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© 2019 Hitesman & Wold, P.A. MEDSURETY, LLC Cafeteria Plan 1-888-816-4234, www.medsurety.com Basic Plan Document 51 (2) The balance of a Participant’s Account available for the carryover shall be determined upon expiration of the Claims Run-out Period. Notwithstanding the foregoing, the balance of the Participant’s Account as of midnight on the last day of the Plan Year, up to the amount specified in paragraph (1) above, shall be available to reimburse Limited Scope Medical Expenses incurred on and after the first day of the new Plan Year. The Claims Administrator will administer claims submitted during the Claim Run-out Period (including allocating claims between the Participant’s carryover balance and the Participant’s election for the new Plan Year (if any)) in a manner consistent with applicable law (including regulatory guidance). For purposes of this paragraph, the balance of a Participant’s Account at any point in time shall be equal to the amount credited to the Account for the Plan Year minus claims paid to date with respect to that Plan Year. (3) In general, a carryover made in accordance herewith shall occur automatically. However, unless otherwise provided under applicable law (including regulatory guidance), a Participant entitled to a Account carryover in accordance herewith may elect, by no later than the last day of the Plan Year from which the carryover is to be made and in accordance with procedures adopted by the Plan Administrator, to waive the carryover. (4) Unless provided otherwise in the Adoption Agreement, a carryover of an Account balance shall be available even if the Participant has not made an Election under the Limited Scope Medical Expense Plan for the Plan Year to which the carryover will be made. (5) Unless provided otherwise in the Adoption Agreement, carried over amounts are available indefinitely. If the Adoption Agreement specifies a time period after which carried over amounts are forfeited, then for purposes of applying that restriction, amounts carried over to a subsequent Plan Year shall be used to pay benefits under the Limited Scope Health Flexible Spending Account prior to any funds contributed during that Plan Year. (6) A carryover shall not count against the maximum reimbursement a Participant may receive as specified in Section 19.8 (c) Claims Run-Out Period. Except as otherwise provided in this Section 19.12, (1) amounts attributed to a Participant’s Account for any Plan Year shall be used only to reimburse the Participant for eligible Limited Scope Medical Expenses incurred during such Plan Year, and (2) any balance remaining in a Participant’s Account for a Plan Year shall be forfeited upon expiration of the Claims Run -out Period in accordance with Section 5.7. The Plan Administrator may extend this period in the event the Participant cannot obtain proper documentation until after the expiration of the period. Such forfeited amount shall not be distributed in cash, carried over to the next Plan Year or used by the Participant for any other purpose. 14.13 Medical Child Support Orders. Notwithstanding any provision of this Plan to the contrary, the Limited Scope Health Flexible Spending Account shall recognize child support orders regarding coverage hereunder to the extent required by applicable law. 14.14 Continuation of Coverage. Continued coverage shall be provided under the Limited Scope Health Flexible Spending Account as required under the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”), as amended. The Plan Administrator may, within the parameters of the law, establish uniform policies by which to provide such cont inuation coverage, which shall be incorporated herein by reference.