Gym Membership Reimbursement Form
Would you like to...
We are offering gym membership reimbursement to encourage you to take steps to improve your health. Physical activity is an important part of overall health and well-being: we want to help you get and stay fit!
Who is eligible to submit for reimbursement?
All benefits-eligible employees and benefits-enrolled spouses/domestic partners in the Franklin County Cooperative are eligible to receive reimbursement. One reimbursement per household EXCEPT households with 2 eligible FCC employees (i.e- spouses or parent/dependent child).
How do I apply for a gym reimbursement?
You will need to provide proof of payment for your membership and proof of attendance at your gym. Please ensure your name is listed on both your proof of payment and proof of attendance.You will only be reimbursed for those months you can verify payment and activity.
How much will be reimbursed? How often do I have to go to the gym?
For each month in which you visit a gym(s) on at least 8 different days, you will be reimbursed the cost of your membership, up to $25 per month. It must be the same person visiting the gym each time. We will not reimburse annual fees. One reimbursement per eligible membership.
NEW in 2020! You can combine visits from two gyms to meet the 8 visit per month requirement. Please note, you must show proof of payment and proof of attendance for EACH gym. The maximum reimbursement amount remains $25 per month.
What if I miss the submission deadline?
We will not extend any deadlines. We will only reimburse for activity in the date ranges listed for that quarter. If you do not submit a form by the listed deadline of any quarter, you will miss out on the reimbursement opportunity. The online submission form will close at 11:59 p.m. on the submission deadline date.
The 2020 submission deadlines and payouts are as follows:
|Quarter||Submission Deadline||Payout date|
|Quarter 1 (January 1 - March 31)||April 17, 2020||May 22, 2020|
|Quarter 2 (April 1 - June 30)||July 17, 2020||August 14, 2020|
|Quarter 3 (July 1 - September 30)||October 16, 2020||November 20, 2020|
|Quarter 4 (October 1 - December 31)||January 15, 2021||February 12, 2021|
What types of gym expenses are eligible for reimbursement?
Full-service gyms that offer a variety of physical activities, including:
- Cardiovascular (treadmills, stationary bikes, elliptical machines, stair climbing machines, aerobics classes)
- Strength (weight machines, free weights, toning classes)
- Stretching (padded areas for stretching, resistance bands, yoga or Pilates classes)
NEW in 2020! Personal trainers, kickboxing, dance/step classes, and at home memberships (i.e- Peloton) are now eligible for reimbursement. These are subject to the same requirements listed above (proof of visits, proof of payment).
How/when will reimbursement be paid to me?
Your reimbursement will be processed through payroll and included as additional taxable income on your paycheck.