2016-129N - Laserfiche WebLink

Home Browse Search

Coordination of Benefits The Plan is intended solely to pay benefits for unreimbursed health care expenses as defined by IRC Section 213(d), with the exception that reimbursement of premiums is not permitted. Accordingly, it shall not be considered a group health plan for coordination of benefits purposes, and its benefits shall not be taken into account when determining benefits under any other plan. Disposition of Unused Funds If an Employee's contributions exceed the amount reimbursed after the end of the claim filing period for the Plan Year (or the date of any final action by the Benefit Administrator, whichever is later), all excess contributions will be forfeited. The Employer may use any remaining funds as it sees fit except it may not return the funds to the Participants to offset any forfeiture. Funding Contributions required to pay benefits under this Plan shall consist of contributions by the Participants under the Employer's Flexible Benefit Plan, and other funds from the general assets of the Employer, if needed. Continuation of Coverage under COBRA Participants in this Plan may have rights to continue participation under Code Section 4980B (commonly known as COBRA)if the participant or a family member experience a qualifying event that would otherwise cause coverage to end. Participants are notified of specific rights under COBRA via a separate notice. HIPAA Privacy Federal regulations including the Health Insurance Portability and Accountability Act define the rights and obligations of participants, the Employer and the Plan with regard to protecting the privacy of personal health information. Plan Administrator The Plan Administrator shall be named fiduciary of the Plan and shall have the authority to manage the operation and administration of the Plan and to adopt such rules and regulations consistent with the Plan as it shall deem appropriate to administer the Plan. All determinations by the Plan Administrator shall be conclusive and binding on all Participants, their spouses and dependents. 7