Page 11 - Hussmann- Bridgeton OE Guide 2015 Plan Year
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How FSA Works

1. During enrollment, you elect to
Using Your FSA Funds set aside a certain amount of your
If you sign up for the Health Care FSA you’ll receive a debit card compensation in an FSA. You must
from UHC. It works like a bank debit card, except it is connected to enroll each year to participate,
even if you participated in the prior
your FSA. You can use it to pay for many eligible expenses when you year.
receive services or at the time of purchase. Be sure to save all receipts.
For a list of eligible expenses or additional resources, please go to 2. The amount you decide to
contribute for the year will be
www.myuhc.com or visit the Hussmann Intranet at HR Links>Human deducted from your paycheck in
Resources>Total Rewards>Healthcare Beneits. equal installments throughout
2015, on a before-tax basis. Your
As a reminder, you cannot use the debit card to pay for over-the- contribution level will remain in
counter medications. You must pay for them and then ile an FSA effect throughout 2015 unless you
claim for reimbursement; the claim must be accompanied by a doctor’s have a qualiied status change.
prescription. (Such eligible over-the-counter medications include, 3. Use the tax-free money you set
for example, pain relievers, cold medicines, antacids, and allergy aside to pay or reimburse yourself

medication.) for eligible expenses incurred after
the FSA is established. Note that
over-the-counter medications are
You will not receive a debit card for use with the Dependent Care FSA. eligible for reimbursement through

With this account, you pay for eligible expenses out of your pocket, an FSA only if they are prescribed
then fax, mail, or submit online a reimbursement request along with a by a doctor.
receipt for the expense to UHC. UHC then processes your request and
promptly reimburses you through direct deposit or by check.


You can draw on the total amount of your annual contributions to
the Health Care FSA at any time during the year, regardless of how
much has been deducted from your pay to date. With the Dependent
Care FSA, however, you can only make claims for as much as you have
contributed to the account to date. If you ile a claim for more than
your account balance, you will be reimbursed as your contributed funds
become available in the account.

















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