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SISC Flex Plan
HEALTH CARE AND DEPENDENT CARE EXPENSES
*Please note, all "potentially eligible expenses" require a Certification of Medical Necessity form completed by your medical practitioner in order to be considered eligible for reimbursement. The letter must include 1. Medical condition/diagnosis 2. Specific recommended treatment 3. Duration of treatment. This letter must be submitted with every claim.
Reminder: The SISC Flex Card will not work to purchase any Over-The Counter items.
A
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Acne is considered a disease, the cost of acne treatment qualifies (including over-the counter (OTC) acne medications). However, the cost of regular skin care (face creams, moisturizers, etc.) does not qualify. Adaptive equipment for a major disability, such as a spinal cord injury, may be reimbursed.
Adaptive equipment to assist you with activities of daily living (ADL) for persons with arthritis, lupus, fibromyalgia, etc., may Adoption fees and other non-medical expenses incurred in connection with adoption assistance may qualify for an adoption assistance credit (under Code 23) or for reimbursement under an adoption assistance program (under Code 137). adoption is finalized may qualify, if the child qualifies as your tax dependent when the services/items are provided.
Inpatient treatment, including meals and lodging provided by a licensed addiction center.
Outpatient care Transportation expenses associated with attending outpatient meetings, including AA groups, if attending on a doctor’s advice.
Examples: Actifed, Alavert, Allerest, Benadryl, Chlor-Trimentron, Claritin, Expenses generally won't qualify if the product would be owned even without allergies, such as a pillow or a vacuum cleaner. However, an air purifier or water filter necessary to treat a specific medical condition might qualify. The excess cost of a special version of an otherwise personal item (e.g., a vacuum cleaner with a HEPA filter) over the normal cost of the item might also qualify if the special version of the item is necessary to treat a specific medical Alternative healers who provide care for the treatment of a specific illness or disorder for you, your spouse or dependent may be reimbursed under a HCFSA.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Non-traditional healing treatments provided by professionals may be eligible if provided to treat a specific medical condition. The treatments must be legal, and the expenses do not qualify if the remedy is a food or substitute for food that the person would normally consume. Drugs and medicines recommended by alternative healers to treat a specific medical condition may also qualify as medical care.
Examples: Aspirin, Advil, Alleve, Bayer, Ibuprofen, Naprosyn, Tylenol, Midol, Examples: Gas-X, Maalox, Mylanta, Tums, PepcidAC, Prilosec OTC, TagamentHB, Zantac Examples: Ex-Lax, Imodium AD, Kaopectate, Examples: Lamisil AT, Lotramin AF, Micatin Examples: Bactine, Benadryl, Caldecort, Caladryl, Calamine, Cortaid, Hydrocortisone, Ivarest, Lanacort, Lamisil AT, Lotramin AF Eligible medical expenses may include (but Artificial insemination (intracervical, intrauterine, intravaginal);In-vitro/In-vivo fertilization; Sperm bank storage/fees for artificial insemination; NOTE: Storage fees should not exceed twelve months.
If for physically handicapped persons. Expenses of operating a specially equipped car do not qualify.
See ADAPTIVE EQUIPMENT, See CAPITAL EXPENSE, and See TRANSPORTATION Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Examples: Band-Aid or Curad without medication may be eligible. Medicated items would require a Certification of Medical Child must be under age 13 or one who is incapable of self-care and can be claimed on your Federal Income Tax return.
Condoms with spermicide would require a Certification of Medical Necessity form. Condoms without spermicide may be Blood storage is an eligible expense if you are storing blood for use during scheduled elective surgery. Storage fees should not exceed six months.
Monthly or annual fees that your provider may charge for improved access, 24/7 availability and more “personalized” care are not considered medical care and cannot be reimbursed under a health care FSA.
The incremental cost of Braille books and magazines that exceeds the price for regular books and magazines is an eligible expense if for a visually impaired person.
Breast pumps and other supplies that assist Eligible to the extent that surgery was done following a mastectomy for cancer. This is an exception to the general rules regarding cosmetic procedures.
This includes children under age 13, or any individual who is incapable of self-care and can be claimed on your Federal Tax return.
