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<br />2. Employer Information <br /> <br />Your Employer's name, address, and identification number are: <br /> <br />Cass County Government <br />211 9th Street South <br />Fargo, North Dakota 58103 <br />45-6002205 <br /> <br />3. Plan Administrator Information <br /> <br />The name, address and business telephone number of your Plan's Administrator are: <br /> <br />Cass County Government <br />211 9th Street South <br />Fargo, North Dakota 58103 <br />(701) 241-5606 <br /> <br />The Administrator keeps the records for the Plan and is responsible for the <br />administration of the Plan. The Administrator will also answer any questions you may have <br />about our Plan. You may contact the Administrator for any further information about the Plan. <br /> <br />4. Service of Legal Process <br /> <br />The name and address of the Plan's agent for service of legal process are: <br /> <br />Cass County Government <br />211 9th Street South <br />Fargo, North Dakota 58103 <br /> <br />5. Type of Administration <br /> <br />The type of Administration is Employer Administration. <br /> <br />6. Claims Submission <br /> <br />Claims for expenses should be submitted to: <br /> <br />Discovery Benefits, Inc. <br />PO Box 2926 <br />Fargo, ND 58108-2926 <br /> <br />IX <br />ADDITIONAL PLAN INFORMATION <br /> <br />1. Claims Process <br /> <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. However, if you terminate employment during the Plan <br />Year, you must submit your claims within 90 days after your termination of employment. Any <br />claims submitted after that time will not be considered. <br /> <br />Claims for benefits that are insured or self-funded will be reviewed in accordance with <br />procedures contained in the policies. All other general claims or requests should be directed to <br /> <br />9 <br />