Reimbursement Services > Plan Details
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Participant Account Summary
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>> Please Review The Following Errors:
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IBOX PageDesc: RW - Participant Account Summary ControlDesc: RW - Participant Account Summary Activity: All
Employer: ACME HEALTH, INC.
Plan Year:
01/01/2009 - 12/31/2009
Participant
PAT SMITH
123 MAIN STREET
ANYTOWN, WI 55555
MEDICAL Account
| Plan Year Election: |
$3,500.12 |
Estimated Tax Savings: |
$1,050.04 |
| Plan Year Balance: |
$2,892.40 |
Year to Date Deposits: |
$673.10 |
| Current Balance: |
$185.38 |
Year to Date Claims: |
$607.72 |
| Effective Date: |
01/01/2009 |
Year to Date Payments: |
$487.72 |
| Paycheck Election: |
$134.62 |
Year to Date Pending: |
$120.00 |
| Last Paycheck: |
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Claims
| 01/18/2009 | 01/18/2009 | $76.73 | $76.73 | Details |
| 01/19/2009 | 01/19/2009 | $50.00 | $50.00 | Details |
| 01/31/2009 | 01/31/2009 | $10.00 | $10.00 | Details |
| 01/31/2009 | 01/31/2009 | $21.00 | $21.00 | Details |
| 02/01/2009 | 02/01/2009 | $30.00 | $30.00 | Details |
| 02/11/2009 | 02/11/2009 | $12.07 | $12.07 | Details |
| 02/14/2009 | 02/14/2009 | $120.00 | $120.00 | Details |
| 02/17/2009 | 02/17/2009 | $35.49 | $35.49 | Details |
| 02/21/2009 | 02/21/2009 | $35.88 | $35.88 | Details |
| 02/21/2009 | 02/21/2009 | $11.55 | $11.55 | Details |
| 03/14/2009 | 03/14/2009 | $25.00 | $0.00 | Details |
| 03/19/2009 | 03/19/2009 | $85.00 | $85.00 | Details |
| 08/15/2009 | 08/15/2009 | $10.00 | $0.00 | Details |
| 10/04/2009 | 10/04/2009 | $60.00 | $0.00 | Details |
| 11/05/2009 | 11/05/2009 | $50.00 | $0.00 | Details |
Payments
| DEBIT CARD | 02/22/2009 | $11.55 |
| DEBIT CARD | 02/18/2009 | $35.49 |
| EFT* | 02/14/2009 | $12.07 |
| EFT* | 02/11/2009 | $30.00 |
* EFT payments are sent by direct deposit to your checking or savings account. Please note financial institutions require up to two business days
from the above Date to process direct deposits. Contact your financial institution to ensure proper credit to your account.
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