Page 20 - Open Enrollment Guide Sample
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Flexible Spending Accounts
Flexible Spending Accounts (FSAs) help you save money by providing a way
Check your account to pay for certain everyday health or dependent care expenses on a pre-tax
balances online at basis.
www.beneflexhr.com
$500 Carryover Eligibility
Participants still have the ability to All full-time team members are eligible to participate on the irst of the
carryover up to $500 of unused month following one year of employment. If you enroll in the HSA
Healthcare FSA funds at the end
of the plan year. In 2015, you Plan with the health savings bank account, you cannot enroll in the
have from January 1 to December Healthcare FSA. You can still enroll in the Dependent Care FSA.
31 to spend healthcare FSA
elected dollars exceeding $500. How the FSAs Work
The amount you carryover is in
addition to your regular annual You will need to irst make an annual election, not to be below $250 and
election. not to exceed $2,550 for the Healthcare FSA. That amount will be divided
by 26 pay periods. You can use the worksheet on the following page to
help determine how much you should set aside for the next plan year. Your
contribution is made with pre-tax dollars deducted from your paycheck. That
means no taxes (federal, state, local, or Social Security) will be withheld from
any of these dollars.
You can use your funds to pay for qualiied medical expenses such as doctor
visits, prescription copays, and other medical, dental, and/or vision expenses.
It is very important to keep your receipts. You can use your Benny Card to
pay for qualiied expenses; however, you may be required to submit a receipt
to verify the expense. The Benny Card gives you an easy, automatic way to pay
for qualiied healthcare expenses. The card lets you electronically access the
pre-tax amounts set aside in your FSA.
Healthcare FSA
Eligible expenses for you and your dependents include deductibles and
copayments (for example, the $20 you pay when you visit the primary care
physician), and other expenses not covered by the medical plan, such as
hearing aids, dental expenses, and vision care expenses (including Lasik
surgery). If you want to be reimbursed for over-the-counter drugs you will
need to have your doctor write a prescription or letter of medical necessity
each time you submit a claim for reimbursement.
[Client]
Flexible Spending Accounts
Flexible Spending Accounts (FSAs) help you save money by providing a way
Check your account to pay for certain everyday health or dependent care expenses on a pre-tax
balances online at basis.
www.beneflexhr.com
$500 Carryover Eligibility
Participants still have the ability to All full-time team members are eligible to participate on the irst of the
carryover up to $500 of unused month following one year of employment. If you enroll in the HSA
Healthcare FSA funds at the end
of the plan year. In 2015, you Plan with the health savings bank account, you cannot enroll in the
have from January 1 to December Healthcare FSA. You can still enroll in the Dependent Care FSA.
31 to spend healthcare FSA
elected dollars exceeding $500. How the FSAs Work
The amount you carryover is in
addition to your regular annual You will need to irst make an annual election, not to be below $250 and
election. not to exceed $2,550 for the Healthcare FSA. That amount will be divided
by 26 pay periods. You can use the worksheet on the following page to
help determine how much you should set aside for the next plan year. Your
contribution is made with pre-tax dollars deducted from your paycheck. That
means no taxes (federal, state, local, or Social Security) will be withheld from
any of these dollars.
You can use your funds to pay for qualiied medical expenses such as doctor
visits, prescription copays, and other medical, dental, and/or vision expenses.
It is very important to keep your receipts. You can use your Benny Card to
pay for qualiied expenses; however, you may be required to submit a receipt
to verify the expense. The Benny Card gives you an easy, automatic way to pay
for qualiied healthcare expenses. The card lets you electronically access the
pre-tax amounts set aside in your FSA.
Healthcare FSA
Eligible expenses for you and your dependents include deductibles and
copayments (for example, the $20 you pay when you visit the primary care
physician), and other expenses not covered by the medical plan, such as
hearing aids, dental expenses, and vision care expenses (including Lasik
surgery). If you want to be reimbursed for over-the-counter drugs you will
need to have your doctor write a prescription or letter of medical necessity
each time you submit a claim for reimbursement.
[Client]
