Page 20 - Guide
P. 20
How FSA Works
X During enrollment, you
elect to set aside a FSA Administrator
certain amount of your
compensation in an FSA; We partner with UnitedHealthcare (UHC) to administer our FSA program. If you
depending on your medical participate in the FSA program, you will receive a debit card from UHC.
election, you can enroll
in either the healthcare
FSA or the limited FSA; Using Your FSA Funds
and independently of that
decision, you can also If you sign up for the healthcare FSA or the limited FSA, you will receive a debit
enroll in the dependent card from UHC. It works like a bank debit card except it is connected to your FSA.
care FSA; you must enroll
each year to participate, Once the card is activated, you can use it to pay for many eligible expenses after
even if you participated in you receive services or at the time of purchase. Be sure to save all receipts. For a
the prior year complete list of eligible expenses, please go to www.myuhc.com.
X The amount you decide
to contribute for the year
will be deducted from As a reminder, you cannot use the debit card to pay for over-the-counter
your paycheck in equal medications. You must pay for them and then ile an FSA claim for reimbursement;
installments throughout the claim must be accompanied by a doctor’s prescription (such eligible over-the-
2017, on a before-tax
basis; your contribution counter medications include, for example, pain relievers, cold medicines, antacids,
level will remain in effect and allergy medication).
throughout 2017 unless
you have a qualified status
change For your convenience, the healthcare FSA is set up to automatically debit your
X Use the tax-free money account when using your UHC medical card. This may eliminate the need for
you set aside to pay providers to send you a bill. For tighter control of how your funds are used, you may
or reimburse yourself choose to opt out of the automatic FSA debits. Call the number on the back of your
for eligible expenses
incurred after the FSA is FSA card if you wish to turn off the automated payment feature.
established; note over-the-
counter medications are You will not receive a debit card for use with the dependent care FSA. With this
eligible for reimbursement
through an FSA only if account, you pay for eligible expenses out of your pocket, then fax, mail, or submit
they are prescribed by a online a reimbursement request along with a receipt for the expense to UHC. UHC
doctor then processes your request and promptly reimburses you through direct deposit or
by check.
You can draw on the total amount of your annual contributions to the healthcare
FSA and the limited FSA at any time during the year, regardless of how much has
been deducted from your pay to date. With the dependent care FSA, however, you
can only make claims for as much as you have contributed to the account to date. If
you ile a claim for more than your account balance, you will be reimbursed as your
contributed funds become available in the account.
Hussmann
20 Corporation
X During enrollment, you
elect to set aside a FSA Administrator
certain amount of your
compensation in an FSA; We partner with UnitedHealthcare (UHC) to administer our FSA program. If you
depending on your medical participate in the FSA program, you will receive a debit card from UHC.
election, you can enroll
in either the healthcare
FSA or the limited FSA; Using Your FSA Funds
and independently of that
decision, you can also If you sign up for the healthcare FSA or the limited FSA, you will receive a debit
enroll in the dependent card from UHC. It works like a bank debit card except it is connected to your FSA.
care FSA; you must enroll
each year to participate, Once the card is activated, you can use it to pay for many eligible expenses after
even if you participated in you receive services or at the time of purchase. Be sure to save all receipts. For a
the prior year complete list of eligible expenses, please go to www.myuhc.com.
X The amount you decide
to contribute for the year
will be deducted from As a reminder, you cannot use the debit card to pay for over-the-counter
your paycheck in equal medications. You must pay for them and then ile an FSA claim for reimbursement;
installments throughout the claim must be accompanied by a doctor’s prescription (such eligible over-the-
2017, on a before-tax
basis; your contribution counter medications include, for example, pain relievers, cold medicines, antacids,
level will remain in effect and allergy medication).
throughout 2017 unless
you have a qualified status
change For your convenience, the healthcare FSA is set up to automatically debit your
X Use the tax-free money account when using your UHC medical card. This may eliminate the need for
you set aside to pay providers to send you a bill. For tighter control of how your funds are used, you may
or reimburse yourself choose to opt out of the automatic FSA debits. Call the number on the back of your
for eligible expenses
incurred after the FSA is FSA card if you wish to turn off the automated payment feature.
established; note over-the-
counter medications are You will not receive a debit card for use with the dependent care FSA. With this
eligible for reimbursement
through an FSA only if account, you pay for eligible expenses out of your pocket, then fax, mail, or submit
they are prescribed by a online a reimbursement request along with a receipt for the expense to UHC. UHC
doctor then processes your request and promptly reimburses you through direct deposit or
by check.
You can draw on the total amount of your annual contributions to the healthcare
FSA and the limited FSA at any time during the year, regardless of how much has
been deducted from your pay to date. With the dependent care FSA, however, you
can only make claims for as much as you have contributed to the account to date. If
you ile a claim for more than your account balance, you will be reimbursed as your
contributed funds become available in the account.
Hussmann
20 Corporation
