i. Contract approval
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i. Contract approval
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<br />(2) Such card shall be issued upon the Participant's Effective Date of <br />Participation and reissued for each Plan Year the Participant remains a <br />Participant in the Health Care Reimbursement Plan. Such card shall be <br />automatically cancelled upon the Participant's death or termination of <br />employment, or if such Participant has a change in status that results in <br />the Participant's withdrawal from the Health Care Reimbursement Plan. <br /> <br />(3) 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 <br />amount of coverage available shall be the maximum amount for the Plan <br />Year as set forth in Section 6.4. <br /> <br />(4) The cards shall only be accepted by such merchants and service <br />providers as have been approved by the Administrator. <br /> <br />(5) The cards shall only be used for Medical Expense purchases at <br />these providers, including, but not limited to, the following: <br /> <br />(i) <br /> <br />Co-payments for doctor and other medical care; <br /> <br />(ii) <br /> <br />Purchase of drugs; <br /> <br />(iii) Purchase of medical items such as eyeglasses, <br />syringes, crutches, etc. <br /> <br />(6) Such purchases by the cards shall be subject to substantiation by <br />the Administrator, usually by submission of a receipt from a merchant or <br />service provider describing the service or product, the date of the <br />purchase and the amount. Some charges shall be considered <br />substantiated at the time of charge by the nature of the charge, such as <br />co-payments. Some charges shall be considered substantiated due to <br />their "recurring" nature, in which the expenses match expenses previously <br />approved as to amount, provider, and time period. At point of sale, the <br />service provider or merchant can provide information to the Administrator <br />to substantiate the charge. All charges shall be conditional pending <br />confirmation and substantiation. <br /> <br />(7) If such purchase is later determined by the Administrator to not <br />qualify as a Medical Expense, the Administrator, in its discretion, shall <br />use one of the following correction methods to make the Plan whole. Until <br />the amount is repaid, the Administrator shall take further action to ensure <br />that further violations of the terms of the card do not occur, up to and <br />including denial of access to the card. <br /> <br />(i) <br /> <br />Repayment of the improper amount by the Participant; <br /> <br />(ii) Withholding the improper payment from the <br />Participant's wages or other compensation to the extent consistent <br />with applicable federal or state law; <br /> <br />(iii) Claims substitution or offset of future claims until the <br />amount is repaid. <br /> <br />15 <br />
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