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2005-063
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2005-063
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Last modified
7/8/2016 2:09:53 PM
Creation date
9/30/2015 8:22:00 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Plan
Approved Date
02/15/2005
Control Number
2005-063
Agenda Item Number
7.L.
Entity Name
Flex Company of America
Subject
Health Plan for Circuit Court Cafeteria Plan Flexible Spending
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
4673
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ADOPTION INFORMATION <br /> PLAN TYPE : Section 125 Flexible Benefit Plan <br /> EMPLOYER AND PLAN SPONSOR : Clerk of the Circuit Court of Indian River County <br /> 2000 16th Avenue <br /> Vero Beach , FL 32960 <br /> EMPLOYEE CLASSIFICATION : All employees who work 25 or more hours per week . <br /> PLAN NUMBER : 501 <br /> EFFECTIVE DATE : January 1 , 1995 <br /> PLAN YEAR : October 1 - September 30 <br /> NEW HIRE ELIGIBILITY : First day following 30 days of employment. <br /> PLAN SERVICE PROVIDER : The Flex Company of America , Inc . <br /> P . O . Box 2490 <br /> Brookfield , WI 53008-2490 <br /> 262-789-8181 <br /> PLAN YEAR MAXIMUM MEDICAL EXPENSE REIMBURSEMENT REDUCTION : $4000 <br /> CLAIMS PROCESSING SCHEDULE : Every day - All paper claims must be received at least 3 <br /> business days prior to this day. <br /> WHEN MUST CLAIMS BE RECEIVED BY THE FLEX COMPANY AFTER PLAN YEAR END : <br /> Claims for expenses incurred in the prior Plan Year must be received no later than December <br /> 31 st. <br /> TERMINATION GUIDELINES : <br /> MEDICAL EXPENSE REIMBURSEMENT ACCOUNT EMPLOYEE TERMINATION GUIDELINES : <br /> NUMBER OF DAYS TO INCUR CLAIMS : For a medical expense to be eligible , it <br /> MUST be INCURRED prior to the employee 's last day of employment . <br /> NUMBER OF DAYS TO SUBMIT CLAIMS AFTER LAST DAY OF EMPLOYMENT : 30 days <br /> DEPENDENT DAY CARE REIMBURSEMENT ACCOUNT EMPLOYEE TERMINATION GUIDELINES : <br /> NUMBER OF DAYS TO INCUR CLAIMS : The terminated employee has the <br /> remainder of the Plan Year to incur eligible day care expenses . <br /> WHEN MUST CLAIMS BE RECEIVED BY THE FLEX COMPANY AFTER LAST DAY OF <br /> EMPLOYMENT : Claims for expenses incurred in the prior Plan Year must be <br /> received no later than December 31st. <br />
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