Page 12 - 2016 Enrollment
P. 12
Flexible Spending Account





WageWorks Mobile FSA Program with WageWorks
App An FSA allows you to set aside before-tax dollars from your paycheck to
cover qualiied expenses that you would normally pay out* of your pocket
Take advantage of the with after-tax dollars.

WageWorks mobile
Healthcare FSA
Dependent Care FSA
EZ Receipts app. EZ Ideal program for employees enrolled in a PPO Ideal program for all employees
Receipts enables you plan or waiving medical coverage regardless of other beneit coverage
Used to help pay for
Used to help pay for
to submit healthcare „ Doctor’s visit „ Hearing aids „ Cost of child or adult day care
and dependent care copays „ Eye glasses „ Nursery school
claims and to upload „ Prescription drug „ Contacts „ Preschool (excluding kindergarten)
receipts for unverified „ copays „ Dental services „ Dependent Care FSA is not

healthcare card Medical „ Orthodontia for medical expenses for your
and dental
dependents, it is for care
transactions right from deductibles „ Laser vision associated with child care or adult
your smartphone. „ Over-the-counter correction day care
surgery
medications
Get EZ Receipts for (with a written
your iPhone from prescription)
the iTunes Store, for IRS Regulated Contributions
your Droid from the Healthcare FSA Dependent Care FSA
Android Market, or for $2,550 per year $5,000 per year *
your BlackBerry from

BlackBerry App World. * $2,500 if married and iling separately.

Funds you elect to contribute to the Healthcare FSA are available in
full on the irst day of the plan year, and the funds contributed toward
the Dependent Care FSA cannot be used until accumulated. Plan your
Wageworks contributions carefully as any funds not used by the end of the plan year
administers our FSA will be forfeited by the plan. It is also important to recognize that you
program. You can cannot change your FSA election during the plan year. Termed employees
manage your claims have 90 days from the date of termination to seek reimbursement for
and payments through services rendered during the program year.

www.wageworks.com.
Grace Period

Intertek offers a special grace period to submit your claims for
reimbursement each year. You have until March 15 each year to incur claims
which can be reimbursed from the prior year’s plan, and until March 31 to submit
reimbursements from your prior year expenses. Contact Wageworks for more
information on submitting claims for reimbursement.


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