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Res05 14665
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Res05 14665
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Last modified
4/14/2011 1:08:58 PM
Creation date
8/24/2005 12:32:31 PM
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CC Index
CC Index - Document Type
Resolution
Agency Type
City Council
Date
8/22/2005
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6.7 HEALTH CARE REIMBURSEMENT PLAN CLAIMS <br />(a) All Medical Expenses incurred by a Participant shall be <br />reimbursed during the Plan Year subject to Section 2.6, even though the <br />submission of such a claim occurs after his participation hereunder ceases; but <br />provided that the Medical Expenses were incurred during the applicable Plan <br />Year. Medical Expenses are treated as having been incurred when the <br />Participant is provided with the medical care that gives rise to the medical <br />expenses, not when the Participant is formally billed or charged for, or pays for <br />the medical care. <br />(b) The Administrator shall direct the reimbursement to each eligible <br />Participant for all allowable Medical Expenses, up to a maximum of the amount <br />designated by the Participant for the Health Care Reimbursement Fund for the <br />Plan Year. Reimbursements shall be made available to the Participant <br />throughout the year without regard to the level of Cafeteria Plan Benefit Dollars <br />which have been allocated to the fund at any given point in time. Furthermore, a <br />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 <br />Participant and /or his Spouse or Dependents. <br />(c) Claims for the reimbursement of Medical Expenses incurred in <br />any Plan Year shall be paid as soon after a claim has been filed as is <br />administratively practicable; provided however, that if a Participant fails to submit <br />a claim within the 90 day period immediately following the end of the Plan Year, <br />those Medical Expense claims shall not be considered for reimbursement by the <br />Administrator. <br />(d) Reimbursement payments under this Plan shall be made directly <br />to the Participant. However, in the Administrator's discretion, payments may be <br />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 <br />reasonable time of incurring the debt or paying for the service. The application <br />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. <br />Furthermore, the Participant shall provide a written statement that the Medical <br />Expense has not been reimbursed or is not reimbursable under any other health <br />plan coverage and, if reimbursed from the Health Care Reimbursement Fund, <br />such amount will not be claimed as a tax deduction. The Administrator shall <br />retain a file of all such applications. <br />ARTICLE VII <br />DEPENDENT CARE ASSISTANCE PROGRAM <br />7.1 ESTABLISHMENT OF PROGRAM <br />This Dependent Care Assistance Program is intended to qualify as a program <br />under Code Section 129 and shall be interpreted in a manner consistent with such Code <br />Section. Participants who elect to participate in this program may submit claims for the <br />reimbursement of Employment - Related Dependent Care Expenses. All amounts reimbursed <br />under this Dependent Care Assistance Program shall be paid from amounts allocated to the <br />Participant's Dependent Care Assistance Account. <br />15 <br />
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