Page 18 - Avatar 2022 Flipbook

FLEXIBLE SPENDING ACCOUNTS (FSA)

Flexible Spending Accounts allow you to pay for out-of-pocket health and dependent care expenses on a
tax-free basis. You may begin making contributions in the month following your hire date. Our FSA is
administered by TaxSaver Plan. Please note, if you are enrolled in the HDHP, you are not eligible to enroll
in the Health Care FSA.

How the Health Care FSA Works

The Health Care FSA allows you to pay for eligible IRS-
approved medical care expenses not covered by your
insurance plan. Money that you now spend on the
following items can be placed in the FSA pretax. The
maximum annual contribution is $2,700.00
 Deductibles and copayments FSA Claim Filing Extension:

 Over the counter medications (prescription required)
Active Employees have a 2.5-month extension to
 Prescription drug copayments utilize FSA contributions remaining as of 12/31
 Dental, vision and hearing care expenses
each plan year. Only use your card for current year
expenses. Eligible claims incurred by 03/15 may be
How the Dependent Care FSA submitted for reimbursement from the prior year’s
plan balance. Active Employee claims must be filed
Works with TaxSaver FSA division no later than 03/31.

The Dependent Care FSA allows you to use pre-tax
dollars towards the following qualified dependent care.
The maximum annual contribution is $5,000.00

• Preschool or nursery school expenses
• Babysitter in your home
• Day care center
• Summer day camp
• After-school care

This FSA is used for reimbursement of eligible day care FSA Plan Termination
expenses for a Dependent who lives with you and who is FSA Plans end the last day of the month
under age 13 (or disabled at any age). when your service with the Rangers ends.

The above is a summary of this benefit option.
Click here for more detailed information on this available benefit option.

2022 Avatar Benefit Guide Page 18