Page 9 - Benefit Guide

Savings and reimbursement accounts [Option for HSA,
HRA and FSA]

Company offers several accounts that enable you to pay for eligible expenses tax-free. We also offer a plan with a Health
Reimbursement Arrangement (HRA). This is a reimbursement arrangement only. You cannot contribute to this account; it is
funded and owned exclusively by the company. The IRS provides a list of eligible expenses for each account at www.irs.gov.

Health Savings Health Care Flexible Dependent Care FSA
Account (HSA) Spending Accounts (FSAs)
΅΅ You can withdraw your money
Available to those enrolled in Your options depend on your medical plan
the HSA Plan as long as you are enrollment. tax-free at any time, as long as
not enrolled in any other health you use it for qualified expenses
coverage or Medicare, or claimed ΅΅ Health Care FSA – If you are not enrolled (a list can be found on www.irs.
as a dependent on someone else’s gov).
tax return. in an HSA plan, you can use this account
for medical, pharmacy, dental and vision ΅΅ You can also save this money
expenses.
and hold onto it for future eligible
΅΅ Limited Purpose FSA – If you are enrolled in an health care expenses.

HSA plan, you can use this account to pay for
dental and vision expenses only.

Comparison of accounts

Does the company HSA HRA FSA
contribute?
Amount for full-year 20XX   X

Can I contribute my own Employee: $XXX Employee: $XXX 
savings? Employee +1 or Family: $X,XXX Employee +1 or Family: $X,XXX

Is there an IRS maximum  X
annual contribution? Health Care or
 X Limited Purpose: $2,700
Dependent Care: $5,000
Employee: $3,550 !
Family: $7,100 Up to the amount of your !
deductible; available as long as Up to $500 for Health Care and
Those 55 and older can you are enrolled in the plan
contribute an additional Limited Purpose FSAs
X No rollover for Dependent
$1,000 annually.
 Care FSA
Will my savings roll over 
each year? X X
Unlimited
! 
Will I earn interest on my  Option to continue through
savings?  !
Are the savings tax-free?  COBRA Not available for Limited
In most states
 Purpose FSA
Will I get a debit card? !

Do I keep the money if I  Option to continue Health Care
leave the company? or Limited Purpose FSA only
! through COBRA
Can I also have a Flexible Limited Purpose and
Spending Account (FSA)? Dependent Care FSAs only N/A

9