4.13 SR 05-06-2024 - Laserfiche WebLink

Home Browse Search

© 2012 Hitesman & Wold, P.A. City of Elk River Flexible Benefits Plan 31 Article VI. An amount up to the sum of the Participant’s Election and reduced as of any particular time for prior reimbursements for the same Plan Year and Grace Period, shall be available for reimbursement at all times during the Plan Year. Claims for reimbursement with respect to a Plan Year and Grace Period must be submitted prior to the close of the Claims Run-out Period for such Plan Year and Grace Period. In no case shall a payment be made which exceeds the annual balance remaining in the Participant’s ME Account at the time reimbursement is processed. If a claim for reimbursement exceeds the balance in the Participant’s ME Account, the excess part of the claim will be denied. Under no circumstances (a) will any balance remaining in a Participant’s ME Account at the end of the Grace Period be carried over to the next Plan Year; or (b) will an otherwise eligible Medical Expense be carried over to the next Plan Year. 14.8 Maximum Reimbursement. The maximum reimbursement a Participant may receive for a Plan Year under this portion of the Plan shall be the lesser of: (1) $3,000; or (2) the maximum amount of salary reduction contribution that may be made to the Medical Expense Reimbursement Plan under applicable law. The maximum reimbursement amount applies to the Participant, Spouse, and Dependent on an aggregate basis, not an i ndividual basis. 14.9 Reimbursement Upon Termination of Participation. If an individual ceases to be a Participant in this portion of the Plan, coverage shall cease (which means that reimbursements shall cease) unless benefits under the Plan are continued as provided in Section 14.14, if applicable. If coverage ceases, reimbursements for eligible Medical Expenses incurred before participation terminated may be reimbursed if submitted within thirty (30) days of the date on which participation terminated. 14.10 Participant’s Death. In the event a Participant dies having incurred an eligible Medical Expense (a) which would have been reimbursable out of the Participant’s ME Account had the Participant not died; and (b) for which a person or the Participant’s estate has paid for or assumed liability, reimbursement may be made to that person or the estate for that payment or assumption. The remainder of the Participant’s ME Account shall be forfeited in accordance with Section 5.6. 14.11 Nondiscrimination. This portion of the Plan shall not discriminate in favor of Highly Compensated Individuals as to eligibility to participate or benefits. If the Plan Administrator determines that this portion of the Plan is or may be discriminatory, the Plan Administrator may take action permitted by law to avoid such result as provided in Section 6.16. If the Plan fails any applicable nondiscrimination requirements, Highly Compensated Individuals shall have taxable income imputed to the extent required by law. 14.12 ME Account Forfeiture. (a) ME Account Claims Grace Period. The Claims Grace Period shall apply to this Optional Benefit. (1) Length. The Claims Grace Period for the Medical Expense Reimbursement Plan shall expire on March 15th of the following year. (2) Processing of Claims. Claims incurred during the Claims Grace Period, and submitted prior to the close of the Claims Run-Out Period, shall be first allocated to and reimbursed from the Participant's ME Account for the preceding Plan Year until such ME Account is exhausted. Thereafter, any such claims shall be allocated to and reimbursed from the Participant’s ME Account for the current Plan Year. Claims incurred during the Claims Grace Period will be allocated based upon the date the claim is received. Once a claim is allocated, there shall be no changes, modifications, or adjustments to the allocation of the account. Page 124 of 254