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IX. Eligibility Requirements to Receive Medical Benefit Payments from the VantageCare Retirement Health Savings Plan <br />A. A Participant is eligible to receive benefits: <br />❑ At retirement only (also complete Section B.) <br />Definition of retirement: <br />❑ Same as Section VII.B. <br />❑ Other <br />® At separation from service with the following restrictions <br />0 No restrictions <br />❑ Other <br />B. Termination prior to general benefit eligibility: In case where the general benefit eligibility as outlined in Section <br />IX.A includes a retirement component, a Participant who separates from service of the Employer prior to retirement <br />will be eligible to receive benefits: <br />Q] Immediately upon separation from service <br />❑ Other <br />C. A Participant that becomes totally and permanently disabled <br />❑ m defined by the Social Security Administration <br />P1 as defined by the Employer's primary retirement plan <br />❑ other <br />will become immediately eligible to receive medical benefit payments from his/her VantageCare Retirement <br />Health Savings Plan account. <br />D. Upon the death of the Participant, benefits shall become payable as outlined in Section XI. <br />X. Permissible Medical Benefit Payments <br />Benefits eligible for reimbursement consist of <br />® All Medical Expenses eligible under IRC Section 213* other than (i) direct long-term care expenses, and (ii) <br />expenses for medicines or drugs which are not prescribed drugs (other than insulin). <br />❑ Tie following Medical Expenses eligible tinder IRC Section 213* other than (i) direct long-term care expenses, and (ii) <br />expenses for medicines or drugs which are not prescribed drugs (other than insulin). Select only the expenses you wish to <br />cover under the VantageCare Retirement Health Savings Plan: <br />❑ Medical htsurance Premiums <br />❑ Medical Out -of -Pocket Expenses* <br />❑ Medicare Part B Insurance Premiums <br />❑ Medicare Part D Insurance Premiums <br />