Page 185 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

the Plan Administrator shall be binding upon all parties, subject to applicable law. If you challenge
the decision of the Plan Administrator, a review by a court of law will be limited to the facts,
evidence and issues presented during the claims procedure set forth above. The appeal process
described herein must be exhausted before you can pursue the claim in Federal court. Facts and
evidence that become known to you after having exhausted the appeals procedure may be
submitted for reconsideration of the appeal in accordance with the time limits established above.
Issues not raised during the appeal will be deemed waived.

CONTINUATION RIGHTS

Military Service

Please see section of the booklet entitled CONTINUATION OF COVERAGE DURING
MILITARY SERVICE, page 15.

COBRA

COBRA is available for the Health Care Reimbursement Account only. Please see the section of
this booklet entitled CONTINUATION OF COVERAGE UNDER COBRA.

COBRA Contact:
Benefit Coordinators Corporation
Two Robinson Plaza
Suite 200
Pittsburgh, Pennsylvania 15205
1-800-978-7948
enterpriseservice@benxcel.com

FMLA

If you go on leave that qualifies as family leave under the Family and Medical Leave Act you may
be able to continue receiving health care benefits on a pre-tax or post-tax basis.

You may elect to continue coverage on a pre-tax or post-tax basis for non-medical benefits when
on leave of absence under the FMLA.

Non FMLA Leave

In addition, you may elect to continue coverage on a pre-tax or post-tax basis when on leave of
absence other than the FMLA.

MISCELLANEOUS

Qualified Medical Child Support Orders

In certain circumstances you may be able to enroll a child in the Health Care Reimbursement
Account if the Plan Administrator receives a Qualified Medical Child Support Order ("QMCSO").
You may obtain a copy of the QMCSO procedures from the Plan Administrator, free of charge.

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