Benefit Plans Administrative Services 12/26/2018

FG.FLEXIBLE BENEFIT CREDITS(Flex Credits)(Section 11.01) 4. ❑ Contribution to 401(k)Plan. An Eligible Employee may elect to contribute all or a portion of his or her Flex Credits to a Qualified Plan in accordance with the terms of the following Qualified Plan(s): NOTE:If G.4 is selected, then G.5 (cash out)must also be elected. Cash Outs 5. Cash Out of Flex Credits. A Participant may elect to receive all or a portion of his or Flex Credits in cash. a. ❑ Yes b. ❑ Yes, subject to the following limitations: c. ❑ No NOTE:If G.5a or G.5b is selected, then Flex Credits a Participant elects to contribute to a Health FSA will count toward the Code section 125(1)contribution limitation. NOTE:If G.1 is selected, G.Sc must be selected. NOTE:If G.5.c is selected, the maximum value of Flex Credits a Participant can contribute to a Health FSA for a Plan Year is$500. 6. Amount of Cash Out. For each Flex Credit dollar that a Participant elects to receive in cash from the Plan, the Participant will receive: $ (insert dollar value of each Flex Credit; if no amount is provided, the cash out value of each Flex Credit is$1.00) 7. Maximum Flex Credit Cash Out.The amount of cash a Participant may receive in exchange for Flex Credits in Plan Year shall not exceed: a. ❑ No limit b. ❑ $ per calendar year c. ❑ Other: 8. Payment of Cash Out. Amounts distributed in cash from the Plan pursuant to Section 11.03 shall be paid to the Participant in: a. ❑ Equal payroll installments b. ❑ A single lump sum at the beginning of the Plan Year c. ❑ A single lump sum at the end of the Plan Year d. 0 Other: H. PURCHASE AND SALE OF PAID TIME OFF (PTO) (Section 11.02)) Purchase of PTO 1. Maximum PTO Purchase.A Participant can elect to purchase no more than the following periods of PTO in a Plan Year: a. ❑ None b. 0 hours c. 0 days d. ❑ weeks e. ❑ Other: NOTE:If Purchase of PTO is not a permitted Benefit in A.Sh, H.1 is disregarded. 12 Copyright©2002-2018 Benefit Plans Administrative Services LLC