Page 11 - 2016 New Hire Guide (Non-PA)
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Ainsworth Pet Nutrition









Flexible Spending Accounts Discovery Benefits Debit


Card
Available Through Discovery Benefits The Discovery Beneits debit card is an

Discovery Beneits is your FSA plan administrator. The medical easy way to keep cash in your pocket
FSA will include a debit card which may be used to pay medical and while using your FSA. Many payments

prescription copayments. Once you have submitted medical, dental, made with the card are approved
automatically, requiring no further
and vision expenses for reimbursement you may use your debit card paperwork.
to pay your share of out-of-pocket expenses.
If Discovery Beneits cannot determine

An FSA allows you to set aside before-tax dollars from your paycheck the use of your debit card is for an eligible
expense, a request for substantiation will
to cover qualiied expenses that you would normally pay out of be sent. This will require you to submit a
your pocket with after-tax dollars. You pay no federal income, state copy of the receipt which clearly indicates
income, or Social Security taxes on the money you place in your FSA. the nature of the expense. The reason
for this request is to prove funds were
Funds you elect to contribute to the healthcare FSA are available in used to pay eligible medical, dental, and
full on the irst day of the plan year. Our FSA program includes a vision care expenses. Failure to respond
to substantiation requests will result in the
$500 rollover provision. You can roll over up to $500 of unused FSA suspension of your card.
dollars into your account to use next year; however, you must make
an election in 2017 to roll over any funds from 2016. The amount
you roll over is in addition to your regular annual election.


Funds you contribute to the dependent care FSA function like a bank
account; you need to accumulate the funds before you can use them.


Healthcare FSA

The Healthcare FSA lets you pay for certain IRS-approved medical
care expenses not covered by your insurance plan with pre-tax dollars.
For example, cash that you now spend on deductibles, copayments,
or other out-of-pocket medical expenses can instead be placed in the

healthcare reimbursement FSA pre-tax, to pay for these expenses.
The maximum contribution to the healthcare reimbursement FSA is
$2,550 per plan year.


You may use your FSA account to pay for the expenses of your
spouse or dependent children to age 26, regardless of whether they
are covered under the APN medical, dental, or vision plans.



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