02-08-1999 Council Packet - Laserfiche WebLink

Home Browse Search

shall not include amounts paid or incurred for services provided by (i) a child of such Participant who is under the age of nineteen (19) or (ii) an individual who is a Dependent of that Participant or the Participant ’s spouse. (h) "Health Care Reimbursement Charge " means the cost to a Participant for coverage under the medical reimbursement plan described in paragraph 5.2.2 hereof. (i) “Medical Care " includes the diagnosis, cure, mitigation, treatment, or prevention of sickness, injury, or defect. Expenses for Medical Care shall consist of expenses for medical care as defined in Sections 213(d)(1)(A) and (B) of the Code, and shall include, but not be limited to, payments for the purpose of affecting any structure or function of the body, for any hospital or nursing charges, optometrical, ophthalmological, or auditory care, dental care, psychiatric care, prescription drugs, insulin, eyeglasses, hearing aid appliances, and similar prosthetic devices, and medical related transportation expense; provided, however, that medical care shall not include any cosmetic procedure that is not medically necessary. (j) "Participant " means an Eligible Employee of the Employer who has satisfied the participation conditions of Article III. A person who becomes a Participant shall remain a Participant until all benefits due the Participant under the provisions of the Plan have been paid to the Participant or otherwise have been satisfied. (k) "Period of Coverage ", with respect to any Plan Year, means the Plan Year; provided that, (i) for any Eligible Employee who becomes a Participant after the start of a Plan Year, the Period of Coverage shall mean the period commencing on the effective date of the Eligible Employee's participation, (ii) the Period of Coverage for any Participant shall end at the end of the month in which termination occurs or the Participant ceases to be an Eligible Employee, except (A) with respect to