MEDICAL CARE PLAN MINUTES OF SPECIAL MEETING OF DIRECTORS OF _________________________ A special meeting of the Board of Directors of the Corporation was held on _____________________, 20__ at _______.M at _______________________________________________________. All of the Directors being present, it was moved to approve and adopt a medical care expense reimbursement plan. A copy of the plan was presented to those present and upon motion duly made, seconded and unanimously voted, it was VOTED, that the "Medical Care Reimbursement Plan" presented to the meeting is hereby approved and adopted, that a copy of the plan shall be attached to these minutes, and that the proper officers of the Corporation are hereby authorized to take whatever action is necessary to implement the plan, and it is further VOTED, that the signing of these minutes by the Directors shall constitute full ratification thereof and waiver of notice of the meeting by the signatories. There being no further business to come before the meeting, upon motion duly made, seconded and unanimously voted, the meeting was adjourned. ______________________________ Secretary ______________________________ ______________________________ Chairman Director _____________________________ ______________________________ Director Director Form 516  MEDICAL CARE REIMBURSEMENT PLAN OF ___________________ 1. BENEFITS The Corporation will reimburse all eligible employees for expenses incurred by themselves and their dependents, as defined in IRC #152, as amended, for medical care, as defined in IRC #213(e), as amended, subject to the conditions and limitations as hereinafter set forth. It is the intention of the Corporation that the benefits payable to eligible employees hereunder shall be excluded from their gross income pursuant to IRC #105, as amended. 2. ELIGIBILITY 3. LIMITATIONS (a) The Corporation shall reimburse any eligible employee not more than $____________ in any fiscal year for medical care expenses. (b) Reimbursement or payment provided under this Plan shall be made by the Corporation only in the event and to the extent that such reimbursement or payment is not provided under any insurance policy(ies), whether owned by the Corporation or the employee, or under any other health and accident or wage continuation plan. In the event that there is such an insurance policy or plan in effect, providing for reimbursement in whole or in part, then to the extent of the coverage under such policy or plan, the Corporation shall be relieved of any and all liability hereunder. 4. SUBMISSION OF PROOF Any eligible employee applying for reimbursement under this Plan shall submit to the Corporation, at least quarterly, all bills for medical care, including premium notices for accident or health insurance, for verification by the Corporation prior to payment. Failure to comply herewith, may at the discretion of the Corporation, terminate such eligible employee's right to said reimbursement. 5. DISCONTINUATION This Plan shall be subject to termination at any time by vote of the Board of Directors of the Corporation; provided, however, that medical care expenses incurred prior to such termination shall be reimbursed or paid in accordance with the terms of this Plan. 6. DETERMINATION The president shall determine all questions arising from the administration and interpretation of the Plan except where reimbursement is claimed by the president. In such case determination shall be made by the Board of Directors. Adopted by the Board of Directors on __________, 20__ _________________________________ Secretary Form 516