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10-10-2022 Council Packet
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10-10-2022 Council Packet
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© Hitesman & Wold, P.A. 2019 <br />Cafeteria Plan <br />Summary Description (3-11) <br />40 <br />Claims incurred during the Grace Period will be first allocated to and re imbursed from your account <br />for the preceding Plan Year until such account is exhausted. Thereafter, any such claims will be allocated <br />to and reimbursed from your account for the current Plan Year. Claims incurred during the Grace Period <br />will be allocated based upon the date the claim is received. Once a claim is allocated to an account, no <br />changes, modifications, or adjustments will be allowed. In addition, no adjustment to your election for the <br />current Plan Year may be made based upon the amount of cla ims incurred during the Grace Period that <br />are reimbursed from the prior Plan Year’s account. <br /> <br />NOTE: A claim incurred during the preceding Plan Year and submitted during the claims run -out period <br />will be processed subsequent to a previously submitted claim incurred during the Grace Period, even if your <br />account from the preceding Plan Year is exhausted by reimbursement of the claim incurred during the <br />Grace Period. <br />5.9 What if I am no longer eligible? <br />If your employment terminates, or you otherwise cease to be eligible for coverage under the Health <br />FSA, your benefits under the Health FSA stop. You may not make any further contributions to your account, <br />and you may not submit claims for reimbursement of expenses incurred after you terminated employment <br />or otherwise ceased to be eligible for coverage. You may, however, continue to submit claims for expenses <br />incurred before you terminated employment or otherwise ceased to be eligible for coverage until the <br />expiration of the claims run out period following the end of the Plan Year described above. <br /> <br />NOTE: This rule may differ from the rule applicable to the Dependent Care FSA. Please refer to the prior <br />part of this summary for the rules that apply to the Dependent Care FSA. <br />5.10 Can coverage be continued? <br />If your employment terminates or you otherwise cease to be eligible for the Health FSA, you and <br />any others who receive their coverage through you may be able to continue that coverage. Continuation <br />coverage is available in accordance with the Consolidated Omnibus Budget Reconciliation Act of 1985 <br />("COBRA”) and the Uniformed Services Employment and Reemployment Rights Act of 1994 ("USERRA"). <br />These continuation rights are described later in this summary. <br />5.11 Can I carryover my account to the next Plan Year? <br />No. Any amounts remaining in your account attributable to a particular Plan Year shall be forfeited <br />following the claims run-out period. You will not be entitled to receive any direct or indirect payment of any <br />amount that represents the difference between the actual Eligible Expenses you have incurred, on the one <br />hand, and the annual benefit you have elected and paid for, on the other. If you do not use it, you lose <br />it. <br />5.12 What if I receive benefits in error? <br />If a payment for benefits is made by the Health FSA in excess of the benefit to which you are <br />entitled under the Health FSA, the Health FSA has the right to recover such overpayment from the payee. <br />Repayment of an overpayment is a condition of participation in the Cafeteria Plan. <br />5.13 What if I am subject to a child support order? <br />The Health FSA shall recognizes child support orders regarding the provision of medical coverage <br />for a child, including orders under the Child Support Performance and Incentive Act of 1998, to the extent <br />required by law. If you are involved in a divorce or child custody matter, you or your legal counsel should <br />contact the Plan Administrator.
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