Page 12 - 2016 Intertek Enrollment Guide
P. 12
Flexible Spending Account





WageWorks Mobile FSA Program with WageWorks
App An FSA allows you to set aside before-tax dollars from your paycheck to
cover qualiied expenses that you would normally pay out* of your pocket
Are you taking with after-tax dollars.

advantage of the
WageWorks mobile Healthcare FSA Dependent Care FSA
EZ Receipts app? EZ Ideal program for employees enrolled in a PPO Ideal program for all employees
plan or waiving medical coverage
regardless of other beneit coverage
Receipts enables you Used to help pay for Used to help pay for
to submit healthcare „ Doctor’s visit „ Hearing aids „ Cost of child or adult day care
and dependent care copays „ Eye glasses „ Nursery school
claims and to upload „ Prescription „ Contacts „ Preschool (excluding
drug copays
kindergarten)
receipts for unverified „ Medical „ Dental services „ Dependent Care FSA is not
healthcare card and dental „ Orthodontia for medical expenses for your
deductibles
transactions right from „ Over-the-counter „ Laser vision dependents, it is for care
correction
associated with child care or adult
your smartphone. medications surgery day care
Get EZ Receipts for (with a written
prescription)
your iphone from
the iTunes Store, for IRS Regulated Contributions
your Droid from the Healthcare FSA Dependent Care FSA
Android Market, or for $2,550 per year $5,000 per year *

your BlackBerry from
BlackBerry App World. * $2,500 if married and iling separately.

Funds you elect to contribute to the Healthcare FSA are available in
full on the irst day of the plan year, and the funds contributed toward
Wageworks the Dependent Care FSA cannot be used until accumulated. Plan your
administers our FSA contributions carefully as any funds not used by the end of the plan year
program. You can will be forfeited by the plan. It is also important to recognize that you
manage your claims cannot change your FSA election during the plan year. Termed employees
and payments through have 90 days from the date of termination to seek reimbursement for

www.wageworks.com. services rendered during the program year.

Grace Period

Intertek offers a special grace period to submit your claims for reimbursement
each year. You have until March 15 each year to submit reimbursements from
your prior year expenses. Contact Wageworks for more information on submitting
claims for reimbursement.



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Open Enrollment
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