Page 9 - 2016 Enrollment
P. 9
FSA Program with WageWorks WageWorks Mobile

An FSA allows you to set aside before-tax dollars from your paycheck to App
cover qualiied expenses that you would normally pay out* of your pocket
with after-tax dollars. Take advantage of the
WageWorks mobile
Healthcare FSA Dependent Care FSA EZ Receipts app. EZ
Used to help pay for Used to help pay for
„ Doctor’s visit „ Hearing aids „ Cost of child or adult day care Receipts enables you
copays „ Eye glasses „ Nursery school to submit healthcare
„ Prescription „ Contacts „ Preschool (excluding and dependent
drug copays kindergarten) care claims and to
„ Medical „ Dental services „ Dependent Care FSA is not
and dental „ Orthodontia for medical expenses for your upload receipts for
deductibles „ Laser vision dependents, it is for care unverified healthcare
„ Over-the-counter correction associated with child care or adult card transactions
medications surgery day care
(with a written right from your
prescription) smartphone. Get EZ
Receipts for your
IRS Regulated Contributions
Healthcare FSA Dependent Care FSA iphone from the
$2,550 per year $5,000 per year * iTunes Store, for
your Droid from the

* $2,500 if married and iling separately. Android Market, or
for your BlackBerry
Funds you elect to contribute to the Healthcare FSA are available in from BlackBerry App
full on the irst day of the plan year, and the funds contributed toward World.
the Dependent Care FSA cannot be used until accumulated. Plan your
contributions carefully as any funds not used by the end of the plan year

will be forfeited by the plan. It is also important to recognize that you
cannot change your FSA election during the plan year. Termed employees Wageworks
have 90 days from the date of termination to seek reimbursement for administers our FSA
services rendered during the program year. program. You can
manage your claims
Grace Period and payments through

Intertek offers a special grace period to submit your claims for www.wageworks.com.
reimbursement each year. You have until March 15 each year to incur
claims which can be reimbursed from the prior year’s plan, and until
March 31 to submit reimbursements from your prior year expenses. Contact
Wageworks for more information on submitting claims for reimbursement.




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