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<br />TABLE OF CONTENTS <br /> <br />PAGE <br /> <br />GENERAL INFORM A TION................,.....,............................................................................................... 1 <br /> <br />WHAT IS THE PURPOSE OF THIS PLAN? ............................................................................... I <br />WHAT ARE SOME DEFINITIONS? ........................................................................................... I <br />WHAT TYPE OF PLAN IS THIS? ............................................................................................... 2 <br /> <br />ELIGIBILITy................... .... ,......................... ....... ................................ ............... ............. .......................... 2 <br /> <br />WHEN CAN I P ARTICIP A TE IN THE PLAN? ........................................................................... 2 <br />WHAT ARE THE CONDITIONS OF PARTICIPATION? ..........................................................2 <br /> <br />I10W TIlE PLAN WORKS ................ ........................ ...... .......................................................................... 3 <br /> <br />HOW DO I PAY FOR BENEFITS? .............................................................................................. 3 <br />WHAT ARE PRE-TAX CONTRlBUTIONS? .............................................................................. 3 <br />WHAT BENEFITS ARE PROVIDED UNDER TIlE PLAN? ......................................................3 <br />ARE THERE ANY SPECIAL RULES RELATING TO REIMBURSEMENT <br /> <br />BENEFITS? ....................................... ......... ....................................................................... 5 <br />ARE THERE ANY RESTRICTIONS ON RECEIVING BENEFITS? .........................................7 <br />HOW DO I MAKE A BENEFIT ELECTION? ............................................................................. 7 <br />HOW DO I CHANGE MY BENEFIT ELECTION? .....................................................................7 <br />WHAT HAPPENS IF I TAKE A LEAVE OF ABSENCE OR FAMILY OR MEDICAL <br /> <br />LEAVE? ...................... ...... ..............................,...... ,.......................................................... 9 <br />HOW ARE QUALIFIED MEDICAL CHILD SUPPORT ORDERS HANDLED? .................... 10 <br />HOW ARE BENEFITS TAXED?................................................................................................ 10 <br /> <br />EARNED INCOME CREDIT ..,................................................................................................... 12 <br />WHAT EFFECT DOES THE PLAN HAVE ON SOCIAL SECURITY OR OTHER <br /> <br />GOVERNMENT BENEFITS?............,.......................................................................... 12 <br />WHAT EFFECT DOES THE PLAN HAVE ON OTHER PAY -RELATED BENEFITS? ........ 12 <br />WHAT HAPPENS IF 1 TERMINATE EMPLOYMENT? .......................................................... 13 <br />WHAT HAPPENS IF TIlE PLAN IS AMENDED OR TERMINATED? .................................. 13 <br /> <br />CONTINUATION OF COVERAGE ........................................................................................................ 13 <br /> <br />WHAT ARE MY RIGHTS TO CONTINUATION COVERAGE? ............................................13 <br />WHAT NOTICE OBLIGATIONS DO I I1A VE UNDER COBRA? .......................................... 14 <br />HOW DOES CONTINUATION COVERAGE FOR MY HEALTH CARE <br />REIMBURSEMENT ACCOUNT WORK? .................................................................... 16 <br /> <br />ADMINISTRATIVE INFORMATION .,.....................................,.............. ........... ................ ................... 16 <br /> <br />THE PLAN YEAR...................................................................................................................,... 16 <br />PLAN ADMINISTRATION ............................................................................,.............,............. 16 <br />CLAIMS FOR BENEFITS......................................................................................,.................... 17 <br />WHAT IF I NEED MORE INFORMATION? ............................................................................ 18 <br />HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT............................. 19 <br /> <br />SUMMARY OF ADMINISTRATIVE INFORMATION ........................................................................ 20 <br /> <br />. <br /> <br />. <br /> <br />. <br />