Page 9 - Monster Energy 2021-2022 Benefits Guide
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            Monster Energy offers several accounts that let you pay for eligible expenses tax-free:

            +   Health Care Flexible Spending Account (FSA) — You can use this account for medical,
               pharmacy, dental and vision expenses.

            +   Dependent Care Flexible Spending Account (FSA) — Use for eligible childcare expenses
               for dependents under age 13 or eldercare.

            +   Health Savings Account (HSA) — Available to those enrolled in the UHC Select Plus HSA
               Plan (as long as you’re not enrolled in any other health coverage or Medicare or claimed
               as a dependent on someone else’s tax return).

            The IRS provides a list of eligible expenses for each account at irs.gov.



            FLEXIBLE SPENDING ACCOUNTS


            A Flexible Spending Account (FSA) helps you pay for health care or dependent care (including
            eldercare) costs using tax-free dollars. Your contribution is deducted from your paycheck on a
            pre-tax basis and is put into the FSA. Then, when you incur eligible expenses, you can access the
            funds in your account to pay for them. This chart shows the eligible expenses for each FSA and
            how much you can contribute each year. Both of these options reduces your taxable income.


             ACCOUNT TYPE              ELIGIBLE EXPENSES                     ANNUAL CONTRIBUTION LIMITS

             Health         Most medical, dental and vision care expenses   Minimum contribution is $120. Maximum contribution is
             Care FSA       that are not covered by your health plan    $2,750 per year.
                            (such as copays, coinsurance, deductibles and   You cannot enroll if you are enrolled in the UHC Select
                            over-the-counter medications)           Plus HSA Plan.
                                                                    Funds are deducted throughout the year, but all funds
                                                                    are available on January 1.

             Dependent      Dependent care expenses (such as daycare,    Maximum contribution is $5,000 per year ($2,500
             Care FSA       after school programs or eldercare programs)    if married and filing separate tax returns).
                            for children under age 13 or eldercare so you and
 Our wellness programs      your spouse can work or attend  school full-time
 are designed to:

            IMPORTANT INFORMATION ABOUT FSAs
 +   Provide education, resources    The FSA plan year is from January 1 through December 31. Claims for
 and support to employees  reimbursement must be submitted by March 31 of the following year. Our
            Health Care FSA allows you to carry over $550 in unused funds to the
 +   Help you make good    following plan year.
 decisions about your health                                                                                  FSA
            Please plan your contributions carefully. Any unused money remaining in                    Open Enrollment
 +   Increase employee    your account(s) will be forfeited. This is known as the “use it or lose it” rule,    is in
 engagement    and it is governed by Internal Revenue Service regulations. Note that FSA                   November
 and productivity  elections do not automatically continue from year to year; you must actively             for 2022
 +   Manage health    enroll each year.
 care costs  Visit myameriflex.com or call (888) 868-3539 to review your account,
            including the current balance, status of claims and more.


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