UND ER S TAND I NG
FSA Questions?
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866-451-3399 or
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FLEXIBLE SPENDING
ACCOUNTS
A Flexible Spending Account
is an arrangement that
permits you to pay for certain out-of-pocket expenses with
funds that you have set aside, by payroll deduction, on a
tax-free basis. Ciner offers three types of Flexible
Spending Accounts: The Health Care Reimbursement
Account is for out-of-pocket medical expenses including
medical, dental, vision, and prescription drug expenses for
you and your dependents. The Limited Purpose Healthcare
Reimbursement Account is for out-of-pocket dental and
vision expenses for you and your dependents when
enrolled in a High Deductible Health Plan (Ciner’s Green
Plan). The Dependent Care Assistance Account is designed
to help you pay for daycare services so that you and your
spouse (if married) can work or be a full-time student.
14
Account Type
Examples of Eligible Expenses
Contribution Limits
Access to Funds
Pre Tax Benefits
· Medical Plan Deductibles
· Most Insurance Co-payments
· Prescription Drugs
· Some OTC medicines
(only if prescribed by your doctor)
· Vision Exams/Eyeglasses/Contacts
· Laser Eye Surgery
· Acupuncture
· Weight Loss Programs
· Dental and Orthodontia (Braces)
· Birth Control Pills/Devices/Procedures
· Chiropractic
· Vision Exams/Eyeglasses/Contacts
· Laser Eye Surgery
· Dental and Orthodontia (Braces)
· Daycare
· Day Camp
· Eldercare
· Before and After School Care
"Use it or Lose it"
Rule
Eligibility
You may incur claims beginning January 1st of the current calendar year (or 1st of the month following or coinciding with your date of hire if
later) through December 31st of the current calendar year or your termination date if you terminate during the year.
All claims must be submitted during the Plan year and/or prior to April 30th of the following plan year (or within 120 days after your
employment terminates if earlier). You MUST re-enroll in the FSA every year--FSA elections will not roll over to the following plan year.
Health Care
Minimum annual
contribution is $120.
Maximum annual
contribution is $2,650.
Allows immediate access to the
entire contribution amount from
the 1st day of the benefit year,
before all scheduled contributions
have been made.
Save 20% - 40% on your health
care expenses.
Save on purchases not otherwise
covered by insurance.
Reduce your taxable income.
Health Care Limited
Purpose
(HDHP enrollment
required)
Minimum annual
contribution is $120.
Maximum annual
contribution is $2,650.
Allows immediate access to the
entire contribution amount from
the 1st day of the benefit year,
before all scheduled contributions
have been made.
Save 20% - 40% on your health
care expenses.
Save on purchases not otherwise
covered by insurance.
Reduce your taxable income.
Dependent Care
Minimum annual
contribution is $120.
Maximum annual
contribution is $5,000
($2,500) if married and
file separately.
You will be able to submit claims
up to your year-to-date
accumulated amount in your
account.
You will only be reimbursed
based on your acumulated
contribution amount.
Save 20% - 40% on your
dependent care expenses.
Reduce your taxable income.
You should plan your contributions carefully. If you have funds left in your health care FSA at the end of the year, you can roll over up to
$500 of your unused funds into the following year. According to IRS guidelines, any other unused money in your FSA will be forfeited.