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RES 25-016 ADOPTING A RESTATEMENT OF THE CITY OF SAV FLEXIBLE BENEFIT PLAN
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RES 25-016 ADOPTING A RESTATEMENT OF THE CITY OF SAV FLEXIBLE BENEFIT PLAN
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that elected to contribute the highest amount to the fund for the Plan Year shall be reduced until the nondiscrimination tests <br />set forth in this Section or the Code are satisfied, or until the amount designated for the fund equals the amount designated <br />for the fund by the next member of the group in whose favor discrimination may not occur pursuant to Code Section 105 <br />who has elected the second highest contribution to the Health Flexible Spending Account for the Plan Year. This process <br />shall continue until the nondiscrimination tests set forth in this Section or the Code are satisfied. Contributions which are not <br />utilized to provide Benefits to any Participant by virtue of any administrative act under this paragraph shall be forfeited and <br />credited to the benefit plan surplus. <br />6.6 COORDINATION WITH CAFETERIA PLAN <br />All Participants under the Cafeteria Plan are eligible to receive Benefits under this Health Flexible Spending Account. The <br />enrollment under the Cafeteria Plan shall constitute enrollment under this Health Flexible Spending Account. In addition, other matters <br />concerning contributions, elections and the like shall be governed by the general provisions of the Cafeteria Plan. <br />6.7 HEALTH FLEXIBLE SPENDING ACCOUNT CLAIMS <br />(a) Expenses must be incurred during Plan Year. All Medical Expenses incurred by a Participant, his or <br />her Spouse and his or her Dependents during the Plan Year including the Grace Period shall be reimbursed during the Plan <br />Year subject to Section 2.5, even though the submission of such a claim occurs after his participation hereunder ceases; but <br />provided that the Medical Expenses were incurred during the applicable Plan Year. Medical Expenses are treated as having <br />been incurred when the Participant is provided with the medical care that gives rise to the medical expenses, not when the <br />Participant is formally billed or charged for, or pays for the medical care. <br />(b) Reimbursement available throughout Plan Year. The Administrator shall direct the reimbursement to <br />each eligible Participant for all allowable Medical Expenses, up to a maximum of the amount designated by the Participant <br />for the Health Flexible Spending Account for the Plan Year. Reimbursements shall be made available to the Participant <br />throughout the year without regard to the level of Cafeteria Plan Benefit Dollars which have been allocated to the fund at any <br />given point in time. Furthermore, a Participant shall be entitled to reimbursements only for amounts in excess of any <br />payments or other reimbursements under any health care plan covering the Participant and/or his Spouse or Dependents. <br />(c) Payments. Reimbursement payments under this Plan shall be made directly to the Participant. However, <br />in the Administrator's discretion, payments may be made directly to the service provider. The application for payment or <br />reimbursement shall be made to the Administrator on an acceptable form within a reasonable time of incurring the debt or <br />paying for the service. The application shall include a written statement from an independent third party stating that the <br />Medical Expense has been incurred and the amount of such expense. Furthermore, the Participant shall provide a written <br />statement that the Medical Expense has not been reimbursed or is not reimbursable under any other health plan coverage <br />and, if reimbursed from the Health Flexible Spending Account, such amount will not be claimed as a tax deduction. The <br />Administrator shall retain a file of all such applications. <br />(d) Grace Period. Notwithstanding anything in this Section to the contrary, Medical Expenses incurred <br />during the Grace Period, up to the remaining account balance, shall also be deemed to have been incurred during the Plan <br />Year to which the Grace Period relates. <br />(e) Claims for reimbursement. Claims for the reimbursement of Medical Expenses incurred in any Plan <br />Year shall be paid as soon after a claim has been filed as is administratively practicable; provided however, that if a <br />Participant fails to submit a claim within 15 days after the end of the Grace Period, those Medical Expense claims shall not <br />be considered for reimbursement by the Administrator. <br />6.8 DEBIT AND CREDIT CARDS <br />Participants may, subject to a procedure established by the Administrator and applied in a uniform nondiscriminatory <br />manner, use debit and/or credit (stored value) cards ("cards") provided by the Administrator and the Plan for payment of Medical <br />Expenses, subject to the following terms: <br />(a) Card only for medical expenses. Each Participant issued a card shall certify that such card shall only <br />be used for Medical Expenses. The Participant shall also certify that any Medical Expense paid with the card has not already <br />been reimbursed by any other plan covering health benefits and that the Participant will not seek reimbursement from any <br />other plan covering health benefits. <br />(b) Card issuance. Such card shall be issued upon the Participant's Effective Date of Participation and <br />reissued for each Plan Year the Participant remains a Participant in the Health Flexible Spending Account. Such card shall <br />be automatically cancelled upon the Participant's death or termination of employment, or if such Participant has a change in <br />status that results in the Participant's withdrawal from the Health Flexible Spending Account. <br />(c) Maximum dollar amount available. The dollar amount of coverage available on the card shall be the <br />amount elected by the Participant for the Plan Year. The maximum dollar amount of coverage available shall be the <br />maximum amount for the Plan Year as set forth in Section 6.4. <br />(d) Only available for use with certain service providers. The cards shall only be accepted by such <br />merchants and service providers as have been approved by the Administrator following IRS guidelines. <br />10 <br />
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