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HEALTH CARE






                                                                      FLEXIBLE SPENDING ACCOUNT



                                                                         THE HEALTH CARE FLEXIBLE
                                                                         SPENDING ACCOUNT (FSA) CAN
                                                                         REIMBURSE YOU FOR ELIGIBLE

                                                                         EXPENSES YOU OR YOUR
                                                                         ELIGIBLE DEPENDENTS INCUR
                                                                         THAT ARE NOT PAID BY YOUR
        YOUR STEPS TO SAVINGS!                                           EXISTING HEALTH CARE PLAN.
        1      REALIZE THE TAX SAVINGS


               You can set aside pre-tax money into an account
               to be reimbursed for eligible medical expenses.           ELIGIBLE EXPENSES
               Savings will depend on your tax bracket. For              • Medical co-payments, co-insurance
               example, if you are taxed at 25% and you enroll             and deductibles
               for $2,850 you would save $712.50 in taxes.               • Routine wellness visits
        2      ESTIMATE YOUR EXPENSES                                    • Prescription expenses

                                                                         • Vision expenses (including eye exams,
               Plan for your upcoming expenses and include
               your spouse and dependents, if eligible. A brief            eyeglasses and contact lenses)
               list of expenses can be found to the right. A             • LASIK surgery
               comprehensive list of allowable expenses and an           • Dental expenses (excluding
               expense worksheet can be found at                           cosmetic procedures)
               www.flores247.com.                                        • Orthodontia payments
        3      ENROLL AND MANAGE YOUR ACCOUNT                            • Hearing expenses
                                                                         • Over-the-counter Medications
               Contact your Human Resources Department to
               find out how to enroll for this benefit. Flores will      • Menstrual Care Items
               send a custom Participant ID number via mail or           • COVID-19 Related PPE
               email to help you manage your account. Contact
               information can be found on the back of this flyer.
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