2016-129N - Laserfiche WebLink

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The Participant may not be reimbursed for any amounts payable under any other employee benefit plan or policy or any individual insurance by which the Participant, his spouse, or dependents are covered. All reimbursements must comply with Code Section 213 and/or specific guidance issued by the IRS related to the Plan,however,the Employer may restrict or limit such coverage by means of administrative rules provided such rules are made known to Employees prior to the beginning of each Plan Year or the date of the Employee's eligibility, as applicable. Benefit Period The Participant shall be permitted to submit requests for reimbursement of eligible expenses incurred during the period beginning on the date participation begins within a given Plan Year and ending on the earlier of the date participation ends for that Plan Year or two and one-half months following the end of the Plan Year. Claims Procedure A Participant shall make a claim for Benefits by making a request in accordance with the terms of this Plan Document. Requests must be received within ninety(90)days after the date participation ends within the Plan Year or ninety(90) days after the end of the Plan Year, whichever is earlier. If a claim is wholly or partially denied, notice of a decision shall be furnished to the Participant within a reasonable period of time, not to exceed ninety(90) days after receipt of the claim by the Benefit Administrator or its designee, unless special circumstances require an extension of time for processing the claim. If an extension of time is required, written notice of the extension shall be furnished to the Participant prior to the termination of the initial ninety (90) day period. In no event shall the extension exceed a period of ninety (90) days from the end of the initial period. The extension notice shall indicate the special circumstances requiring an extension of time and the date on which the Benefit Administrator or its designee expects to render a decision. The Benefit Administrator or its designee shall, upon request, provide a Participant who is denied a claim for benefits written notice setting forth, in a manner calculated to be understood by the claimant, the following: a. a specific reason or reasons for the denial; b. specific reference to pertinent Plan provisions upon which the denial is based; c. a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why that material or information is necessary; d. an explanation of the Plan's claim review procedure, as set forth below. 5