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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 Seaimi VILB. <br />❑ Other <br />{Q At separation from service with dee following restrictions <br />® No restrictions <br />❑ Other <br />B. Termination prior to general benefit eligibility: ht case where the general benefit eligibility as outlined in Section <br />IX.A includes a retiremem.component, n Participant who separates from service of tlic Employer prior to retirement <br />will be eligible to receive benefits: <br />m Immediately upon separation from service <br />❑ Other <br />C. A Participant that becomes totally and permanently disabled <br />❑ as defined by the Social Security Administration <br />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 oL <br />® All Mcdical Expenses eligible under IRC Scction-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 />❑ -Ihc following Medical Expenses eligible under IRC Scction 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 l-lealrh Savings I'lan: <br />❑ Medical Insurance Premiums <br />❑ Medical Our -of -Pocket Expenses' <br />❑ Medicare Part B Insurance Premiums <br />❑ Yledicire Part D Insurance Premiums <br />r <br />