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This requires a rigorous and methodical process

Cardiac abnormalities may be noted as well as breathing difficulties, to the point of respiratory paralysis (the cause of death in lethal cases)

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For 2020 and again for 2021, Plan Sponsor A offers all employees $7,000 each in an HRA, and the HRA provides that amounts that are unused at the end of a plan year may be carried over to the next plan year, with no restrictions on the use of the carryover amounts compared to the use of newly available amounts