Page 144 - 2022 Washington Nationals Flipbook

MLB LWIP & Nationals Welfare
Plans and Summary Plan Description

 Certain long-term care expenses;
 Cosmetic surgery (except in limited circumstances);
 Electrolysis;
 Health club dues not related to a specific medical condition;
 Non-prescribed medicines, drugs or items;
 Dental bonding and bleaching; and
 Weight loss (unless related to the treatment of a disease or other medical condition).

The federal government publishes a booklet (Publication 502) listing the expenses that may
be eligible for reimbursement through the Health Care Reimbursement Account. You can
request a copy from your local Internal Revenue Service Office listed under the U.S.
Government Offices in your telephone book or find it on the Internet at
www.irs.gov/forms_pubs/indes.html.If you are a military reservist called to active duty for a
period in excess of 179 days or for an indefinite period, you may request a distribution from
your Health Care Reimbursement Account. You must make the distribution during the period
beginning on the date of your call-up and ending on the last date that reimbursements could
otherwise be made for that Plan Year. The amount you contributed to the Health Care
Reimbursement Account minus Health Care Reimbursement Account reimbursements
received as of the date of the Qualified Reservist Distribution request can be withdrawn.

Dependent Care Assistance Account

The Plan will establish a Dependent Care Assistance Account in your name if you elect to
contribute to such an Account. This Account will be credited with your contributions and
will be reduced by any payments made on your behalf. You will be entitled to receive
reimbursement from this account for dependent care assistance. Dependent care assistance is
defined as expenses you incur for the care of a qualifying individual. A qualifying individual
includes:

 your child, grandchild, brother or sister who is under age 13, who resides in your
household for more than one-half of the year and who does not provide more than
one-half of his or her own support for the year (if you are divorced or separated,
certain qualifications and special custody/support rules may apply);

 a disabled spouse who resides in your household for more than one-half of the year;
and

 a disabled relative or household member who is principally dependent on you for
support and who resides in your household for more than one-half of the year.

Note: A disabled Dependent must spend at least eight hours a day in your home. A disabled
Dependent who is confined to an institution for care would not qualify.

However, expenses only qualify for reimbursement if they allow you to be gainfully
employed. If you are married, your spouse must also be employed (or seeking employment),
enrolled as a full-time student, or disabled for your expenses to qualify. Expenses incurred

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