l. Contract approval
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l. Contract approval
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<br />already been reimbursed by any other plan covering health benefits and that the <br />Participant will not seek reimbursement from any other plan covering health <br />benefits. <br /> <br />(b) Card issuance. Such card shall be issued upon the Participant's <br />Effective Date of Participation and reissued for each Plan Year the Participant <br />remains a Participant in the Health Flexible Spending Account. Such card shall <br />be automatically cancelled upon the Participant's death or termination of <br />employment, or if such Participant has a change in status that results in the <br />Participant's withdrawal from the Health Flexible Spending Account. <br /> <br />(c) Maximum dollar amount available. The dollar amount of <br />coverage available on the card shall be the amount elected by the Participant for <br />the Plan Year. The maximum dollar amount of coverage available shall be the <br />maximum amount for the Plan Year as set forth in Section 6.4. <br /> <br />(d) Only available for use with certain service providers. The <br />cards shall only be accepted by such merchants and service providers as have <br />been approved by the Administrator. <br /> <br />(e) Card use. The cards shall only be used for Medical Expense <br />purchases at these providers, including, but not limited to, the following: <br /> <br />(1) Co-payments for doctor and other medical care; <br /> <br />(2) Purchase of drugs; <br /> <br />(3) Purchase of medical items such as eyeglasses, syringes, <br />crutches, etc. <br /> <br />(f) Substantiation. Such purchases by the cards shall be subject to <br />substantiation by the Administrator, usually by submission of a receipt from a <br />service provider describing the service, the date and the amount. The <br />Administrator shall also follow the requirements set forth in Revenue Ruling <br />2003-43 and Notice 2006-69. All charges shall be conditional pending <br />confirmation and substantiation. <br /> <br />(g) Correction methods. If such purchase is later determined by the <br />Administrator to not qualify as a Medical Expense, the Administrator, in its <br />discretion, shall use one of the following correction methods to make the Plan <br />whole. Until the amount is repaid, the Administrator shall take further action to <br />ensure 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 />(1) Repayment of the improper amount by the Participant; <br /> <br />(2) Withholding the improper payment from the Participant's wages or <br />other compensation to the extent consistent with applicable federal or <br />state law; <br /> <br />(3) Claims substitution or offset of future claims until the amount is <br />repaid; and <br /> <br />15 <br />
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