- 3 -
vices, from which he withheld Social Security tax and Medicare
tax totaling $229.50.
On August 17, 1998, Mr. Frahm signed a preprinted form that
was an authorization to provide a medical reimbursement plan
under AgriPlan/BizPlan to eligible employees. The preprinted
form on which that authorization appeared stated in pertinent
part:
SECTION 1 - Employer Information
Business owner last name: First:
Frahm Ralph
* * * * * * *
Business name: Type of business: Check one:
Ralph Frahm Farming : AgriPlan 9 Biz
* * * * * * *
SECTION 2 - Eligibility Criteria
To be eligible for benefits, employee(s) must meet each of the
following requirements. * * *
: Part-time employees must work an average of 25 hours per
week. (maximum=25 * * *)
: Seasonal employees must work 7 months per year.
(maximum=7 * * *)
: Employees must be 25 years of age. (maximum=25)
: Employees hired prior to today (Current Employees) must have
been with employer for 0 months. (maximum=36)
: Employees hired after today (New Employees) must be with
employer for 36 months. (maximum=36)
SECTION 3 - Eligible Employees
Employees listed below meet all requirements of Section 2 and are
considered current employees as of the date of this agreement.
* * *
Employee Last Name First Name Social Security Number
1. Frahm Erika * * *
* * * * * * *
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Last modified: March 27, 2008