- 8 -
8 Medical expenses from 1999 plan year
(from Section 5) [8]1243.00
* * * * * * *
READ, SIGN AND DATE
To the best of my [Ms. Frahm’s] knowledge and belief, my
statements in this transmittal are complete and true. I am
claiming only eligible expenses incurred during the applicable
plan year(s) and for eligible plan participants. I certify that
any part or all of these expenses have not been reimbursed
previously under this or any other benefit plan and have not been
previously claimed as a tax deduction.
* * * * * * *
Section 2. Insurance Benefits
* * * * * * *
Major Medical/Health Insurance
Insured Insurance Period of Annual Amount Last Date
Company Coverage Paid Paid
Wellmark Bluetotal
Cross & Bluemonths 06 [9]6253.60 12/01/00
Shield
Conseco total
Health Ins Comonths 12 548.00 04/07/00
(Cancer)
AARP Health total
months 01 55.46 01/01/00
8We have not attempted to determine whether the “Medical
expenses from 1999 plan year” of $1,243 shown under “BENEFIT
TOTALS” in Ms. Frahm’s 2000 employee benefit form, which con-
sisted solely of noninsurance medical expenses, is the correct
total of all of the noninsurance medical expenses listed in
“Section 5 Medical Expenses" of that form. That is because those
expenses are not at issue in this case.
9We have found that during 2000 Ms. Frahm paid premiums
totaling $6,252.60 for Mr. Frahm’s Wellmark Plan C policy. See
supra note 4. The record does not disclose why Ms. Frahm’s 2000
employee benefit expense form requested reimbursement of
$6,253.60 of premiums for that policy, which is more than the
amount of premiums that we have found she paid for that policy.
Page: Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Next
Last modified: March 27, 2008