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Re: Flex Spending Account enrollment
- To: noelle
- Subject: Re: Flex Spending Account enrollment
- From: Robert <http://dummy.us.eu.org/robert>
- Date: Sun, 11 Nov 2012 17:58:16 -0800
- Keywords: bogofilter, ifile: nonspam -1634.92290831 downloaded -1777.24528790 spam -1797.87968922 ---------, spambayes, spamprobe
> From: Noelle <http://dummy.us.eu.org/noelleg>
> Date: Sun, 11 Nov 2012 17:44:22 -0800 (PST)
>
> you can get reimbursed for co=pays?
Yes.
For next year (2013).
> On Tue, 6 Nov 2012, Robert wrote:
> > Below are the numbers I have. I think this is all I expect, unless I
> > decide to get a physical exam.
> >
> > Paychex
> > Flexible Spending Account
> > Deduction Worksheet
> > NOTE: This is not an enrollment form. This worksheet is intended to guide
> > you through the enrollment process.
> > This worksheet will help you calculate your applicable expenses and how
> > much money would be in an FSA deduction each pay period.
> >
> > Medical/Dental/Vision Reimbursement Account
> > Annual Medical Expenses, such as:
> > Deductibles and co-pays $ _____________
> > Routine physical exams $ _____________
> > Prescriptions $ _____________
> > Chiropractic care $ _____________
> > Other $ _____________
> > Annual Dental Expenses, such as:
> > Deductibles and co-pays $ _____________
> > Routine check-ups $ __________140
> > Orthodontia $ _____________
> > Other $ _____________
> > Annual Vision Care Expenses, such as:
> > Exams $ ____________0
> > Eyeglasses $ __________300
> > Contact lenses, solutions, cleaners $ _____________
> > Other $ __________6
> > Total Estimated
> > Medical/Dental/Vision Expenses
> > $ _____________ + _________________ = $ __________
> > Annual Amount # of Pay Periods* Per Pay Period
> > (cannot exceed
> > company max.)
> >
> > *Weekly, 52 pay periods Biweekly, 26 pay periods Semimonthly,
> > 24 pay periods Monthly, 12 pay periods
> >
> > FSA009 8/05