Flexible Spending Account
UMR administrates the Kenyon College Flexible Benefits plan.
To contact a member of the UMR Flex Team, phone toll free: 1-866-868-0145
Flexible Spending Account (FSA) Forms and FAQ
Participation may begin on the date of your employment and is voluntary. If you do not make a written election to participate in the plan when you first become eligible, you cannot participate during the plan year. However, you may join in any future plan year by completing an enrollment form during the annual enrollment period. The annual enrollment period is held in May of each year. Employees can choose to reduce their gross salaries by a specified amount. The dollars are placed in one or both of the accounts mentioned below. Allocating dollars to the spending accounts results in a lower tax base. Example: an employee, earning $25,000, allocates $2,000 to the Dependent Care Account and $1,000 to the Medical expense account. The employee pays federal and social security taxes on $22,000. Dollars withdrawn from the accounts are distributed on a tax free basis.
THE HEALTH CARE REIMBURSEMENT ACCOUNT
Even if you are covered by the medical plan, you probably have some health care costs you must pay on your own. You can redirect tax-free money into your account to reimburse yourself for eligible expenses. Because you never pay income or Social Security taxes on the money you set aside, you can receive quality health care and save money.
Eligible Health Care Expenses
The following is a partial list of the types of expenses which may be eligible for reimbursement, if not paid by insurance.
| Ambulance | Hearing Aids & Batteries | |
| Braces | Hospital Services | Psychotherapy |
| Birth Control Pills | Insulin | Reconstructive Surgery |
| Chiropractic Care | Laboratory Fees | Speech Therapy |
| Contact Lenses | Mentally retarded, home for Nursing Care | Sterilization |
| Copayments | Nursing Home | Transplants |
| Deductibles | Occupational Therapy | Wheelchair |
| Eye Exams | Oxygen Equipment | X-Ray |
| Eyeglasses | Physical Therapy |
Estimate your expenses:
MEDICAL
| Deductibles | ________ |
| Copayments | ________ |
| Surgical Expenses | ________ |
| ________ | |
| Vision Exams, Glasses, Contacts | ________ |
| Dental | ________ |
| Orthodontia | ________ |
| Physcial Exams | ________ |
| Other expenses | ________ |
| TOTAL | ________ |
DEPENDENT CARE
| Child Day Care | ______ |
| Pre-school | ______ |
| Summer Day Camp | ______ |
| Adult Day Care | ______ |
| Other Eligible Expenses | ______ |
| TOTAL | ______ |
Add your esitmated expenses, divide by the number of paydays during the plan year
( i.e. salary=12, hourly=26)