Page 21 - Ches User's Guide 17 3-3
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Flexible Spending Accounts




        Sign up for a medical expense or dependent
        care flexible spending account to set aside tax-

        free dollars to cover eligible expenses that you
        pay out-of-pocket for. Our medical expense and
        dependent care flexible spending accounts are
        administered through Your Spending Account at

        chesapeake.benefitsnow.com.

        REMEMBER: If you choose the Health
        Investment Plan you are not eligible to
        participate in the medical flexible spending
        account. Instead, you may make tax deferred

        contributions to the Health Savings Account
        (HSA) up to the limits set by the IRS.





                                  Medical FSA                  Dependent Care FSA




        Eligible 2017 expenses must be incurred between January 1, 2017 and
        December 31, 2017. Receipts for reimbursement must be submitted by
        March 31, 2018.

        Important! If you terminate employment with Chesapeake during the year, only

        charges incurred while you are an active employee are eligible for reimbursement
        for the medical expense reimbursement account unless you continue to participate
        through COBRA. For your dependent care reimbursement account, you will be eligible
        to submit for reimbursement for any allowable expenses incurred during the plan year

        based on what you have contributed regardless of your employment.



        Figuring Flexible Spending Account (FSA) Contributions

        Use the spending account estimator at chesapeake.benefitsnow.com to:

           Estimate unreimbursed health and dependent care expenses
        n
            Estimate your annual increase in spendable income if you should choose to
        n
           participate in the FSA plan






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