Page 15 - Intertek 2021 Benefits Guide
P. 15
2021
Intertek Benefits Guide

Flexible Spending Account



Administered by HealthEquity

An FSA allows you to set aside before-tax dollars Funds you elect to contribute to the Healthcare FSA
from your paycheck to use toward qualiied are available in full on the irst day of the plan year,
expenses that you would normally pay out of your and the funds contributed toward the Dependent
pocket with after-tax dollars. Care FSA cannot be used until accumulated.
Plan your contributions carefully as you will lose
Healthcare FSA Dependent Care FSA any funds you do not use at the end of the year.
Ideal program for employees enrolled Ideal program for all
in our Classic PPO plan or waiving employees regardless You also cannot change your FSA election during
medical coverage of other beneit the plan year unless you experience a qualifying
coverage life event. Termed employees have 90 days from
Used to help pay for Used to help pay for
X Doctor’s visit X Hearing X Cost of child or the date of termination to request reimbursement
copays aids adult day care for services incurred during the dates you were
X Prescription X Eye glasses X Nursery school covered.
drug copays X Contacts X Preschool

X Medical X Dental (excluding Grace Period
and dental services kindergarten)
deductibles X Dependent Intertek ofers a grace period until March 15 each
X Over-the- X Orthodontia Care FSA is year to incur claims which can be reimbursed from
counter X Laser vision not for medical
medications correction expenses for the prior year’s plan. You have until March 31 each
(with a written surgery your dependents, year to submit your claims for reimbursement from
prescription) it is for care
associated with your prior year FSA election.
child care or adult
day care
HealthEquity Mobile App
IRS Annual Contribution Maximums EZ Receipts lets you submit healthcare and dependent
Healthcare FSA Dependent Care FSA care claims and upload receipts right from your
$2,750 per year $5,000 per year* smartphone. Get EZ Receipts from your smartphone’s app
store.
* $2,500 if married and iling separately.
Eligibility

You are not eligible to contribute to a healthcare FSA if you
are contributing to a health savings account.

Manage your FSA claims and payments through
healthequity.com. Contact HealthEquity for more
information on submitting claims for reimbursement.














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