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According to what I have just read on the web, an employer can refuse to pay for a medical reimbursement expense on the grounds that it does not meet the parameters of the reimbursement fund as defined in the original plan. It is recommended that a third party administer the reimbursements because of potential hard feelings and because it can be difficult to determine whether an expense meets the correct criteria. Speaking as a small business employer, having a third party administer the plan and determine the reimbursements probably adds another layer of expense, and if one is barely able to meet funding requirements to provide the reimbursements to begin with, might be undesirable.

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Q: Can an employer refuse to pay for a medical reimbursement expense?
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