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S 7A6 s for ReimhurseMent Participt who has elected to receive medical care reimbursement for a Plan . . r fir reimhurment of Medical 'or Year may apply to the Plan Ad�ntrato �e participant during the Plan Year by s�ahnutting a nta� acre F�ge�s incurred • F ministra�tr in such form as it may prey , ntten clams for reahursemer�t to the Plan d setting forth: expense, with respect to which �benefit (a) The amount, date d nature of the � � is requested; (b) The name of the person, nization Or entity to which the expense was or � or� is to be pd whom e expense incurred ands if such (c) 'r�xe �e of the person for .* . relationship of such the Participant requesting the benefit, the re p person is not p person to the Participant; and (d) The amount recovered or expected to he recovered, under any insurance � arrangement or other plan, with respect to the expense. arrang p i hills invoices, receipts canceled checks or Such elate shall he accompanied h� such expenses, together with and additional other statements shun the amount of su � documentation which the Plan Administrator may request. 7.07 Reimbursement or Payment of Expenses 'T the Participant he Plau Administrator shah reimburse at leash monthly from the nt for Qualifying Medical or mental dare 9 P�e1pt� eimbursement A ou Mich the Partite ant suhrts a written claim rises incurred during the Plan Year, for v�r p �e • ' with Sermon 7.06. The Plan A + trator maY, at its � documentation m accordance Option, pay any such Qualifying *cal or mental Care penses directly to the person providing or supplying medial care in lieu reimbursing the Participant. l� hN 7.08 Forfeiture of mounts to a Participant's The amount credited Medical Reimbursement Account for any `� aut for Qualifying 11�edi or dental Plan Year shall he used unly to reimburse the Party p • � � u if the Participant applies for Care Expenses interred during such Plan Year, ]� U 1