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5.3. ERMUSR 02-09-2010
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5.3. ERMUSR 02-09-2010
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projected expenses. Notwithstanding the foregoing, pursuant to and in accordance <br />with the Cafeteria Plan Regulations, the Plan may reimburse Medical Expenses for <br />orthodontia care in advance. <br />11.7 Reimbursement of Expense. The Participant shall be reimbursed as specified in <br />Section 6.8 from the Participant's ME Account for eligible Medical Expenses incurred <br />during the applicable Plan Year for which the Participant submits the documentation <br />required under Article VI. An amount up to the sum of the Participant's Election and <br />the Employer Contribution, if any, and reduced as of any particular time for prior <br />reimbursements for the same Plan Year, shall be available for reimbursement at all <br />times during the Plan Year. Claims for reimbursement with respect to a Plan Year <br />must be submitted prior to the close of the Claims Run-out Period for such Plan Year. <br />In no case shall a payment be made which exceeds the balance in the Participant's <br />ME Account at the time reimbursement is processed. If a claim for reimbursement <br />exceeds the balance in the Participant's ME Account, the excess part of the claim will <br />be denied. Under no circumstances (a) will any balance remaining in a Participant's <br />ME Account at the end of the Plan Year be carried over to the next Plan Year, or (b) <br />will an otherwise eligible Medical Expense be carried over to the next Plan Year. <br />11.8 Maximum Reimbursement. The maximum reimbursement a Participant may <br />receive for a Plan Year under this portion of the Plan shall be $3,000. The maximum <br />reimbursement amount applies to the Participant, Spouse, and Dependent on an <br />aggregate basis, not an individual basis. <br />11.9 Reimbursement Upon Termination of Participation. If an individual ceases to <br />be a Participant in this portion of the Plan, coverage shall cease (which means that <br />reimbursements shall cease) unless benefits under the Plan are continued as <br />provided in Section 11.15, if applicable. If coverage ceases, reimbursements for <br />eligible Medical Expenses incurred before participation terminated may be <br />reimbursed if submitted within ninety (90) days following termination of participation. <br />11.10 Participant's Death. In the event a Participant dies having incurred an eligible <br />Medical Care Expense (a) which would have been reimbursable out of the <br />Participant's ME Account had the Participant not died, and (b) for which a person or <br />the Participant's estate has paid for or assumed liability, reimbursement may be <br />made to that person or the estate for that payment or assumption. The remainder of <br />the Participant's ME Account shall be forfeited in accordance with Section 5.6. <br />11.11 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 <br />Administrator determines that this portion of the Plan is or may be discriminatory, <br />the Plan Administrator may take action permitted by law to avoid such result as <br />provided in Section 6.16. If the Plan fails any applicable nondiscrimination <br />requirements, Highly Compensated Individuals shall have taxable income imputed to <br />the extent required by law. <br />11.12 ME Account Forfeiture. Amounts attributed to a Participant's ME Account for any <br />Plan Year shall be used only to reimburse the Participant for eligible Medical <br />Expenses incurred during such Plan Year. Any balance remaining in a Participant's <br />ME Account for a Plan Year shall be forfeited following the Claims Run-out Period and <br />shall be forfeited in accordance with Section 5.6. The Plan Administrator may extend <br />this period in the event the Participant cannot obtain proper documentation until <br />30 <br />
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