- 9 - Date Health Provider Amount 1/15/01 Dr. Dillon $173.00 02/08/01 Dr. Bliss 144.00 04/11/01 Dr. Dillon 525.00 05/15/01 Dr. Valentine 22.00 (Harrisburg Booster Club) 06/08/01 CLM1 22.58 08/03/01 Dr. Dillon 507.00 08/08/01 The Eye Doctor’s 229.50 08/09/01 Dr. Bliss 188.00 08/29/01 Dr. Bliss 242.00 08/30/01 Dr. Kevin Horner 1,550.00 09/18/01 Dr. Dillon 765.00 12/06/01 The Eye Doctor’s 238.50 Total $4,606.58 1The record does not disclose what “CLM” means. The total of $4,606.58 that petitioners paid directly to medical and dental providers during 2001 was paid by the following methods: $3,708 was paid by checks signed by Mr. Albers and drawn on a joint checking account that petitioners maintained, $854 was paid by charging a credit card issued in the name of Peggy Albers,8 and the balance was paid by a method not disclosed by the record. Around December 27, 2001, Ms. Albers submitted to AgriPlan a request for reimbursement of medical expenses totaling $8,216. That submission consisted of a preprinted form entitled “Employee 8The record does not disclose who paid Ms. Albers’s credit card charges of $854.Page: Previous 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 NextLast modified: November 10, 2007