Page 17 - Apricity Benefits Guide
P. 17
2020
Apricity Benefits Overview
SAVINGS AND SPENDING ACCOUNTS COMPARISON
Health Savings Account Traditional Health Care Limited Purpose Health Dependent Care Flexible
Flexible Spending
Care Flexible Spending
(HSA) Account (FSA)* Account (FSA) Spending Account (FSA)*
What is the You can reimburse You have until March 31, You have until March 31, You have until March 31,
Deadline to yourself at any time for 2021, to submit receipts 2021, to submit receipts 2021, to submit receipts
ile a Claim? past medical expenses for expenses incurred for expenses incurred for expenses incurred
as long as the expense during the 2020 plan year during the 2020 plan year between January 1, 2020
was incurred after your with the exception of the with the exception of the and March 15, 2021.
HSA has been opened $500 rollover provision. $500 rollover provision.
and you have funds in
your HSA.
Rollover Unused balances roll Up to $500 of unused Up to $500 of unused With a few exceptions,
over into the next year. funds can be rolled funds can be rolled FSAs are “use it or lose
over into the 2021 plan over into the 2021 plan it,” and you forfeit any
year. You will forfeit year. You will forfeit unused balance.
any additional unused any additional unused
balance. balance.
Connection You keep your HSA even In most cases, you’ll In most cases, you’ll In most cases, you’ll
to Employer if you change jobs or lose your FSA with a lose your FSA with a lose your FSA with a
retire. job change unless you job change unless you job change unless you
are eligible for FSA are eligible for FSA are eligible for FSA
continuation through continuation through continuation through
COBRA. COBRA. COBRA.
Effect on Contributions are tax- Contributions are pre- Contributions are pre- Contributions are pre-
Taxes deductible, but can also tax and distributions are tax and distributions are tax and distributions are
be taken out of your untaxed. untaxed. untaxed.
pay pre-tax. Growth and
distributions are tax-free.
How do I pay You can use your You will receive a You will receive a You will need to submit
for Expenses Optum Bank Health Benny™ Prepaid Beneits Benny™ Prepaid Beneits receipts directly to
Savings Account Debit Card to automatically Card to automatically Baker Tilly Vantagen for
MasterCard at the point pay for qualiied pay for qualiied reimbursement.
®
of service, pay bills online expenses at the point of expenses at the point of
or reimburse yourself. service. Continue to use service. Continue to use
the one you received the one you received
last year if you already last year if you already
have one. You may have one. You may
also submit claims for also submit claims for
reimbursement. reimbursement.
Timeline Balance is loaded, as Full balance is available Full balance is available Balance is loaded as you
you fund it, and can upon start of plan year. upon start of plan year. fund it.
be used during the
plan year or anytime
in the future; and into
retirement.
Vendor Optum Bank Baker Tilly Vantagen Baker Tilly Vantagen Baker Tilly Vantagen
Information 800.243.5543 800.307.0230 800.307.0230 800.307.0230
www.optumbank.com 866.406.0946 866.406.0946 866.406.0946
(to fax claim submissions) (to fax claim submissions) (to fax claim submissions)
www.myFlexDollars.com www.myFlexDollars.com www.myFlexDollars.com
* You do not have to be enrolled in a medical plan to open and contribute to an FSA account.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 17
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
SAVINGS AND SPENDING ACCOUNTS COMPARISON
Health Savings Account Traditional Health Care Limited Purpose Health Dependent Care Flexible
Flexible Spending
Care Flexible Spending
(HSA) Account (FSA)* Account (FSA) Spending Account (FSA)*
What is the You can reimburse You have until March 31, You have until March 31, You have until March 31,
Deadline to yourself at any time for 2021, to submit receipts 2021, to submit receipts 2021, to submit receipts
ile a Claim? past medical expenses for expenses incurred for expenses incurred for expenses incurred
as long as the expense during the 2020 plan year during the 2020 plan year between January 1, 2020
was incurred after your with the exception of the with the exception of the and March 15, 2021.
HSA has been opened $500 rollover provision. $500 rollover provision.
and you have funds in
your HSA.
Rollover Unused balances roll Up to $500 of unused Up to $500 of unused With a few exceptions,
over into the next year. funds can be rolled funds can be rolled FSAs are “use it or lose
over into the 2021 plan over into the 2021 plan it,” and you forfeit any
year. You will forfeit year. You will forfeit unused balance.
any additional unused any additional unused
balance. balance.
Connection You keep your HSA even In most cases, you’ll In most cases, you’ll In most cases, you’ll
to Employer if you change jobs or lose your FSA with a lose your FSA with a lose your FSA with a
retire. job change unless you job change unless you job change unless you
are eligible for FSA are eligible for FSA are eligible for FSA
continuation through continuation through continuation through
COBRA. COBRA. COBRA.
Effect on Contributions are tax- Contributions are pre- Contributions are pre- Contributions are pre-
Taxes deductible, but can also tax and distributions are tax and distributions are tax and distributions are
be taken out of your untaxed. untaxed. untaxed.
pay pre-tax. Growth and
distributions are tax-free.
How do I pay You can use your You will receive a You will receive a You will need to submit
for Expenses Optum Bank Health Benny™ Prepaid Beneits Benny™ Prepaid Beneits receipts directly to
Savings Account Debit Card to automatically Card to automatically Baker Tilly Vantagen for
MasterCard at the point pay for qualiied pay for qualiied reimbursement.
®
of service, pay bills online expenses at the point of expenses at the point of
or reimburse yourself. service. Continue to use service. Continue to use
the one you received the one you received
last year if you already last year if you already
have one. You may have one. You may
also submit claims for also submit claims for
reimbursement. reimbursement.
Timeline Balance is loaded, as Full balance is available Full balance is available Balance is loaded as you
you fund it, and can upon start of plan year. upon start of plan year. fund it.
be used during the
plan year or anytime
in the future; and into
retirement.
Vendor Optum Bank Baker Tilly Vantagen Baker Tilly Vantagen Baker Tilly Vantagen
Information 800.243.5543 800.307.0230 800.307.0230 800.307.0230
www.optumbank.com 866.406.0946 866.406.0946 866.406.0946
(to fax claim submissions) (to fax claim submissions) (to fax claim submissions)
www.myFlexDollars.com www.myFlexDollars.com www.myFlexDollars.com
* You do not have to be enrolled in a medical plan to open and contribute to an FSA account.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 17
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
