2017 011 Ordinance - Laserfiche WebLink

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7.09. Disbursement reports The Plan Administrator shall issue directions to the Employer and/or the Consultant concerning all benefits that are to be paid from the Employer's general assets pursuant to the provisions of the Plan. 7.10. Timeliness of benefit payments Payments shall be made as soon as administratively feasible after the required forms and documentation have been received by the Plan Administrator, subject to the Claims Procedure requirements set out in Section VIII. 7.11. Requirement that participants substantiate reimbursable expenses In the event that the Employee does not verify and pay claims using the HRA Debit Card and/or the Plan Administrator requires, each Participant must submit documentation to the Plan Administrator to receive reimbursements from his or her HRA in a form as required by the Plan Administrator, along with such evidence as the Plan Administrator reasonably may deem necessary to substantiate the nature, the amount, and timeliness of any expenses that may be reimbursed. Year-end expense reimbursement claims must be submitted to the Plan Administrator within 90 days of the close of the Plan Year during which any such expense was incurred, in order to be eligible for reimbursement. Likewise, if a Participant terminates participation in the Plan, such Participant shall be entitled to submit to the Plan Administrator any claims for reimbursement for reimbursable expenses incurred up to the date that coverage ceases at any time within 90 days after the end of the Coverage Period. 7.12. Limit on coverage Any coverage elected by a Participant under this Plan shall cease if the Participant fails to make any required contributions toward such coverage. SECTION VIII CLAIMS PROCEDURE 8.01. Claims for benefits Any Participant (who, for purposes of obtaining benefits under this Plan is called a "Claimant"), or his Authorized Representative, may file a Claim for a Plan Benefit to which the Claimant believes that he is entitled. Such Claim must be documented in a manner required by the Plan Administrator, and delivered to the Plan Administrator. No Plan Benefit will be paid unless a Claimant has first submitted a written Claim for Benefits to the Plan Administrator. Upon receipt of a properly documented claim, the Plan Administrator shall direct the Plan to pay the Claimant the Benefits provided under this Plan as soon as is administratively feasible. A Claimant may submit a claim for reimbursement for an Eligible Charge arising during the Plan Year at any time during the period that begins when the expense in incurred, and ends ninety (90) days after the close of the Plan Year. If a Covered Individual terminates participation in the Plan, such Covered Individual shall be entitled to submit to the Plan Administrator any claims for reimbursement for Eligible Charges incurred up to the date that coverage ceases at any time within ninety (90) days after the date on which coverage ceased. Mayfield Village HRA Plan 0117.doc 11