Page 13 - 2022 US Benefits Guide FINAL
P. 13

FLEXIBLE SPENDING


        ACCOUNTS




        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     Account type     Eligible expenses       Annual contribution limits
        into the FSA. You can access the funds
        in your account to pay for eligible       Health Care      Most medical, dental and   Maximum contribution is
        expenses.                                 FSA              vision care expenses that   $2,850 per year.
                                                                   are not covered by your   You cannot enroll if you are
        This chart shows the eligible expenses                     health plan (such as    enrolled in the HDHP plan
        for each FSA and how much you can                          copayments, coinsurance,   with
        contribute each year. Each of these                        deductibles, eyeglasses   an HSA.
        options reduces your taxable income.                       and prescriptions)
                                                                                           Funds are deducted
                                                                                           throughout the year, but all
                                                                                           funds are available on
                                                                                           January 1.

                                                  Limited          Dental and vision       Maximum contribution is
                                                  Purpose FSA      expenses only that are   $2,850 per year.
            Important information                                  not covered by your     This is available to those
            about FSAs                                             health plan (such as    enrolled in the HDHP plan
                                                                   copayments, coinsurance,   with an HSA.
            Your FSA elections are                                 deductibles, eyeglasses
            effective from January 1                               and prescriptions)      Funds are deducted
            through December 31. Claims                                                    throughout the year, but all
                                                                                           funds are available on
            for reimbursement must be                                                      January 1.
            submitted by March 31
            of the following year. Our
            Health Care or Limited Purpose        Dependent        Dependent care expenses  Maximum contribution is
            FSAs allow you to carry over          Care FSA         (such as daycare, after   $5,000 per year ($2,500 if
            $550 in unused funds to the                            school programs or      married and filing separate
            following plan year.                                   eldercare programs) for   tax returns).
                                                                   children under age 13 or
            Please plan your contributions                         eldercare so you and your
            carefully. Any unused money                            spouse can work or
            remaining in your account(s)                           attend school full-time
            will be forfeited. This is known
            as the “use it or lose it” rule and   Transportation   Expenses for commuting   Maximum contribution is
            it is governed by Internal            Reimbursement  to and from work or       $280 per month to your
            Revenue Service regulations.          Account          paying parking fees at   transit/ vanpool account and
            Note that FSA elections do not                         your work location      up to
            automatically continue from                            Transportation to or from   $280 per month to your
            year to year; you must actively                        work on a subway, train,   parking account.
            enroll each year.                                      bus, ferry, etc.
                                                                   Parking at or near your
                                                                   workplace or at a
                                                                   commuter lot where you
                                                                   transfer to a vanpool or
                                                                   mass transit






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