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ARTICLE V. <br />ELECTION OF AVAILABLE BENEFITS <br />5.1 Initial Elections. An Election must be made during the initial Election Period. An affirmative <br />Election to participate is required. If the Election Period ends and an Eligible Employee has not <br />returned an Election form to the Plan Administrator, the Eligible Employee will be deemed to <br />have elected not to participate in Optional Benefits. To the extent there is an Employer <br />Contribution, the Eligible Employee will forfeit the entire Employer Contribution. <br />5.2 Subsequent Elections. During the Election Period prior to each subsequent Plan Year, each <br />Participant shall be given the opportunity to change his or her Election. Such changes include <br />the following: <br />(a) an Eligible Employee who is not participating may elect to begin participating by electing <br />Optional Benefits during the Election Period; <br />(b) a Participant may terminate participation in the Plan; or <br />(c) a Participant may elect different Optional Benefits or different levels of Optional Benefits. <br />An affirmative election is required. If the Election Period ends and an Eligible Employee has not <br />returned an Election form to the Plan Administrator, the Eligible Employee will be deemed to <br />have elected not to participate in Optional Benefits. <br />5.3 Elections Irrevocable. Once an Election becomes effective, such Election shall be irrevocable <br />for the Plan Year or the remainder of the Plan Year except under the following circumstances: <br />(a) Change in Status. A Participant may change or terminate his or her actual or deemed <br />Election under the Plan upon the occurrence of a Change in Status, but only if such <br />change or termination is made on account of and corresponds with a Change in Status <br />that affects coverage eligibility of a Participant, a Participant's Spouse, or a Participant's <br />Dependent (referred to as the general consistency requirement). The Plan Administrator <br />(in its sole discretion) shall determine, based on prevailing IRS guidance, whether a <br />requested change is on account of and corresponds with a Change in Status. Assuming <br />that the general consistency requirement is satisfied, a requested change must also <br />satisfy the following specific consistency requirements in order for a Participant to be <br />able to alter his or her Election based on that change. <br />(1) Loss of Dependent Eligibility. For a Change in Status involving a Participant's <br />divorce, annulment or legal separation from a Spouse, the death of a Spouse or <br />a Dependent, or a Dependent ceasing to satisfy the eligibility requirements for <br />coverage, a Participant may only elect to cancel accident or health insurance, or <br />insurance type, coverage for the Spouse involved in the divorce, annulment, or <br />legal separation, the deceased Spouse or Dependent, or the Dependent that <br />ceased to satisfy the eligibility requirements. Canceling coverage for any other <br />individual under these circumstances would fail to correspond with that Change <br />in Status. Notwithstanding the foregoing, if the Participant, the Participant's <br />Spouse (but not ex-Spouse) or the Participant's Dependent becomes eligible for <br />COBRA (or similar health plan continuation coverage under state law) under the <br />Employer's Plan, the Participant may increase the Election for that Optional <br />Benefit to pay for such coverage provided the Participant is still eligible under the <br />Plan and still receiving Compensation. <br />(2) Gain of Coverage Eligibility Under Another Employer's Plan. For a <br />Change in Status in which a Participant, a Participant's Spouse, or a Participant's <br />Dependent gains eligibility for coverage under another employer's cafeteria plan <br />02007 Hitesman & Associates, P.A. 9 Elk River Municipal Utilities <br />122707 Flexible Benefits Plan <br />