Page 13 - 2019 Intertek
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INTERTEK
FLEXIBLE SPENDING ACCOUNT WageWorks Mobile App
Administered by WageWorks EZ Receipts lets you submit
healthcare and dependent care claims
An FSA allows you to set aside before-tax dollars from your paycheck to and upload receipts right from your
use toward qualiied expenses that you would normally pay out of your smartphone. Get EZ Receipts from
pocket with after-tax dollars. your smartphone’s app store.
Healthcare FSA Dependent Care FSA Eligibility
Ideal program for employees enrolled in our Ideal program for all employees You are not eligible to contribute to a
Classic PPO plan or waiving medical coverage regardless of other beneit coverage healthcare FSA if you are contributing
Used to help pay for Used to help pay for
Doctor’s visit Hearing aids Cost of child or adult day care to a health savings account.
copays Eye glasses Nursery school Manage your FSA claims and
Prescription drug Contacts Preschool (excluding payments through wageworks.com.
copays kindergarten) Contact Wageworks for more
Medical and dental Dental services Dependent Care FSA is not
deductibles Orthodontia for medical expenses for your information on submitting claims for
Over-the-counter Laser vision dependents, it is for care reimbursement.
medications (with a correction associated with child care or
written prescription) surgery adult day care
IRS Annual Contribution Maximums
Healthcare FSA Dependent Care FSA
$2,700 per year $5,000 per year*
* $2,500 if married and filing 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
contributions carefully as you will lose any funds you do not use at
the end of the year. You also cannot change your FSA election during
the plan year unless you experience a qualifying life event. Termed
employees have 90 days from the date of termination to request
reimbursement for services incurred during the dates you were covered.
Grace Period
Intertek ofers a grace period until March 15 each year to incur claims
which can be reimbursed from the prior year’s plan. You have until
March 31 each year to submit your claims for reimbursement from your
prior year FSA election.
13
FLEXIBLE SPENDING ACCOUNT WageWorks Mobile App
Administered by WageWorks EZ Receipts lets you submit
healthcare and dependent care claims
An FSA allows you to set aside before-tax dollars from your paycheck to and upload receipts right from your
use toward qualiied expenses that you would normally pay out of your smartphone. Get EZ Receipts from
pocket with after-tax dollars. your smartphone’s app store.
Healthcare FSA Dependent Care FSA Eligibility
Ideal program for employees enrolled in our Ideal program for all employees You are not eligible to contribute to a
Classic PPO plan or waiving medical coverage regardless of other beneit coverage healthcare FSA if you are contributing
Used to help pay for Used to help pay for
Doctor’s visit Hearing aids Cost of child or adult day care to a health savings account.
copays Eye glasses Nursery school Manage your FSA claims and
Prescription drug Contacts Preschool (excluding payments through wageworks.com.
copays kindergarten) Contact Wageworks for more
Medical and dental Dental services Dependent Care FSA is not
deductibles Orthodontia for medical expenses for your information on submitting claims for
Over-the-counter Laser vision dependents, it is for care reimbursement.
medications (with a correction associated with child care or
written prescription) surgery adult day care
IRS Annual Contribution Maximums
Healthcare FSA Dependent Care FSA
$2,700 per year $5,000 per year*
* $2,500 if married and filing 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
contributions carefully as you will lose any funds you do not use at
the end of the year. You also cannot change your FSA election during
the plan year unless you experience a qualifying life event. Termed
employees have 90 days from the date of termination to request
reimbursement for services incurred during the dates you were covered.
Grace Period
Intertek ofers a grace period until March 15 each year to incur claims
which can be reimbursed from the prior year’s plan. You have until
March 31 each year to submit your claims for reimbursement from your
prior year FSA election.
13
