07-D TML Health Reimbursement Acct

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"Health FSA" means a health flexible spending arrangement as defined in Prop. Treas. Reg. S 1.125-2, Q/A-7(a). "Health Benefits Plan" means the plan(s) that the Employer maintains for its Employees (and for their Spouses and Dependents that may be eligible under the terms of such plan), providing major medical type benefits through a group health plan(s). "HIP AA" means the Health Insurance Portability and Accountability Act of 1996, as amended. "HRA" means a health reimbursement arrangement as defined in IRS Notice 2002-45. "HRA Account" means the HRA Account described in Section 6.4. "Medical Care Expenses" has the meaning defined in Section 6.2. "Open Enrollment Period" with respect to a Plan Year means a period of time at some point preceding the Plan Year, or such other period as may be prescribed by the Administrator. "Participant" means a person who is an Eligible Employee and who is participating in this Plan in accordance with the provisions of Article III. "Period of Coverage" means the plan year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the plan year following the date participation commences; and (b) for Employees who terminate participation, it shall mean the portion of the plan year prior to the date participation terminates, as described in Section 3.2. A different Period of Coverage (e.g., monthly) may be established by the Administrator and communicated to Participants. "Plan" means the TML Intergovernmental Employee Benefits Pool HRA Plan as set forth herein and as amended from time-to-time. "Protected Health Information" shall have the meaning described in 45 C.F.R. S 160.103 and generally includes individually identifiable health information held by, or on behalf of, the Plan. "QMCSO" means a qualified medical child support order, as defined in ERISA 9609(a). "Spouse" means an individual who is legally married to a Participant under the laws of any state, who is the opposite gender from the Participant. "USERRA" means the Uniformed Services Employment and Reemployment Rights Act of 1994, as amended. ARTICLE III. ELIGIBILITY AND PARTICIPATION 3.1 Enrollment Requirements The names, social security numbers, sexes and birth dates of all persons in a family enrolling in the Plan will be provided to the Administrator on an enrollment form or a change form signed and dated by the Participant and Employer and received by the Administrator. a. Employees To receive coverage, an Eligible Employee must enroll within 31 days of the commencement of employment with the Employer, or within 31 days of the date the Employer first offers coverage. If enrolled, an Eligible Employee's coverage will begin the later of: 1. The date the Eligible Employee became an active employee of the Employer working at least 20 hours per week; or 2. The date the Eligible Employee completes any waiting period established by the Employer. Eligible Employees must enroll within the initial enrollment period or wait until the next open enrollment period to enroll. Page 2