Page 12 - Genesis Care 2022 Benefit Guide

Medical & Spending Voluntary Additional
Contents Prescription Dental Vision Accounts Life & AD&D Disability Benefits 401(k) Information Contacts

FLEXIBLE SPENDING ACCOUNTS (FSA)

Flexible Spending Accounts are employee benefits that allow you to set aside pre-tax money from your paycheck to pay for eligible healthcare and
dependent care expenses. Please plan your contributions carefully. Any unused money remaining in your account(s) after the year end deadline to
submit claims will be forfeited. This is known as the “use it or lose it” rule and it is governed by Internal Revenue Service regulations.

HEALTH CARE LIMITED PURPOSE DEPENDENT CARE

2022 Annual Maximum contribution is $2,750 per year. Maximum contribution is Maximum contribution is $5,000 per
Contribution You cannot enroll if you are enrolled in the $2,750 per year. year ($2,500 if married and filing
Limits Core or Value HDHP plan with an HSA. You cannot enroll if you are enrolled separate tax returns).
in the Enhanced PPO plan option.
A Limited Purpose FSA is used to pay
Most medical, dental, and vision care for qualified vision and dental expenses Dependent care expenses (such as
expenses that are not covered by when you are enrolled in a qualified High daycare, after school programs or
Eligible your health plan (such as copays, Deductible Health Plan with a Health eldercare programs) for children
Expenses coinsurance, deductibles, eyeglasses, Savings Account. Eligible expenses include under age 13 or eldercare so you
and prescriptions) dental and vision copays, coinsurance, and your spouse can work or attend
deductibles, eyeglasses and more! school full-time.

For rules and tax consequences related to your FSA, please refer to your SPD, your tax advisor and/or the IRS (irs.gov).

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