07-D TML Health Reimbursement Acct

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Forfeiture of Benefits You forfeit any amount of dependent care reimbursement benefits and unreimbursed health care spending account benefits if a claim for reimbursement is not provided to the Plan Supervisor within 90 days after the last day of Grace Period or the last day of participation in the Plan, if earlier. Upon such forfeiture, your Dependent Care, Reimbursement Account or Umeimbursed Health Care Spending Account shall be reduced to zero. At the discretion of the Plan sponsor, forfeitures of benefits under the Plan may be reallocated to Participants in any reasonable manner. Forfeitures of benefits may also be applied toward the cost of administering the Plan. Forfeited benefits shall become the sole property of the Plan Sponsor. In the event your employment terminates during the plan year, you have 90 days after the end of the plan year to submit those expenses incurred up to the date of termination. All employee and dependent coverage will terminate on the earliest of the end of the month your employment terminates or the end of the month in which you cease to be an active, full-time Employee. The exception to this rule is that when such termination of coverage would otherwise fall on the last day of the last month of the plan year, you may receive reimbursement for eligible, expenses incurred through the fifteenth day of the third month following the end of the plan year (the grace period), and you have up to 90 days after the end of the grace period to fIle a claim for reimbursement of eligible expenses incurred during the plan year or the grace period. No Transfer between Accounts IRS rules do not allow any transfer of funds between accounts. Separate accounts must be mandated for medical expense reimbursement and dependent care reimbursement. Most Flexible Spending Accounts are not subject to Continuation of Coverage. Reimbursements If you are emolled in the TML IEBP Medical Plan, reimbursements from your unreimbursed health care spending account will be automatic for deductibles (unless you are emolled in a Health Savings Account or access a debit) card for approved Section 125 medical expenses, copays and eligible expenses that you were not reimbursed as part of your medical claim. Dependent care and any unreimbursed health care expenses not submitted as a medical claim, will be reimbursed by completing a claim form and attaching the appropriate documentation. If another carrier, other than TML IEBP, is providing health care coverage, please submit copies of the other carrier's explanation of benefits indicating the coverage available and the amount of reimbursement. Only claims that equal or exceed $25.00 will be processed, except in the last month of the plan year. Claims are processed and checks' mailed weekly. Flexible Spending Account Statements Each time a flex check is sent to the emollee it is accompanied with a statement indicating the account balance. A statement is also sent to the employee 90 days prior to the end of the flexible benefit plan year indicating the spending account balance. Active Duty Reservist If the Member considers a call to active duty "unpaid leave" this will be a "qualifying event" to drop dependent coverage and the employee can reinstate the flexible spending option when they return to work. If the Member considers a call to active duty "paid leave" this will not be considered a "qualifying event" and the employee can drop dependent coverage but they can not change their flexible spending contributions. In other words. the employee's pay will be reduced by the same amount as it was before being called to active duty. Page 7