Payment in advance is not covered. You can only be reimbursed for expenses that have been incurred.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
A capital expense (permanent or portable) may be reimbursed if its purpose is to provide medical care for you, your spouse or dependent.
Expenses for improvements or special equipment added to your home may be reimbursed if the primary purpose of the expenditure is medical care for you, your spouse, or dependent and the expenditure would not be incurred "but for this purpose". How much is reimbursed depends on the extent to which the expense permanently improves the property and whether others benefit.
The amount paid for the improvement is reduced by the increase in the value of your home or property. The difference between the cost of the improvement minus the increased value equals the eligible expense.
Widening or otherwise modifying doorways, hallways and stairways;Installing railings, support bars, or other modifications to bathrooms;Kitchen modifications, including lowering cabinets and other equipment;Electrical and plumbing modifications; Exterior grading of the property to provide access to your home.
This list is not exhaustive. If expenses are similar to those listed above, and are incurred to adapt a personal residence to yours or your spouse’s or dependent’s condition, the expenses may be eligible subject to the terms noted above. Expenses must be reasonable, and directly related to the medical condition. Costs that are incurred for architectural or aesthetic reasons are not eligible.
Please refer to IRS Publication 502 for additional information, including operation and upkeep.
Expenses may qualify to the extent that instruction relates to birth and not childrearing. The fee should be apportioned to exclude instruction in topics such as newborn care. Expenses for the coach do not qualify.
reimbursed. Fees for other purposes do not qualify.
Under IRS rules, insurance premiums cannot be reimbursed under a health care FSA.
Cannot be reimbursable by secondary insurance or any other source.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Examples: Actifed, Advil Cold & Sinus, Afrin, Alka Seltzer Cold & Flu, Alleve Cold & Sinus, Contac, Dayquil, Dimetane, Dristan Long-Lasting, Neo-Synephrine, Nyquil, Sudafed, Thera-Flu, Triaminic, Cough Drops, Nasal Must be used to alleviate a specific medical Won't qualify if used for personal or preventive reasons. If used to treat or alleviate a specific medical condition, only the excess cost of the specialized hose over the cost of regular hose may qualify.
Cannot be reimbursable by secondary insurance or any other source.
Can be reimbursed if there is a specific medical condition that the cord blood is intended to treat. Indefinite storage “just in case” is not an eligible expense.
Most cosmetic procedures do not qualify.
A cosmetic procedure or service necessary to improve a deformity arising from a congenital abnormality, personal injury from accident or trauma, or disfiguring disease may qualify.
Examples: Body Sprays, Cologne, Creams, Deodorants, Hair Removal, Lipsticks, Lotion, Make-up, Perfumes, Shampoo, Shaving Cream, Skin Moisturizers, Soaps, May be eligible if counseling is provided for medical care and not just for the general improvement of mental health, relief of stress, or personal enjoyment.
Eligible expenses may include: bereavement counseling, grief counseling, psychotherapy, psychologist, and sex counseling Life coaching, career counseling and marriage counseling do not qualify.
This includes daycare as well as in-home babysitters for children under age 13, or any individual who is incapable of self-care and can be claimed on your Federal Tax return.
Payment in advance is not covered. You can only be reimbursed for expenses that have been incurred.
Only for a short duration and if prescribed for a specific medical condition, such as part of a rehabilitation program after surgery, and the expense would not have been incurred but for the condition. Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Cannot be reimbursable by secondary insurance or any other source.
Covered services may include, but are not limited to:Bridges;Cleanings;Crowns;Dental implants;Dentures & denture adhesives;Endodontic care (root canal);Extractions;Fillings;Orthodontia;Periodontal services;Routine prophylaxis; Expenses for cosmetic dentistry, such as teeth whitening or bleaching, veneers, or bonding are not eligible for reimbursement.
Examples: Blood sugar test kits and strips, Glucose monitoring equipment, Insulin Procedures to determine the presence of a disease or dysfunction of the body, such as tests to detect heart attack, stroke, diabetes, osteoporosis, thyroid conditions, and cancer. Medical monitoring and testing devices.
To relieve or ameliorate the effect of a particular illness or disease on you, your disabled child or dependent, who would not need this product “but for” the medical Dietary supplements, nutritional supplements, vitamins, herbal supplements, and natural medicines may qualify if they are recommended by a medical practitioner to treat a specific medical condition.
