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MissionSquare Retirement Health Savings Program Return Book <br />IX. Eligibility Requirements to Receive Medical Benefit Payments from the MissionSquare <br />Retirement Health Savings Program <br />A. A Participant is eligible to receive benefits: <br />❑ At retirement only (also complete Section B.) <br />Definition of retirement: <br />❑ Same as Section VII.B. <br />❑ Other <br />® At separation from service with the following restrictions <br />X No restrictions <br />❑ Other <br />11 <br />B. Termination prior to general benefit eligibility: Ina case where the general benefit eligibility as <br />outlined in Section IKA includes a retirement component, a Participant who separates from <br />service of the Employer prior to retirement will be eligible to receive benefits: <br />K Immediately upon separation from service <br />❑ Other <br />C. A Participant who becomes totally and permanently disabled <br />gAs defined by the Social Security Administration <br />❑ As defined by the Employer's primary retirement plan <br />❑ Other <br />will become immediately eligible to receive medical benefit payments from his/her account <br />under the Employer's welfare benefits plan. <br />