Page 8 - 15NH Intertek
P. 8
Enrollment
Guide
Flexible
Spending Flexible Spending Account
Account 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
Why Should I with after-tax dollars. This is an ideal program for employees enrolled
in either PPO medical plan. You do not have to elect any other beneit
Participate? coverage to participate in the FSA program, you just cannot be enrolled in
FSAs offer you a way to the CDHP plan and contributing toward an HSA.
pay for common expenses
you’ll probably have this Healthcare FSA Dependent Care FSA
year with tax free dollars. Used to help pay for Used to help pay for
If you know you’re going X Doctor’s visit copays X Cost of child or adult day care
X
Prescription drug copays
X
Nursery school
to spend $1,000 on your
healthcare next year, X Medical and dental deductibles X Preschool (excluding
kindergarten)
why not enroll in the X Over-the-counter medications
Healthcare FSA and set (with a written prescription)
aside those funds to use X Hearing aids
tax-free. Your election is X Eye glasses
available on the first day X Contacts
of the plan year—you X Dental services
don’t need to wait to use X Orthodontia
your Healthcare FSA!
X Laser vision correction surgery
IRS Regulated Contributions
$2,500 per year $5,000 per year *
* $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
We partner with contributions carefully as any funds not used by the end of the plan year
Wageworks to will be forfeited by the plan. It is also important to recognize that you
administer our FSA cannot change your FSA election during the plan year.
program. You can
manage your claims
and payments through
www.wageworks.com.
8
Guide
Flexible
Spending Flexible Spending Account
Account 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
Why Should I with after-tax dollars. This is an ideal program for employees enrolled
in either PPO medical plan. You do not have to elect any other beneit
Participate? coverage to participate in the FSA program, you just cannot be enrolled in
FSAs offer you a way to the CDHP plan and contributing toward an HSA.
pay for common expenses
you’ll probably have this Healthcare FSA Dependent Care FSA
year with tax free dollars. Used to help pay for Used to help pay for
If you know you’re going X Doctor’s visit copays X Cost of child or adult day care
X
Prescription drug copays
X
Nursery school
to spend $1,000 on your
healthcare next year, X Medical and dental deductibles X Preschool (excluding
kindergarten)
why not enroll in the X Over-the-counter medications
Healthcare FSA and set (with a written prescription)
aside those funds to use X Hearing aids
tax-free. Your election is X Eye glasses
available on the first day X Contacts
of the plan year—you X Dental services
don’t need to wait to use X Orthodontia
your Healthcare FSA!
X Laser vision correction surgery
IRS Regulated Contributions
$2,500 per year $5,000 per year *
* $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
We partner with contributions carefully as any funds not used by the end of the plan year
Wageworks to will be forfeited by the plan. It is also important to recognize that you
administer our FSA cannot change your FSA election during the plan year.
program. You can
manage your claims
and payments through
www.wageworks.com.
8