In addition to all expenses for care not reimbursed by any other source, eligible expenses may include fees for:Out-of-network providers; Charges by your physician for letters of medical necessity to schools;Physician tele-advice, including email communication.
Inpatient treatment, including meals and lodging provided by a licensed addiction center;Outpatient care; Transportation expenses associated with attending outpatient meetings, including AA groups, if attending on a doctor’s advice.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Must be used to treat a medical condition and not for personal, general health, or cosmetic purposes. Drugs that are illegally procured do not qualify.
Must be used to treat a specific medical condition. Effective January 1, 2011 OTC wax removal, and syringes may be eligible. Medicated items would require a Certification of Medical Necessity form. Must be prescribed to treat a specific medical condition, such as the presence of Payments made to a special school for a mentally impaired or physically disabled person may qualify as reimbursable if the main reason for using the school is its resources for relieving the disability. This includes teaching Braille to a visually impaired person, teaching lip reading to a hearing impaired person, and giving remedial language training to correct a condition caused by a birth defect.
Amounts paid for the egg donor fee, an agency fee, an egg donor's medical and psychological testing, and the legal fees for preparation of the egg donor contract may qualify.
Fees for temporary storage may qualify, but only to the extent necessary for immediate conception. Storage fees for undefined future conception probably aren't considered medical care.
Adult must live with you at least 8 hours a day and be claimed as a dependent on your Federal Tax return.
Installing an elevator upon the advice of a physician so that a person with a heart disease won't have to climb stairs may be medical care to the extent of the amount in excess of value enhancement of the property.
See CAPITAL EXPENSES for important information and guidance. Eligible only if required to treat an illness (such as obesity) diagnosed by a physician.
Example: Contact lens supplies, Eye patches, and unmedicated eye drops may be eligible. Medicated items would require a Certification of Medical Necessity form. Includes prescription sunglasses and reading glasses (even those purchased over-the-counter).
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Includes ovulation predictor kits and pregnancy tests.
Generally no, since these are ordinarily considered as being used to maintain general health. There may be exceptions (e.g. if a medical practitioner recommends the product to alleviate a specific condition).
Only if used to treat a diagnosed medical condition (such as irritable bowel syndrome) until the condition is alleviated. Examples: Benefiber, Metamucil Unmedicated Bandages, First aid kits, Cold/hot packs for injuries, Joint supports, Ace wraps, Splints, Thermometers First aid creams, Antiseptics, Medicated Fees paid for a fitness program may be an eligible expense if prescribed by a physician and substantiated by his or her statement that treatment is necessary to alleviate a medical problem. See EXERCISE EQUIPMENT or PROGRAMS prevent tooth decay. The amount that qualifies is limited to the cost allocable to All products must be unmedicated: Callous removers, Athlete's foot products, Bunion, Blister & Corn treatments may be eligible. Medicated items would require a Certification of Medical Necessity form. G
GENETIC TESTING
To the extent that testing is done to diagnose a medical condition or determine possible defects.
If used primarily for medical care. Example: maintaining a service animal used by a physically disabled person may qualify. See VETERINARY FEES Examples: Preparation H, Tronolane, Tucks If they are recommended by a medical practitioner to treat a specific medical Examples: Blood pressure monitor and related equipment, Cholesterol, Diabetic equipment and supplies, Colorectal screenings, HIV test, Colonoscopy prep kits Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Only if done to accommodate a disability.
See CAPITAL EXPENSES for important information and guidance. See CAPITAL EXPENSES for important information and guidance. Homeopathic care rendered by a licensed health care professional who provides this care for the treatment of a specific illness or disorder for you, your spouse or dependent may be reimbursed under a HCFSA.
Homeopathic medicines used for treatment of a specific illness or disorder may be reimbursed.
If used primarily for medical care (for example, to treat menopausal symptoms such as hot flashes, night sweats, etc.) Duties must include caring for an eligible dependent.
I
IMMUNIZATIONS
Includes those recommended for overseas travel.
If used to relieve the effects of a particular disease. Examples: Depends, Poise Also, equipment needed to inject the insulin, such as syringes or insulin pumps, qualifies as a medical expense.
Under IRS rules, insurance premiums cannot be reimbursed under a health care FSA.
