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Text of First Private Letter Ruling Approving Terms of Health Reimbursement Arrangement (PDF)
Internal Revenue Service [IRS] 
July 29, 2003
4 pages. Excerpt: The medical reimbursement plan is available only to those employees who have elected, through salary reduction, to purchase employer-sponsored health insurance. Under the Plan, Taxpayer pays for the medical reimbursement plan and employees do not make any salary reduction elections to pay for the medical reimbursement.
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