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UND ER S TAND I NG

FSA Questions?

Contact Discovery Benefits

866-451-3399 or

discoverybenefits.com

YOUR

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.