L
LAB FEES
Services rendered by a licensed health care provider may be reimbursed.
Expenses may qualify to the extent that instruction relates to birth and not childrearing. The fee should be apportioned to exclude instruction in topics such as newborn care. Expenses for the coach do not qualify.
If for a child with dyslexia or a disabled child. But school fees for regular schooling normally don't qualify.
Eligible because the procedure is done primarily to promote the correct function of the eye.
See VISION CARE Expenses for removing lead-based paints from surfaces in your home to prevent a child who has, has had, or is in danger of lead poisoning from eating the paint may be reimbursed. These surfaces must be in poor repair and within a child’s reach.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
The cost of repainting the affected area(s) is not an eligible expense. If you cover the area with wallboard or paneling instead of removing the lead paint, these items will be treated as capital expenses.
The portion of tuition/tutoring fees covering services rendered specifically for your child's severe learning disabilities caused by mental or physical impairments (such as nervous system disorders, or closed head injuries) and paid to a special school or to a specially-trained teacher may be reimbursed under a HCFSA if prescribed by a physician. Examples of eligible expenses may include: Remedial reading for your child or dependent with dyslexiaTesting to diagnose Legal fees paid to authorize treatment for mental illness may be eligible expenses.
Fees or advance payments made to a retirement home or continuing care facility are not eligible expenses.
Provided the main reason for being there is Up to $50 per night may be eligible if the The lodging is primarily for, and essential to, medical care;The medical care is provided by a doctor in a licensed hospital or medical care facility related to/equivalent to a licensed hospital; The lodging is not lavish or extravagant; There is no significant element of personal pleasure or leisure in the travel.
Your companion’s lodging may be reimbursed if he or she is accompanying the patient (you or your eligible dependents) for medical reasons and it meets the criteria listed above. Meals are not eligible for reimbursement.
Example: Parents traveling with a sick child, up to $100 per night ($50 per person) may be reimbursed, as well as lodging and pre and post-hospitalization for bone marrow transplants.
MEDICAL CONFERENCELONG-TERM CARE INSURANCE Under IRS rules, insurance premiums cannot M
MASSAGE THERAPY
The costs of a massage just to improve general health doesn't qualify. However, if the massage therapy was recommended by a physician to treat a specific injury or trauma, then it could qualify.
If the main reason for being there is to Meals that are not part of inpatient care do Not eligible, even if accompanying a patient for medical reasons.
practitioner in connection with treating a medical condition.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Amounts paid to a plan that maintains electronic medical information for you, your spouse or dependents may be eligible for reimbursement under an HCFSA.
syringes, glucose kit, ovulation monitor Costs associated with copying or transferring medical records to a new provider may be eligible for reimbursement.
Must be used to treat a specific medical condition. Examples: Calcium, Caltrate, Generally not eligible, however a special mouthwash recommended by a medical practitioner for the treatment of gingivitis Nasal spray or strips that are used to treat sinus problems or sleep apnea may qualify as medical care, but those used to treat snoring, or by athletes would not qualify.
Naturopathic care rendered by a professional who provides this care for the treatment of a specific illness or disorder for you, your spouse or dependent may be reimbursed under a HCFSA.
Naturopathic medicines used for treatment of a specific illness or disorder may be reimbursed.
Nursing services for a normal, healthy newborn are not an eligible expense.
Examples: Advil, Alleve, Ibuprofen, Motrin, (including extra costs for nurses' room and board) generally may qualify, whether provided in the participant's home or another facility. The attendant doesn't have to be a nurse, so long as the services are of a kind generally performed by a nurse. These include services directly related to caring for and monitoring your, your spouse’s or dependent’s condition, including: Changing dressings and providing wound care;Monitoring vital signs; Assessing responses to prescribed treatments, and documenting those assessments in written notes;If the individual providing nursing services also provides household and personal services, only those charges related to actual nursing care are eligible expenses.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Dietary, nutritional, and herbal supplements, vitamins, and natural medicines are not reimbursable if they are merely beneficial for general health. However, they may be reimbursable if recommended by a medical practitioner to treat a specific medical Nutritional services related to the treatment and guidance of a specific diagnosis or medical condition may be reimbursed.
