Forms are a necessary evil and in the Cafeteria Plan environment we use many forms.  All the forms accessed through this page are Adobe PDF documents. You will need Acrobat Reader from Adobe’s web site.  Click here if you want to download Acrobat Reader from Adobe’s web site.

The one form which is used most of all is the Cafeteria Claim Form. Please Click on whatever document you need to open up an Acrobat window.

Cafeteria Claim Form

Test Only (RPSGFlex Claim Form) Test Only

IRS Publication 502, Listing of Approved Medical Expenses. (Please note that this IRS publication lists those medical expenses approved for deduction on IRS Form 1040. This list can also be used, with modifications, for Cafeteria plans. For example, Publication 502 states that over-the-counter medications are not eligible medical expenses for deduction on IRS Form 1040. However, the IRS has stated that many over-the-counter medications ARE eligible medical expenses under a Cafeteria plan. Please see our OTC Approved Listing.

IRS Publication 503, Listing of Approved Daycare Expenses

Flex Frequently Asked Questions, Questions concerning the use of the MBI Flex Card

OTC Approved Listing, Listing of Approved Over The Counter Expenses

 

 

 

 

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