4.13 SR 05-06-2024 - Laserfiche WebLink

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© 2012 Hitesman & Wold, P.A. City of Elk River Flexible Benefits Plan 32 In accordance with this part (1), a claim incurred during the preceding Plan Year and submitted during the Claims Run-Out Period will be processed subsequent to a previously submitted claim incurred during the Claims Grace Period, even if the account from the preceding Plan Year is exhausted by reimbursement of the claim incurred during the Claims Grace Period. (3) Elections. No adjustment to a Participant’s election for the current Plan Year shall be made or allowed based upon the amount of claims reimbursed from the prior Plan Year’s account in accordance with part (1) hereof. (b) ME Account Claims Run-Out Period. Amounts attributed to a Participant’s ME Account for any Plan Year shall be used only to reimburse the Participant for eligible Medical Expenses incurred during such Plan Year. Any balance remaining in a Participant’s ME Account for a Plan Year shall be forfeited following the end of Claims Run-Out Period and shall be forfeited in accordance with Section 5.6. The Plan Administrator may extend this period in the event the Participant cannot obtain proper documentation until after the expiration of the period. Such forfeited amount shall not be distributed in cash, carried over to the next Plan Year or used by the Participant for any other purpose. 14.13 Medical Child Support Orders. Notwithstanding any provision of the Medical Expense Reimbursement Plan to the contrary, this Plan shall recognize child support orders regarding coverage under the Medical Expense Reimbursement Plan to the extent required by applicable law. 14.14 Continuation of Coverage. Continued coverage shall be provided under the Medical Expense Reimbursement Plan as required under the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”), as amended. The Plan Administrator may, within the parameters of the law, establish uniform policies by which to provide such continuation coverage required by COBRA, which shall be incorporated herein by reference. 14.15 HIPAA. The Medical Expense Reimbursement Plan shall comply with the Privacy Rules and Security Rules under HIPAA (if applicable) as further provided in Article XX. In addition, the Medical Expense Reimbursement Plan shall comply with the portability requirements under HIPAA, if applicable. 14.16 Further Limitations on Benefits. (a) This Article does not cover expenses incurred for any loss caused by or resulting from injury or disease for which benefits are payable under any worker’s compensation law or other employer, union, association or governmental sponsored group insurance plan. (b) This Article does not cover expenses incurred for any loss caused by or resulting from injury or disease for which benefits are received by the Participant, the Participant’s Spouse or the Participant’s Dependent under any health and accident insurance policy or program, whether or not premiums are paid by the Employer or the Participant, the Participant’s Spouse or the Participant’s Dependent child. (c) Amounts reimbursed under a dependent care assistance program described in Section 129 of the Code shall not be reimbursed under this Plan. (d) A Participant in the Plan may not participate under this Article and contribute to an HSA. Page 125 of 254