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<br />© 2019 Hitesman & Wold, P.A. MEDSURETY, LLC <br />Cafeteria Plan 1-888-816-4234, www.medsurety.com <br />Basic Plan Document <br />15 <br />Administrator may rely on the reasonable representation of the <br />Participant that the requirements of this paragraph (C) are met. <br />(ii) Unless determined by the IRS not to be available, a Participant who has <br />made an Election to pay for Group Medical Benefits may reduce that <br />Election if the following conditions are satisfied: <br />(A) The Participant’s Spouse and/or dependents either (I) are <br />eligible to enroll in a qualified health plan through the <br />Marketplace via a special enrollment period (as provided in any <br />guidance issued by the Department of Health and Human <br />Services or any other applicable guidance), or (II) seek to enroll <br />in a qualified health plan through the Marketplace during the <br />Marketplace’s annual open enrollment period; <br />(B) The Participant cancels coverage under the Group Medical <br />Benefits for such Spouse and/or dependents in accordance with <br />the terms and conditions of that plan; and <br />(C) Such Spouse and/or dependents have enrolled in or intend to <br />enroll in a qualified health plan through the Marketplace that will <br />be effective no later than the day immediately following the last <br />day for which the coverage under the Group Medical Benefits <br />was effective (i.e., there is no break in coverage). The Plan <br />Administrator may rely on the reasonable representation of the <br />Participant that the requirements of this paragraph (C) are met. <br />(g) Reduction in Hours Without Loss of Eligibility. A Participant who has made an <br />Election to pay for Group Medical Benefits may rev oke that Election if the following <br />conditions are satisfied: <br />(1) The Participant has been in an employment status under which the Participant <br />was reasonably expected to average at least thirty (30) hours of service per <br />week; <br />(2) The Participant has experienced a change in employment status such that the <br />Participant will reasonably be expected to average less than thirty (30) hours of <br />service per week after the change but nevertheless remains eligible for Group <br />Medical Benefits; <br />(3) The Participant cancels coverage under the Group Medical Benefits in accordance <br />with the terms and conditions of that plan; and <br />(4) The Participant, and any related individuals who were also enrolled in the Group <br />Medical Benefits, have enrolled or intend to enroll in other medical coverage that <br />provides minimum essential coverage and that will be effective no later than the <br />first day of the second month following the month in which coverage under the <br />Group Medical Benefits ends. The Plan Administrator may rely on the reasonable <br />representation of the Participant that the requirements of this paragraph (4) are <br />met. <br />(h) Family and Medical Leave Act. A Participant taking a leave governed by the Family <br />and Medical Leave Act of 1993 (“FMLA”) may revoke or change an Election as may be <br />provided for under the FMLA and the Employer’s FMLA policy required thereunder, <br />provided the Employer is subject to FMLA.