Page 19 - Guide
P. 19
Flexible Spending Accounts 2017 Beneits Enrollment
(FSAs)
For those enrolled in the PPO plan, you continue to have the option to open a health
lexible spending account. FSAs are a great way to set aside pre-tax money to pay for
your out-of-pocket health, prescription drug, dental, and vision expenses.
For those enrolled in the HDHP, the limited healthcare FSA is an option to set aside
additional pre-tax dollars for dental and vision expenses, allowing you to use all of
your HSA funds on medical needs.
All employees are eligible for the dependent care FSA, regardless of their other
beneit elections. This account allows you to set aside pre-tax dollars for qualiied
dependent care expenses.
Account Healthcare FSA Limited Health FSA Dependent Care FSA
Used to pay for Qualified health, dental, Qualified dental, and Qualified dependent care
and vision care expenses vision care expenses expenses
Common Doctor visits, Orthodontia, eye glasses Day care, after school
examples prescriptions, program, elder care (if a
of qualified orthodontia, eye glasses tax dependent)
expenses
Used for Yourself and your Yourself and your Yourself and your
dependents dependents dependents
IRS annual limits $2,550 $2,550 $5,000*
Plan eligibility Available for employees Available for employees Available for all
enrolled in the PPO or enrolled in the HDHP or employees regardless of
not enrolled in a medical not enrolled in a medical other benefit elections
plan at Hussmann plan at Hussmann
Use it or lose it Funds must be used by the end of the plan year
Grace period You have until March 15 of the following plan year to request reimbursement
for expenses incurred the year before
Debit card Automatically sent to you after first time enrollment You do not receive a
debit card
* $2,500 if married and iling taxes separately.
Hussmann is proud to sponsor an important feature to our FSA program called the HEART
Act. The HEART Act allows “qualified reservist distributions” to those who are called to
active duty. Please see your FSA summary plan description for details.
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(FSAs)
For those enrolled in the PPO plan, you continue to have the option to open a health
lexible spending account. FSAs are a great way to set aside pre-tax money to pay for
your out-of-pocket health, prescription drug, dental, and vision expenses.
For those enrolled in the HDHP, the limited healthcare FSA is an option to set aside
additional pre-tax dollars for dental and vision expenses, allowing you to use all of
your HSA funds on medical needs.
All employees are eligible for the dependent care FSA, regardless of their other
beneit elections. This account allows you to set aside pre-tax dollars for qualiied
dependent care expenses.
Account Healthcare FSA Limited Health FSA Dependent Care FSA
Used to pay for Qualified health, dental, Qualified dental, and Qualified dependent care
and vision care expenses vision care expenses expenses
Common Doctor visits, Orthodontia, eye glasses Day care, after school
examples prescriptions, program, elder care (if a
of qualified orthodontia, eye glasses tax dependent)
expenses
Used for Yourself and your Yourself and your Yourself and your
dependents dependents dependents
IRS annual limits $2,550 $2,550 $5,000*
Plan eligibility Available for employees Available for employees Available for all
enrolled in the PPO or enrolled in the HDHP or employees regardless of
not enrolled in a medical not enrolled in a medical other benefit elections
plan at Hussmann plan at Hussmann
Use it or lose it Funds must be used by the end of the plan year
Grace period You have until March 15 of the following plan year to request reimbursement
for expenses incurred the year before
Debit card Automatically sent to you after first time enrollment You do not receive a
debit card
* $2,500 if married and iling taxes separately.
Hussmann is proud to sponsor an important feature to our FSA program called the HEART
Act. The HEART Act allows “qualified reservist distributions” to those who are called to
active duty. Please see your FSA summary plan description for details.
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