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6. Claims Submission <br />Claims for expenses should be submitted to: <br />Flex -Plan Services, Inc. <br />P. O. Box 70366 <br />Bellevue, WA 98007 <br />IX <br />ADDITIONAL PLAN INFORMATION <br />1. Claims Process <br />You should submit reimbursement claims during the Plan Year, but in no event later than <br />90 days after the end of a Plan Year. Any claims submitted after that time will not be <br />considered. Claims for benefits that are insured or self- funded will be reviewed in accordance <br />with procedures contained in the policies. All other general claims or requests should be <br />directed to the Administrator of our Plan. If a non - insured claim under the Plan is denied in <br />whole or in part, you or your beneficiary will receive written notification. The notification will <br />include the reasons for the denial, with reference to the specific provisions of the Plan on which <br />the denial was based, a description of any additional information needed to process the claim <br />and an explanation of the claims review procedure. If we fail to respond within 90 days, your <br />claim is treated as denied. Within 60 days after denial, you or your beneficiary may submit a <br />written request for reconsideration of the application to the Administrator. <br />Any such request should be accompanied by documents or records in support of your <br />appeal. You or your beneficiary may review pertinent documents and submit issues and <br />comments in writing. The Administrator will review the claim and provide, within 60 days, a <br />written response to the appeal. (This period may be extended an additional 60 days under <br />certain circumstances.) In this response, the Administrator will explain the reason for the <br />decision, with specific reference to the provisions of the Plan on which the decision is based. <br />The Administrator has the exclusive right to interpret the appropriate plan provisions. Decisions <br />of the Administrator are conclusive and binding. <br />X <br />SUMMARY <br />The money you earn is important to you and your family. You need it to pay your bills, <br />enjoy recreational activities and save for the future. Our flexible benefits plan will help you keep <br />more of the money you earn by lowering the amount of taxes you pay. The Plan is the result of <br />our continuing efforts to find ways to help you get the most for your earnings. <br />If you have any questions, please contact the Administrator. <br />11 <br />