Page 15 - 2016 Open Enrollment
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Pericient, Inc.
Examples of HCFSA
Eligible Expenses
Healthcare FSA (HCFSA) and Limited FSA
Deductible, copays, and coinsurance
The maximum amount a participant can contribute to the Healthcare
FSA is $2,550 annually. Your contribution is a pre-tax payroll Prescription drugs
deduction each period. The Healthcare FSA offers a grace period Dental and vision expenses
where you may incur claims through March 15 of the following year
and claim against the previous year’s funds. The Limited FSA plan Examples of Limited FSA
is allowed to those participants of the HSA plan which would like Eligible Expenses
additional tax savings for dental and vision expenses. You are allowed Dental care
to elect a Limited FSA plan if you are enrolled in the HSA plan. Vision care
The Limited FSA plan allows you to reimburse yourself on a pre-
tax basis for dental and vision expenses only. In addition, employee Examples of DCFSA
contributions may not be made to the HSA until the funds in the Eligible Expenses
Healthcare FSA have been used or forfeited, per IRS rules. In order Nursery school
to contribute to the HSA immediately following the beginning of
the new plan year, you must have a zero balance in the Healthcare Day care centers
FSA as of December 31. If you do not have a zero balance as of Before and after school care
December 31, you will have to wait until April 1 to contribute to your Visit www.irs.gov for more details.
2016 HSA.
Dependent Care FSA (DCFSA)
Regardless of your medical plan elections, you may contribute up to
$5,000 ($2,500 if married and ile taxes separately) to a Dependent
Care FSA. The Dependent Care FSA can be used to pay for eligible
child care and elder care expenses such as payments to nursery
schools, day care centers, before and after school care, and day care
expenses for dependent parents who spend at least 8 hours per day in
your home.
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Examples of HCFSA
Eligible Expenses
Healthcare FSA (HCFSA) and Limited FSA
Deductible, copays, and coinsurance
The maximum amount a participant can contribute to the Healthcare
FSA is $2,550 annually. Your contribution is a pre-tax payroll Prescription drugs
deduction each period. The Healthcare FSA offers a grace period Dental and vision expenses
where you may incur claims through March 15 of the following year
and claim against the previous year’s funds. The Limited FSA plan Examples of Limited FSA
is allowed to those participants of the HSA plan which would like Eligible Expenses
additional tax savings for dental and vision expenses. You are allowed Dental care
to elect a Limited FSA plan if you are enrolled in the HSA plan. Vision care
The Limited FSA plan allows you to reimburse yourself on a pre-
tax basis for dental and vision expenses only. In addition, employee Examples of DCFSA
contributions may not be made to the HSA until the funds in the Eligible Expenses
Healthcare FSA have been used or forfeited, per IRS rules. In order Nursery school
to contribute to the HSA immediately following the beginning of
the new plan year, you must have a zero balance in the Healthcare Day care centers
FSA as of December 31. If you do not have a zero balance as of Before and after school care
December 31, you will have to wait until April 1 to contribute to your Visit www.irs.gov for more details.
2016 HSA.
Dependent Care FSA (DCFSA)
Regardless of your medical plan elections, you may contribute up to
$5,000 ($2,500 if married and ile taxes separately) to a Dependent
Care FSA. The Dependent Care FSA can be used to pay for eligible
child care and elder care expenses such as payments to nursery
schools, day care centers, before and after school care, and day care
expenses for dependent parents who spend at least 8 hours per day in
your home.
15
