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RES 13-76
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RES 13-76
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12/30/2013 10:09:00 AM
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12/18/2013 9:32:36 AM
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City Government
type
RES
date
12/16/2013
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in accordance with the Cafeteria Plan Regulations, the Plan may reimburse expenses for <br /> orthodontia care in advance. <br /> 17.7 Reimbursement of Expense. The Participant shall be reimbursed as specified in Section 6.7 <br /> from the Participant's Limited Scope ME Account for eligible Limited Scope Medical Expenses <br /> incurred during the applicable Plan Year, and the Grace Period, if applicable, for which the <br /> Participant submits the documentation required under Article VI. An amount up to the sum of <br /> the Participant's Election and the Employer Contribution, if any, and reduced as of any particular <br /> time for prior reimbursements for the same Plan Year, shall be available for reimbursement at all <br /> times during the Plan Year, and the Grace Period, if applicable. Claims for reimbursement within <br /> a Plan Year, and the Grace Period, if applicable, must be submitted prior to the close of the <br /> j Claims Run-Out Period for such Plan Year. <br /> In no case shall a payment be made which exceeds the annual balance remaining in the <br /> Participant's Limited Scope ME Account at the time reimbursement is processed. If a claim for <br /> reimbursement exceeds the balance in the Participant's Limited Scope ME Account, the excess <br /> part of the claim will be denied. Under no circumstances (a) will any balance remaining in a <br /> Participant's Limited Scope ME Account at the end of the Plan Year, and the Grace Period, if <br /> applicable, be carried over to the next Plan Year; or (b) will an otherwise eligible Limited Scope <br /> Medical Expense be carried over to the next Plan Year. <br /> 17.5 Maximum Reimbursement. The maximum reimbursement a Participant may receive for a <br /> Plan Year under this portion of the Plan shall be the lesser of: (1) $3,000; or (2) the maximum <br /> amount of salary reduction contribution that may be made to the Medical Expense <br /> Reimbursement Plan under applicable law. The maximum reimbursement amount applies to the <br /> Participant, Spouse, and Dependent on an aggregate basis, not an individual basis. <br /> 17.9 Reimbursement Upon Termination of Participation. If an individual ceases to be a <br /> Participant in this portion of the Plan, coverage shall cease (which means that reimbursements <br /> shall cease) unless benefits under the Plan are continued as provided in Section 17.14. If <br /> coverage ceases, reimbursements for eligible Limited Scope Medical Expenses incurred before <br /> participation terminated may be reimbursed If submitted within thirty (30) days of the date on <br /> which participation was terminated. <br /> 17.10 Participant's Death. In the event a Participant dies having incurred an eligible Limited Scope <br /> Medical Expense (a) which would have been reimbursable out of the Participant's Limited Scope <br /> ME Account had the Participant not died; and (b) for which a person or the Participant's estate <br /> has paid for or assumed liability for the expense, reimbursement may be made to that person or <br /> the estate for that payment or assumption. The remainder of the Participant's Limited Scope ME <br /> Account shall be forfeited in accordance with Section 5.6. <br /> 17.11 Nondiscrimination. This portion of the Plan shall not discriminate in favor of Highly <br /> Compensated Individuals as to eligibility to participate or benefits. If the Plan Administrator <br /> determines that this portion of the Plan is or may be discriminatory, the Plan Administrator may <br /> take action permitted by law to avoid such result. If the Plan fails any applicable <br /> nondiscrimination requirements, Highly Compensated Individuals shall have taxable income <br /> imputed to the extent required by law. <br /> j 17.12 Limited Scope ME Account Forfeiture. <br /> (a) Limited Scope ME Claims Grace Period. The Claims Grace Period for the Medical <br /> Expense Reimbursement Plan shall expire on March 15th of the following year. <br /> (b) Limited Scope ME Account Claims Run-Out Period. Amounts attributed to a <br /> Participant's Limited Scope ME Account for any Plan Year shall be used only to reimburse <br /> the Participant for eligible Limited Scope Medical Expenses incurred during such Plan <br /> ©2012 Hitesman&Wold, P.A. 42 City of Elk River <br /> Flexible Benefits Plan <br /> i <br />
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