25E - AGMT - EMPL BENEFITS - Laserfiche WebLink

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❑ Medimm Supplemental Insurance Premiums ❑ Prescription Drug Insurance Premiums ❑ COBRA Insurance Premiums ❑ Dental Insurance Premiums ❑ Dental Out -of -Pocket Expenses' ❑ %ision Insurance Premiums ❑ Vision Out -of -Pocket Expenses' ❑ Qualified LonS'term Care Insurance Premiums ❑ Non -Prescription medications allowed under IRS guidance' ❑ Other qualifi-ing medical ctpettses (describe)' See Src ion V.A. for a.dimrrdon of nonditrrintination rola which may apply to non-colleainely bargainer!, self-insured Placer. XI. Benefits After the Death of the Participant In the event of a Participant's death, the fallo%ing shall apply: A. Surviving Spouse and/or Surviving Dependents 71te surviving spouse and/orsuniving eligible dcpendena (as defined in Section XILD.) of dm deec.acd Participant are immediately eligible to maintain the account and utilize it m fund eligible medical benefits specified in Section X above. Upon notification of a Participant's death, the Participant's account balance will he transferred into Dreyfus Cash Management fund' (or another fund selected by the Employer). The account balance may he reallocated by the surviving spouse or dependents. An nrunnnrar in for Drryfw Caib Ahnnngrrnent money marker fund it notimnrtd orgrmrrrnrnel Ly the /'rdtral Deporit Imurrrocr Corporation or any uthergoventmtntagarry. A[though thef..id saki to prrsr a ile talar of your invrmnrrrr at Sl.00 prr rl7are, iris pmtible ro !we worry Lr invr+ring in the fisad. /nuatorr+Lordd rauida die imrrnnna uLjrrriro, rN, rher m and cvpn+srr ofrhr find nrrtfid�• Ltfore iovrnnrg. Yon nary nide ru ret wrmu.innerraorg or ra11800-669-7400 ro ahmiu n prorpram rL,tr rmrmiru rbinmd othn infornmtimr nLmrr thelineal. Rend duprmpanrsmrcfi ity Lrforrintoning. If a Participants account balance has not been fully utilized upon the death of die eligible spoine, the account balance may continue to be utilized to pay benefits of eligible dependents. Upon the death of all eligible dependents, the account will revert to the Plan to be applied as specified in Section Vlll. B. No Surviving Spouse or Surviving Dependents M If thele are no living spouse or dependents at the time of death of the Participant, the account will revert to the Plan to be applied as specified in Section VIII. XII. The Plan will operate according to the following provisions: A. Employer Responsibilities 1, the [anployerw•ill submit all VanrageCare Retirement Health Savings Plan contribution data via electronic submission. 2. The Employer will submit all VantageCare Retirement Health Savings Plan Participant status updates or personal information updates via electronic sub mission. This includes but is not limited to termination no[ificadon and benefit eligibility notification. B. Participant account administration and asset-based fees will be paid through the redemption of Participantaccount shares. unless agreed upon otherwise in the Administrative Services Agreement. is 25E-103