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© 2019 Hitesman & Wold, P.A. MEDSURETY, LLC Cafeteria Plan 1-888-816-4234, www.medsurety.com Basic Plan Document 6 ARTICLE III. ELIGIBILITY AND PARTICIPATION 3.1 Eligibility Requirements. Each Employee shall be eligible to participate in this Plan upon meeting the eligibility requirements as set forth in the Adoption Agreement. 3.2 Notification of Participants. The Plan Administrator shall provide each Eligible Employee written notice of the Employee’s eligibility to participate in the Plan in sufficient time to enable such Eligible Employee to submit an application for participation in the Plan on or before the applicable Entry Date. 3.3 Application for Participation. (a) Generally. In general, unless an Eligible Employee is deemed to have made an Election as provided in Article V, to become a Participant, an Eligible Employee shall execute and deliver to the Plan Administrator, prior to the applicable Entry Date, an application signed by the Eligible Employee in which the Eligible Employee: (1) Applies to participate in the Plan; (2) Designates the required portion of Compensation for the pre-tax and after-tax (if any) contributions; (3) Makes a benefit Election; and (4) Supplies any other pertinent information that the Plan Administrator may reasonably require. By signing such application or agreement, the Eligible Employee shall be deemed for all purposes to have agreed to participate and to conform to the requirements of the Plan. Such application or agreement may be the same as, or separate from, the application or agreement required to participate in any O ptional Benefit under this Plan. Alternatively, or in addition to the forgoing application process, the Plan Administrator may require or permit application of same scope by electronic means. Participation shall begin on a Participant’s Entry Date. (b) Newly Hired. For new hires, an Eligible Employee shall execute and deliver to the Plan Administrator within thirty (30) days of employment, such written applicatio n. In this situation, if provided in the Adoption Agreement, participation in this Plan is retroactive to the date of hire pursuant to Cafeteria Plan Regulations. However, salary reduction contributions to pay for coverage during the period preceding the submission of the application shall be taken prospectively from compensation paid following submission of the application. 3.4 Termination of Participation. Participant automatically ceases to be a Participant at midnight of the earliest of the following dates: (a) The date of the death of the Participant; (b) The date of termination of the Participant’s employment with the Employer; (c) The date of the Participant’s failure to meet the eligibility requirements of Section 3.1, as may be amended from time to time; or (d) The date of termination of the Plan in accordance with Article VII.