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© Hitesman & Wold, P.A. 2019 <br />Cafeteria Plan <br />Summary Description (3-11) <br />34 <br />(a) Generally. An “Eligible Expense,” in most situations, means any item for which you could <br />have claimed a medical expense deduction on an itemized federal income tax return and <br />for which you have not otherwise been reimbursed from hea lth coverage, or some other <br />source. Eligible Expenses include expenses incurred by you and your “spouse” and <br />“dependents.” <br />For purposes of this Health FSA, “spouse” means a person to whom you are legally <br />married in accordance with applicable state law. <br />For purposes of this Health FSA, “dependent” generally includes an individual who <br />satisfies the requirements of paragraph (1), (2), or (3) below: <br />(1) An individual who: <br />(i) is your child (son, daughter, stepson, stepdaughter, adopted child, eligible <br />foster child, or child placed for adoption); and <br />(ii) will not attain age 27 during the relevant calendar year. <br />(2) An individual who: <br />(i) is your child (son, daughter, stepson, stepdaughter, adopted child, eligible <br />foster child, or child placed for adoption), brother, sister, stepbrother, or <br />stepsister, or a descendant of any such person; <br />(ii) has the same principal place of abode as you for at least one-half of the <br />relevant year; <br />(iii) will not attain age 19 (or age 24 if a full time student) during the relevant <br />year or is permanently and totally disabled; <br />(iv) did not provide over half of his/her own support during the relevant year; <br />(v) is a citizen, national, or resident of the United States, or a resident of <br />Canada or Mexico; <br />(vi) is younger than you (unless he/she is permanently and totally disabled); <br />and <br />(vii) does not file a joint tax return with his or her spouse. <br /> <br />(3) An individual who: <br />(i) is your child (or a descendant of a child), brother, sister, stepbrother, or <br />stepsister, parent (or a parent’s ancestor), stepparent, brother or sister’s <br />son or daughter, parent’s brother or sister, son-in-law, daughter-in-law, <br />father-in-law, mother-in-law, brother-in-law, or sister-in-law or, if not such <br />a relative, an individual who has the same principal place of abode as you <br />and is a member of your household; <br />(ii) has received more than one-half of his/her support from you during the <br />relevant year;