Page 16 - 2022 Mersen Benefit Guide New Hires Final
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Flexible Spending Accounts



        WEX (Discovery Benefits) administers your Flexible Spending Account (FSAs). A Flexible Spending Account (FSA) helps you pay
        for health care, dependent care or transit costs using tax-free dollars. Your contribution is deducted from your paycheck on a
        pretax basis and is put into the FSA. When you incur expenses, you can access the funds in your account to pay for eligible
        expenses. This chart shows the eligible expenses for each FSA and how much you can contribute each year. Each of these
        options reduces your taxable income.

         Account type                       Eligible expenses                      Annual contribution limits
                              Most medical, dental and vision care expenses   Mersen 2022 maximum contribution is $2,850
                              that are not covered by your health plan (such as   per year.
                              copays, coinsurance, deductibles, eyeglasses and   You cannot enroll if you are enrolled in the Key
         Health Care FSA      prescriptions).
                                                                         Plan with an HSA.

                                                                         Funds are deducted throughout the year, but all
                              Choice Plan Participants only              funds are available on January 1.

                              Dental and vision expenses only that are not   Mersen 2022 maximum contribution is $2,850
                              covered by your health plan (such as copays,   per year.
                              coinsurance, deductibles, eyeglasses and   This is available to those enrolled in the Key Plan
         Limited Purpose FSA   prescriptions)
                                                                         with an HSA.

                                                                         Funds are deducted throughout the year, but all
                              Key Plan Participants only                 funds are available on January 1.

                              Dependent care expenses (such as day care,   Maximum 2022 contribution is $5,000 per year
                              after school programs or elder care programs)   ($2,500 if married and filing separate tax
         Dependent Care FSA   for children under age 13 or elder care so you   returns). Reimbursements will be available once
                              and your spouse can work or attend school    a balance is attained (you cannot borrow against
                              full-time                                  this account).

         RESOURCES
                                                                                    FSA: Use It or Lose It
         -  Eligible Expense List: WEX Eligible Expense List
         -  FSA Calculator: WEX FSA Calculator
         -  HSA Calculator: WEX HSA Calculator                                 It’s important to calculate your
                                                                               contributions to your FSAs carefully. The
                                                                               IRS requires that any unused money in
            Calculate wisely for
                                                                               your Health Care FSA or Dependent Care
             this “use it or lose                                              FSA be forfeited. You have until March
                 it” benefit!                                                  15, 2023 to incur eligible health expenses
                                                                               from your 2022 FSA, and until June 29,
                                                                               2023 to submit claims for
                                                                               reimbursement.



                        The Wex/Discovery Benefits Card works like a typical debit card but is used for eligible
                        medical, dependent daycare, or transportation expenses, based on the funds available in
                        your benefits account. Rather than paying out-of-pocket and waiting to be reimbursed,
                        the Discovery Benefits Card allows you to pay for eligible expenses. Debit card
                        transactions may need a later submission of your explanation of benefits (EOB) for
                        services you received.  You should save and submit ALL receipts for any reimbursable
                        expenses.  Go online anytime to view your balances and transactions.
                        https://benefitslogin.wexhealth.com

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           PLEASE NOTE: Employees covered by a collective bargaining agreement should refer to their union agreement to determine if they are eligible for these plans.
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