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Re: Flex Spending Account enrollment and calculation



I decided to lower the amount since the costs are less than I thought and
you won't be doing some of the stuff I will be.

 > From: http://dummy.us.eu.org/robert (Robert)
 > Date: Sun, 28 Oct 2018 12:12:59 -0700
 >
 > Anything else that needs to be covered?
 > 
 > -------------------------------------------------------------------------------
 > 
 > Flexible Spending Account
 >  Deduction Worksheet
 >  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              $ ___________70
 >   Prescriptions                       $ _____________
 >   Chiropractic care                   $ _____________
 >   Gastroenterologist                  $ _____________
 >   Podiatrist                          $ _____________
 >   Ophthamologist                      $ __________140
 >   Audiologist                         $ ___________70
 >   Other                               $ _____________
 >  Annual Dental Expenses, such as:
 >   Deductibles and co-pays             $ _____________
 >   Routine check-ups                   $ __________140
 >   Orthodontia                         $ _____________
 >   Other                               $ _____________
 >  Annual Vision Care Expenses, such as:
 >   Exams                               $ ___________20
 >   Eyeglasses                          $ __________420
 >   Contact lenses, solutions, cleaners $ _____________
 >   Other                               $ _____________
 >  Slush                                $ __________500
 >  Rolled Over from Last Year           $ _____________
 >  Total Estimated                      $ _________1360
 >  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
 > 




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