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[PLACE YOUR COMPANY NAME HERE] CAFETERIA PLAN …

[PLACE your COMPANY name here ] CAFETERIA PLAN BASIC PLAN DOCUMENT #125 Copyright, 2005-2011 [PLACE your COMPANY name here ] All Rights Reserved. i [PLACE your COMPANY name here ] CAFETERIA PLAN BASIC PLAN DOCUMENT TABLE OF CONTENTS ARTICLE 1 INTRODUCTION Section Plan ..1 Section Application of Plan ..1 ARTICLE 2 DEFINITIONS ARTICLE 3 PARTICIPATION Section Participation ..4 Section Transfers ..4 Section Termination and Rehires ..4 Section Procedures for Admission ..4 ARTICLE 4 ACCOUNTS Section Premium Conversion Section Health Care Reimbursement Accounts ..5 Section Dependent Care Assistance Section Adoption Assistance Accounts ..7 Section Forfeitures/Transfers ..8 Section Section Revocation of Elections ..9 Section Health Savings Accounts Special Section Employer Contributions ..12 ARTICLE 5 LIMITATIONS ON CONTRIBUTIONS Section Section Limitations on Contributions.

"Company" means the Plan Sponsor and any other entity that has adopted the Plan with the approval of the Plan Sponsor. "Compensation" means the cash wages or salary paid to a Participant.

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