Page 12 - 2017 Benefits Enrollment
P. 12
2017 New Hire Guide
Flexible Spending Account



Administered by WageWorks

An FSA allows you to set aside before-tax dollars from your paycheck to WageWorks
use toward qualiied expenses that you would normally pay out of your Mobile App
pocket with after-tax dollars.
EZ Receipts lets you
Healthcare FSA Dependent Care FSA submit healthcare
Ideal program for employees enrolled in our Ideal program for all employees and dependent
Classic PPO plan or waiving medical coverage regardless of other beneit coverage care claims and
Used to help pay for Used to help pay for upload receipts
“ Doctor’s visit “ Hearing aids “ Cost of child or adult day care right from your
copays “ Eye glasses “ Nursery school smartphone. Get EZ
“ Prescription drug “ Contacts “ Preschool (excluding Receipts from your
copays kindergarten) smartphone’s app
“ Medical and dental “ Dental “ Dependent Care FSA is not store.
services
deductibles for medical expenses for your
“ Over-the-counter “ Orthodontia dependents, it is for care
medications “ Laser vision associated with child care or Eligibility
(with a written correction adult day care You are not eligible to
prescription) surgery
contribute to a healthcare FSA
if you are contributing to a
IRS Annual Contribution Maximums health savings account.
Healthcare FSA Dependent Care FSA
$2,600 per year $5,000 per year*
Manage your FSA claims
* $2,500 if married and iling separately. and payments through
wageworks.com. Contact
Funds you elect to contribute to the Healthcare FSA are available in Wageworks for more
full on the irst day of the plan year, and the funds contributed toward information on submitting
the Dependent Care FSA cannot be used until accumulated. Plan your claims for reimbursement.
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 offers 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.



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