Page 16 - 2015 Enrollment Guide
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Flexible Spending Accounts




Healthcare Flexible Dependent Care Flexible Spending Accounts

Spending Accounts The Dependent Care FSA permits you to pay for qualiied child and

This plan allows you to pay for adult care expenses on a pre-tax basis. You’ll set aside an amount of
eligible out-of-pocket expenses with money through ixed payroll deductions to help pay for medically
pre-tax dollars. Eligible expenses eligible dependent care expenses.
include plan deductibles, copays,
coinsurance, and other non- Qualiied expenses include, but are not limited to, licensed child
covered medical, dental and vision and adult day care as well as summer camps with a tax identiication
healthcare expenses for you and your number. Once you pay your provider, submit proof of your expense

dependents. You may access your and a reimbursement check will be sent to you once the funds have
entire plan year election from the been withheld from your paycheck. It’s that easy!
irst day of the plan year. You may
submit eligible healthcare expenses How Much Can I Contribute to My FSA?
for reimbursement or may use your The IRS limits the amount of money you can contribute to an FSA
Spending Account Card which program each year. You can elect to contribute up to the full IRS
allows you to pay for eligible medical mandated limits of $2,550 for the medical FSA or $5,000 for the

expenses at the time of service. Dependent Care FSA.
Refer to www.spendingaccounts.info
for eligible expenses and additional If you participated in one or both of these programs in the 2014–2015
details concerning the value of FSAs. plan year, keep in mind the IRS monitors FSA contributions on a
You will receive an FSA Spending calendar year basis, thus any contributions you’ve made from January
Account debit card mailed to you 2015 to June 2015 are a part of your total 2015 contribution. Please
home on or around July 1. consult with Human Resources for more guidance regarding your FSA
program contributions.
Important Information for
Current FSA Account Holders What Happens If I Don’t Use All Of The Funds In My

If you currently contribute to one of Account?
the Anixter FSA plans, your current Your Healthcare and Dependent Care FSA contributions are subject

debit card will no longer work as to a “Use-It-or-Lose-It” rule, so make sure you carefully decide how
of July 1, 2015. You may submit much to set aside in your accounts. If you do not incur expenses
paper claims against your Anixter during the July 2015 through June 2016 plan year and submit them for
FSA through September 30, 2015 reimbursement by September 30, 2106, you will not receive a refund,
for expenses incurred July 1, 2014 nor be permitted to roll the money over to the 2016–2017 plan year.
through June 30, 2015.



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