Benefit Plans Administrative Services BPAS 3/9/2020

ARTICLE III. ELIGIBILITY AND PARTICIPATION OF EMPLOYEES AND FORMER EMPLOYEES 3.1 Eligibility Requirements. An Employee or former Employee shall be eligible to participate in this Plan upon meeting the eligibility requirements set forth in the Adoption Agreement. 3.2 Participant Status. An Employee who has met the eligibility requirements described in Section 3.1 shall become a Participant as of the Employee's Entry Date. Becoming a Participant does not necessarily mean the Participant may receive benefits under the Plan. See Section 4.4 for more information. 3.3 Conditions of Participation. As a condition of participation and receipt of benefits under this Plan, the Participant agrees to: (a) Observe all Plan rules and regulations; (b) Consent to inquiries by the Claims Administrator and Plan Administrator with respect to any provider of services involved in a claim under this Plan; (c) Submit to the Plan Administrator all notifications, reports, bills, and other information required by the Plan or which the Claims Administrator and Plan Administrator may reasonably require; and (d) Cooperate with all reasonable requests of the Claims Administrator and Plan Administrator that may be necessary for the proper administration of the Plan. Failure to comply with the foregoing conditions relieves the Plan, Plan Administrator, Claims Administrator, and Adopting Employer of any obligations under this Plan with respect to that Participant and any others claiming entitlement to benefits under this Plan through that Participant and shall result in the termination of the Participant's participation in the Plan. 3.4 Coverage Options. The Plan consists of one or more of the following coverage options as described below. (a) One or more of the following coverage options, as indicated in the Adoption Agreement, are available under the Plan: (i) Full Scope Option. Participants may receive reimbursement for Health Care Expenses incurred by themselves and their Spouses and Dependents. (ii) Limited Scope Option. Participants may receive reimbursement for only Limited Scope Health Care Expenses incurred by themselves and their Spouses and Dependents. (iii) Suspended Account Option. Participants may receive no reimbursements from their HC Accounts. However, the balance of the Participant's HC Account will be preserved for use in subsequent Plan Years. (b) Participants will be covered under the"Full Scope Option" unless the Participant elects in writing and in a manner specified by the Plan Administrator to participate in another available coverage option. Notwithstanding the foregoing, if provided in the Adoption Agreement, Participants enrolled in a high deductible health plan (as defined in Section 223 of the Code) sponsored by the Adopting Employer shall automatically be enrolled in ©2017 Hitesman&Wold,P.A. 6 Funded Post-Employment HRA Basic Plan Document(Single Employer Non-ERSA)