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SECTION 4 - Selection of Benefits
The benefits and amounts selected below will be offered to each
employee (and their family) listed in Section 3. * * * The
employer agrees to reimburse:
: Health Insurance Premium reimbursements up to $ ALL (may use
ALL).
: Out of Pocket medical reimbursements up to $5000.
9 Dental Insurance Premiums.
The benefits selected below will be offered to the employee only
(other family members excluded):
9 Employee Term life Insurance ($50,000 Maximum) 9 Employee
Disability
Insurance
SECTION 5 - Authorization and Payment
The undersigned employer [Mr. Frahm] hereby executes this
agreement on the 17 day of Aug, 1998 and the plan start date shall
be January 1st of this year * * * [Reproduced literally.]
During each of the years 2000, 2001, and 2002, pursuant to
the authorization that he signed to provide a medical reimburse-
ment plan under AgriPlan/AgriBiz, Mr. Frahm provided such a plan
(AgriPlan/AgriBiz medical reimbursement plan) for the benefit of
Ms. Frahm and her family (i.e., Ms. Frahm and her spouse Mr.
Frahm). At all relevant times, Ms. Frahm met the eligibility
requirements to receive benefits under that plan.
On a date not disclosed by the record prior to July 1, 2000,
Mr. Frahm completed a preprinted application form (Mr. Frahm’s
Wellmark Plan C application)2 in which he applied to
Wellmark/Blue Cross and Blue Shield of Iowa (Wellmark) for a so-
called Plan C health insurance policy to cover himself and Ms.
2The title of Mr. Frahm’s Wellmark Plan C application is not
disclosed by the record.
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Last modified: March 27, 2008