess of the limit shall be included <br /> in the Participant's gross income and shall be subject to an excise tax as provided in <br /> Section 4973(8) of the Code, unless returned in accordance with Section 223(f)(3) of the <br /> Code. <br /> 16.7 Investment of HSA Funds. A Participant may invest his or her HSA funds as allowed by the <br /> HSA trustee/custodian. The Employer shall have no control or responsibility for how a <br /> Participant's HSA funds are invested. <br /> 16.8 Tax Consequences. It is intended that the HSA contributions made under this Plan shall be <br /> excluded from the Participant's gross income under Section 223 of the Code. <br /> 16.9 Distribution of HSA Funds. The Employer shall have no responsibility or control over <br /> distributions made from a Participant's HSA. The Employer shall have no responsibility to <br /> substantiate expenses for which such distributions are made. Sections 6.7 and 6.8 of this Plan <br /> shall not apply to distributions from a Participant's HSA. A Participant need not be a Participant <br /> in this Plan, be covered by a High Deductible Health Plan of this Employer, nor be covered by any <br /> other high deductible health plan in order to receive a distribution from the Participant's HSA. <br /> 16.10 Reporting. The Employer shall be responsible for reporting contributions made to a <br /> Participant's HSA through this Plan on the Participant's Form W-2. Participants shall be <br /> responsible for reporting contributions to their HSAs and distributions from their HSAs on <br /> appropriate forms. Participants shall also be responsible for determining whether an HSA <br /> distribution is taxable. <br /> 16.11 Continuation of Coverage. This HSA Contribution Feature and the underlying HSAs are not <br /> group health plans for purposes of the Consolidated Omnibus Budget Reconciliation Act of 1985, <br /> ("COBRA'S, as amended, and reflected in the Public Health Services Act (°PHSA'�, as amended, <br /> the Family and Medical Leave Act ("FMLA'�, and the Uniformed Services Employment and <br /> Reemployment Rights Act of 1994 ("USERRA'�. COBRA, FMLA, and USERRA do not apply to this <br /> HSA Contribution Feature and the underlying HSAs. <br /> ©2012 Hitesman&Wold, P.A. 40 City of Elk River <br /> Flexible Benefits Plan <br />