Page 15 - Enrollment Guide
P. 15
American Food & Vending
Flexible
Flexible Spending Account (FSA) Spending
Accounts (FSA)
Use lexible beneits to bring home more of your paycheck.
An FSA allows you to set aside a portion of your salary, before taxes, Important Enrollment
to pay for qualiied medical or dependent care expenses. Because that Note
portion of your income is not taxed, you end up with more money in You must actively elect any lexible
your pocket. spending account (FSA) funds every
year. If you had an FSA last year you
Healthcare must re-elect the beneit this year. We
cannot automatically re-enroll you with
You can use your FSA to pay for copays, healthcare deductibles, and last year’s election.
other out-of-pocket expenses which are not covered under your beneit
plans. This includes out-of-pocket expenses for dental and vision care FSA Debit Card from
as well. Discovery Benefits
No out-of-pocket expenses at the time
Dependent Care of service
You may use your dependent care spending account to pay for daycare No waiting for reimbursement
expenses for a dependent under the age 13. Eligible expenses include: Increased use of funds, less
X Payments to a licensed daycare or nursery school chance to forfeit at the end of the
year
X Before and after school care or summer day care
Charges are paid directly to the
2015 Maximum Contributions provider
Healthcare $2,550 Beneits Debit Card is valid for
Dependent Care $5,000 three years
What Documentation Is Needed? If the debit card is used for anything
other than copays, you must submit a
Documentation for medical expenses, required by the IRS, includes a receipt to Discovery Beneits to validate
third-party receipt containing the following information: the transaction. If you do not submit
your receipt, your debit card will be
X Date service was received or purchase made disabled until Discovery receives your
X Description of service or item purchased documentation.
X Dollar amount (after insurance, if applicable)
X Prescription drug number or name
15
Flexible
Flexible Spending Account (FSA) Spending
Accounts (FSA)
Use lexible beneits to bring home more of your paycheck.
An FSA allows you to set aside a portion of your salary, before taxes, Important Enrollment
to pay for qualiied medical or dependent care expenses. Because that Note
portion of your income is not taxed, you end up with more money in You must actively elect any lexible
your pocket. spending account (FSA) funds every
year. If you had an FSA last year you
Healthcare must re-elect the beneit this year. We
cannot automatically re-enroll you with
You can use your FSA to pay for copays, healthcare deductibles, and last year’s election.
other out-of-pocket expenses which are not covered under your beneit
plans. This includes out-of-pocket expenses for dental and vision care FSA Debit Card from
as well. Discovery Benefits
No out-of-pocket expenses at the time
Dependent Care of service
You may use your dependent care spending account to pay for daycare No waiting for reimbursement
expenses for a dependent under the age 13. Eligible expenses include: Increased use of funds, less
X Payments to a licensed daycare or nursery school chance to forfeit at the end of the
year
X Before and after school care or summer day care
Charges are paid directly to the
2015 Maximum Contributions provider
Healthcare $2,550 Beneits Debit Card is valid for
Dependent Care $5,000 three years
What Documentation Is Needed? If the debit card is used for anything
other than copays, you must submit a
Documentation for medical expenses, required by the IRS, includes a receipt to Discovery Beneits to validate
third-party receipt containing the following information: the transaction. If you do not submit
your receipt, your debit card will be
X Date service was received or purchase made disabled until Discovery receives your
X Description of service or item purchased documentation.
X Dollar amount (after insurance, if applicable)
X Prescription drug number or name
15