Will qualify, so long as the consultation's Won't qualify if used for personal or preventive reasons. If used to treat or alleviate a specific medical condition, only the excess cost of the specialized orthopedic shoe over the cost of a regular shoe will qualify.
Must be used to treat a specific medical condition. Effective January 1, 2011 OTC drugs and medicines must be prescribed. This includes the expenses of oxygen and oxygen equipment for breathing problems caused by a medical condition.
P
PAIN RELIEVERS
Expenses of hiring someone to give patterning exercises to a mentally retarded child qualify. These exercises consist mainly of coordinated physical manipulation of a child's arms and legs to imitate crawling and other normal movements.
Amounts paid for implants may be eligible if the diagnosis of impotence is due to organic causes, such as diabetes, post-prostatectomy complications, or spinal cord injury.
Only if these are incurred for a limited duration and a medical practitioner has recommended a supervised exercise regiment in order to treat a disease or injury (for example, rehab after surgery or the treatment of obesity). The expense must not have been incurred "but for" the disease (e.g., if you were working with a personal trainer before being diagnosed, the expense would not qualify).
The up-front fee may qualify if it is an expense that must be paid in order to obtain care. However, the fee can only be reimbursed proportionately over the duration of the agreement to employ the dependent care provider. Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
If taken during pregnancy (a medical condition) prenatal vitamins may be considered primarily for medical care. Vitamins taken at other times generally do not qualify.
Must be used to treat a medical condition. Drugs that are for cosmetic purposes or are illegally procured do not qualify.
IRS regulations state that any drug imported into the United States by a consumer is not eligible for reimbursement under an FSA.
If the tests are designed to assess symptoms of a medical diagnosis, they may be eligible for reimbursement. Examples include clinic and home testing kits for blood pressure, glaucoma, cataracts, hearing, cholesterol, etc.
If the expense is for medical care, and not just for the general improvement of mental health, relief of stress, or personal enjoyment. See COUNSELING If the expense is for medical care, and not just for the general improvement of mental health, relief of stress, etc. See COUNSELING R
RADIAL KERATOTOMY
Includes prescription sunglasses (even those If recommended by a medical practitioner for a specific medical condition (e.g. acne vulgaris) and not for cosmetic purposes. If recommended by a medical practitioner for a specific medical condition. The expenses must be to ameliorate a deformity arising from congenital abnormality, personal injury from accident or trauma, or S
SCREENING TESTS
If the tests are used for medical diagnoses.
Shipping and handling fees to obtain an item that constitutes medical care (example: mail-order prescription delivery fee) would qualify. Examples: Commit, Nicoderm CQ, Nicorette, If recommended by a medical practitioner for a specific medical condition (sleep apnea). Examples: Breathe Right, Snorezz Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Special foods or beverages may qualify if
prescribed by a medical practitioner to treat
a specific illness or ailment and if the foods
do not substitute for normal nutritional
requirements. The special food or beverage
must be in addition to normal nutritional
requirements
. The amount that may
qualify is limited to the amount by which the
cost of the special food exceeds the cost of
commonly available versions of the same
product.
Example # 1 – Not eligible Special infant formula would not be eligible because it is a substitute for food that is normally consumed by an individual to satisfy nutritional requirements and is considered personal expenses, not medical care expenses.
Example # 2 – May be eligibleEnsure High Protein Complete may be covered if extra protein and extra nutrition is needed in your diet. Not to substitute for food that is normally consumed or to satisfy nutritional requirements. Fees for temporary storage may be reimbursed, but only to the extent necessary for immediate conception. Only expenses for specific medical services would qualify.
If they are prescription sunglasses. (Not clip on sunglasses) Won't qualify if to maintain general health or for other personal reasons. May qualify if used to treat or alleviate a specific medical condition, and if the expense would not have been incurred "but for" the condition.
No, if just to improve general health or appearance.
May be reimbursed under a HCFSA for treatment of certain skin disorders, such as eczema and psoriasis. There must not be any personal element or use of the equipment by other family members.
Taxes on medical services and products may be reimbursed under a HCFSA. This includes local, state, service and other taxes.
Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Not eligible if tooth discoloration is simply the result of aging and the whitening is done for cosmetic purposes. But if tooth discoloration was caused by disease, birth defect, or injury, expenses for teeth whitening might qualify.
repairing special telephone equipment for you, your spouse or dependent with a hearing impairment may be eligible for reimbursement under a HCFSA.
Expenses for equipment that displays the audio of television programming as subtitles for hearing impaired persons are eligible for reimbursement under a HCFSA.
The eligible expense is limited to the cost that exceeds the cost of a non-adapted set.
Examples: Cepacol, Chloraseptic See COLD, FLU, DECONGESTANT & SINUS REMEDIES Examples: Body Sprays, Cologne, Creams, Deodorants, Hair Removal, Lipsticks, Lotion, Make-up, Perfumes, Shampoo, Shaving Cream, Skin Moisturizers, Soaps, Toothbrush, Toothpaste See COSMETIC PRODUCTS Includes surgical, hospital, and laboratory services, and transportation expenses for organ donors.
essential to medical care. These include car expenses, bus, taxi, train, plane, and ferry fares, and ambulance services. Parking fees and tolls may also qualify. Instead of actual car expenses, a standard mileage rate (24 cents per mile effective 1/1/13) for use of a car to obtain medical care is allowed. In some cases, transportation expenses of A parent who must go with a child who needs medical care;A nurse or other person who can give injections, medications or other treatment required by a patient traveling to get medical care and who is unable to travel alone; Visits to see your mentally ill dependent, if part of a treatment plan.
Excursions taken for a change in environment, general health improvement etc., even those taken on the advice of your health care provider are not an eligible expense.
May qualify if used as a diagnostic tool to determine fetal health and development. Won't qualify if for other purposes such as to obtain prenatal snapshots. Condition/Type of
Eligible
Potentially
Additional Information
Service/Expense
Eligible
Eligible
Expense*
Might qualify if there is a specific medical condition that the umbilical cord is intended to treat.
Medical expenses in excess of your plan’s usual, customary and reasonable charges may be reimbursed under a HCFSA if the underlying expense is eligible.
V
VACCINES
May qualify if the procedure promotes the proper function of the body or prevents or treats an illness or disease.
Veneers are used primarily for cosmetic purposes.
Will qualify if the veterinary fees are incurred for the care of a guide dog or other animal used by a disabled person.
Cialis and Levitra may also be reimbursed.
including laser procedures such as Lasik and radial keratotomy.
Fees paid to gain access to a vision network, or to a reduced fee structure are not an eligible expense under a HCFSA.
Only if recommended by a medical practitioner for a specific medical condition W
WALKERS
If the weight loss program is recommended by a physician to treat an existing disease (such as obesity, heart disease, or diabetes) and is not simply to improve general health.
The full cost of a wig purchased because the patient has lost all of his or her hair from 2014 Plan Year
The products listed are examples, and do NOT constitute an endorsement or an exhaustive listing of eligible medical expenses. Eligible expenses listed here are subject to change without notice. Medical care expenses include amounts paid for the diagnosis, cure, treatment, or prevention of
disease, and for treatments affecting any part of or function of the body. The expenses must be to
alleviate or prevent a physical defect or illness and must be considered a deductible medical expense
pursuant to IRS regulations.

SISC FLEX PLAN
(661) 636-4416 or 1-800-972-1727 ext. 4416

Source: https://cabrillo.edu/services/hr/documents/SISCFlexEligibleExpensesEff2014.pdf

C:\documents and settings\ijiu.

1. Identification of the substance/preparation and of the company/undertaking Product name : STARON JOINT ADHESIVE COMPONENT B Company : Emergency Telephone 2. Composition/information on ingredients Material (This information should be kept secret for sales) 3. Hazards identification Main Hazards Health Effects-Eyes Liquid or mist will cause severe conjunctival irritat

Safety data sheet

Material Safety Data Sheet 1. PRODUCT AND COMPANY IDENTIFICATION 3050 Spruce Street SAINT LOUIS MO 63103 USA 2. COMPOSITION/INFORMATION ON INGREDIENTS Ethionamide 536-33-4 3. HAZARDS IDENTIFICATION Emergency Overview OSHA Hazards Target Organ Effect, Harmful by ingestion., Teratogen Target Organs HMIS Classification Health Hazard : Chronic Health Hazard :

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