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5.3. ERMUSR 02-09-2010
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5.3. ERMUSR 02-09-2010
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2/5/2010 4:08:14 PM
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City Government
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ERMUSR
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2/9/2010
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ARTICLE XI. Deleted: <#>Separate Written Plan. <br /> MEDICAL EXPENSE REIMBURSEMENT PLAN <br />Deleted: <#>For purposes of Section 105 of <br /> the Code, [his Article shall constitute a separate <br />11.1 Purpose. The purpose of this Article is to provide Participants with the written plan, the Medical Expense <br /> reimbursed for eligible Medical Expenses This Reimbursement Plan ("ME Plan', providing for <br /> Article is intended to qualify as a medical reimbursement plan under Section 105 of the reimbursement of Medical Expenses. <br /> the Code so that payments received under this portion of the Plan are excludable from the gross Deleted: <#> To the extent necessary, other <br /> income of the Participant under Section 105(b) of the Code. provisions of the Plan are incorporated by <br /> reference.¶ <br /> Deleted: option of being <br /> Deleted:. <br /> Deleted: (h) <br />11.3 DeflnltiOns. Deleted: n individual <br /> Deleted: Section 152 of the Code, determined <br /> without regard to subsections (b)(1 ), (b)(2), <br /> and (d)(1)(B) thereof. <br /> Deleted: <#>Medical Expense means an <br /> b De endent means a who is a "dependent" under <br />( ) P expense incurred duhng the applicable Plan <br />Year by a Participant, Spouse, or Dependent for <br /> medical tare as def ned in Section 213 of the <br /> Code, excluding premiums for health coverage, <br /> health reimbursement arrangementr ("HRAS'~, <br /> (c) Highly Compensated Individual means an individual who is highly compensated as medical savings accounts ("M5A5'"), and long- <br />o <br />e <br />t <br /> <br />defined in Section 105(h)(5) of the Code. erm care c <br />v <br />rage. <br /> Deleted: <#> Medical care generally refers to <br /> [he diagnosis, cure, treatment, or prevention of <br /> (d) Medical Expense Account ("ME Account") means the record keeping account disease or for me purpose of affecting any <br /> established by the Plan Administrator for each Plan Year for each Participant from whom structure or function of the body. <br /> an Election to create such an account is received. Deleted: <#>Also included, are transportation <br /> expenses for and essential to medical care. ¶ <br /> Deleted: <#>Claims for Reimbursement. <br /> A Participant who has made an Election for a <br /> Plan Year may apply to the Claims Administrator <br /> for reimbursement of eligible Medical Expenses <br /> incurred during such Plan Year by submitting a <br /> claim form provided by the Claims Administrator <br /> setting forth a[ least the following:¶ <br /> <#>the amount, date and nature of the <br />11.4 Medical Expense Account. The ME Account will be credited with the amount elected by the expense,¶ <br /><#>cne name of cne person or entity to which <br /> Partici ant and the Em to er Contribution, if an at the be mnin of the Plan Year. A <br />P P Y Y. 9 9 the expense was paid,¶ <br /> Participant's ME Account will be decreased from time to time in the amount of payments made to <#>the Participant's statement mat me <br /> the Participant for eligible Medical Expenses incurred during the Plan Year. expense has not been reimbursed or is not <br /> reimbursable from any other source, and¶ <br /> <#>such other information as the Claims <br /> Administrator may require.¶ <br /> Such claim form shall be accompanied by bills, <br /> invoices, receipts, or other statements from an <br />11.6 Incurred Expenses. To be reimbursable, an eligible Medical Expense must have been incurred independenc th;rd party stating me er~gible <br /> after participation in this portion of the Plan began and during the Plan Year for which Medical Expense has been incurred and cne <br />amount of the expense. The Claims <br /> reimbursement is claimed. An expense is "incurred" when the Participant is provided with the Adminiscrator may, to me extent provided by <br /> care which gives rise to the eligible Medical Expense, not when the service is billed or paid. law, rely on information provided by <br /> Reimbursement shall not be made for future projected expenses. Participants.¶ <br /> the Plan may reimburse Deleted: However, <br /> for orthodontia care in advance. Deleted: expenses <br />11.7 Reimbursement of Expense. The Participant shall be reimbursed Deleted: at least either (a) once per month, or <br />(b) when the total reimbursement for Eligible <br /> from the Participant's ME Account for eligible Medical Expenses incurred during the applicable Medical Expenses first equals or exceeds <br /> Plan Year for which the Participant submits the documentation required under An Sso.oo. Reimbursements snau be made <br /> amount up to the sum of the Participant's Election and the Employer Contribution, if any, and Deleted: Section 11.5. <br />© 2009 Hi[esman & Associates, P.A. 25 Elk River Municipal Utilities <br />Flexible Benefts Plan (No. 8.0.0.0) <br />
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