d. Contract approval
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d. Contract approval
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Health Care Reimbursement Fund by the member of the group in whose favor <br />discrimination may not occur pursuant to Code Section 105 that elected to <br />contribute the highest amount to the fund for the Plan Year shall be reduced until <br />the nondiscrimination tests set forth in this Section or the Code are satisfied, or <br />until the amount designated for the fund equals the amount designated for the <br />fund by the next member of the group in whose favor discrimination may not <br />occur pursuant to Code Section 105 who has elected the second highest <br />contribution to the Health Care Reimbursement Fund for the Plan Year. This <br />process shall continue until the nondiscrimination tests set forth in this Section or <br />the Code are satisfied. Contributions which are not utilized to provide Benefits to <br />any Participant by virtue of any administrative act under this paragraph shall be <br />forfeited and credited to the benefit plan surplus. <br /> <br />6.6 COORDINATION WITH CAFETERIA PLAN <br /> <br /> All Participants under the Cafeteria Plan are eligible to receive Benefits under <br />this Health Care Reimbursement Plan. The enrollment under the Cafeteria Plan shall constitute <br />enrollment under this Health Care Reimbursement Plan. In addition, other matters concerning <br />contributions, elections and the like shall be governed by the general provisions of the Cafeteria <br />Plan. <br /> <br />6.7 HEALTH CARE REIMBURSEMENT PLAN CLAIMS <br /> <br /> (a) All Medical Expenses incurred by a Participant shall be <br />reimbursed during the Plan Year subject to Section 2.5, 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 /> <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 /> <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 /> <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 /> <br />13 <br /> <br /> <br />
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