Common use of No Duplication of Benefits; Service and Other Credit Clause in Contracts

No Duplication of Benefits; Service and Other Credit. Ironwood and Cyclerion shall adopt, or cause to be adopted, all reasonable and necessary amendments and procedures to prevent Cyclerion Participants from receiving duplicative benefits from the Ironwood Plans and the Cyclerion Plans. With respect to Cyclerion Employees, each Cyclerion Plan shall provide that for purposes of determining eligibility to participate, vesting, and entitlement to benefits, service prior to the Distribution Effective Time with Ironwood or an Ironwood Group member shall be treated as service with Cyclerion or the applicable Cyclerion Group member. Such service also shall apply for purposes of satisfying any waiting periods, evidence of insurability requirements, or the application of any preexisting condition limitations under any Cyclerion Plan. Each Cyclerion Plan shall, to the extent practicable, waive pre-existing condition limitations with respect to Cyclerion Employees. Cyclerion shall honor any deductibles incurred by Cyclerion Employees and their eligible dependents under any Ironwood medical plan (but not, for the avoidance of doubt, under any Ironwood dental plan) in which they participated immediately prior to the Distribution Effective Time during the then-elapsed portion of the calendar year prior to the Distribution Effective Time for purposes of satisfying any deductibles or out-of-pocket maximums under the Cyclerion Plans in which they are eligible to participate after the Distribution Effective Time in the same plan year in which such deductibles were incurred. For the avoidance of doubt, Cyclerion shall not be required to honor any co-payments incurred by Cyclerion Employees or their eligible dependents under any Ironwood Health and Welfare Plan for purposes of satisfying any out-of-pocket maximums under the Cyclerion Plans in which they are eligible to participate after the Distribution Effective Time.

No Duplication of Benefits; Service and Other Credit. Ironwood Ensign and Cyclerion CareTrust shall adopt, or cause to be adopted, all reasonable and necessary amendments and procedures to prevent Cyclerion CareTrust Participants from receiving duplicative benefits from the Ironwood Ensign Plans and the Cyclerion CareTrust Plans. With respect to Cyclerion CareTrust Employees, each Cyclerion CareTrust Plan shall provide that for purposes of determining eligibility to participate, vesting, and entitlement to benefitsbenefits (but not for accrual of pension benefits under any defined benefit pension plan), service prior to the Distribution Effective Time with Ironwood or an Ironwood Ensign Group member shall be treated as service with Cyclerion or the applicable Cyclerion CareTrust Group member. Such service also shall apply for purposes of satisfying any waiting periods, evidence of insurability requirements, or the application of any preexisting condition limitations under any Cyclerion CareTrust Plan. Each Cyclerion CareTrust Plan shall, to the extent practicable, waive pre-existing condition limitations with respect to Cyclerion CareTrust Employees. Cyclerion CareTrust shall honor any deductibles deductible, co-payment and out-of-pocket maximums incurred by Cyclerion the CareTrust Employees and their eligible dependents under any Ironwood medical plan (but not, for the avoidance of doubt, under any Ironwood dental plan) Ensign Plans in which they participated immediately prior to the Distribution Effective Time during the then-elapsed portion of the calendar year prior to the Distribution Effective Time for purposes of in satisfying any deductibles deductibles, co-payments or out-of-pocket maximums under the Cyclerion CareTrust Plans in which they are eligible to participate after the Distribution Effective Time in the same plan year in which such deductibles were incurred. For the avoidance of doubtdeductibles, Cyclerion shall not be required to honor any co-payments incurred by Cyclerion Employees or their eligible dependents under any Ironwood Health and Welfare Plan for purposes of satisfying any out-of-pocket maximums under the Cyclerion Plans in which they are eligible to participate after the Distribution Effective Timewere incurred.

No Duplication of Benefits; Service and Other Credit. Ironwood Alkermes and Cyclerion Mural shall adopt, or cause to be adopted, all reasonable and necessary amendments and procedures to prevent Cyclerion Mural Participants from receiving duplicative benefits from the Ironwood Alkermes Plans and the Cyclerion Mural Plans. With respect to Cyclerion Mural Employees, each Cyclerion Mural Plan shall provide that for purposes of determining eligibility to participate, vesting, vesting and entitlement to benefits, service prior to the Distribution Effective Time with Ironwood Alkermes or an Ironwood Alkermes Group member shall be treated as service with Cyclerion Mural or the applicable Cyclerion Mural Group member. Such service also shall apply for purposes of satisfying any waiting periods, evidence of insurability requirements, or the application of any preexisting condition limitations under any Cyclerion Mural Plan. Each Cyclerion Mural Plan shall, to the extent practicable, waive pre-existing condition limitations with respect to Cyclerion Mural Employees. Cyclerion To the extent permitted under the applicable plan, Mural shall procure that the applicable Mural Group member shall honor any deductibles incurred by Cyclerion Mural Employees and their eligible dependents under any Ironwood Alkermes medical plan (but not, for the avoidance of doubt, under any Ironwood dental plan) in which they participated immediately prior to the Distribution Effective Time during the then-elapsed portion of the calendar year prior to the Distribution Effective Time for purposes of satisfying any deductibles or out-of-pocket maximums under the Cyclerion Mural Plans in which they are eligible to participate after the Distribution Effective Time in the same plan year in which such deductibles were incurred. For the avoidance of doubt, Cyclerion the Mural Group shall not be required to honor any co-payments incurred by Cyclerion Mural Employees or their eligible dependents under any Ironwood Alkermes Health and Welfare Plan for purposes of satisfying any out-of-pocket maximums under the Cyclerion Mural Plans in which they are eligible to participate after the Distribution Effective Time.