Page 13 - 2013 Allied Printing Benefit & Notices
P. 13

Allied Printing Co., Inc. 2013


Flexible Spending Accounts (FSA)

Flexible Spending Accounts let you pay for health care and day
care expenses with tax-free dollars. How much you save depends
on how much you pay in income tax. There are two types of
accounts under this plan: a Health Care Reimbursement Account
(HCRA) and a Dependent Care Reimbursement Account (DCRA).
DRAFT
You may enroll in one or both. Employee Benefits Corporation
(EBC) administers this plan for the employer.

With an HCRA or DCRA, you decide before the start of the year
how much to contribute to each account. Your contributions are
withheld in equal amounts from your paychecks throughout the
year. The money is set aside separate in tax-free accounts. Claim
the money in your account(s) by submitting a claim form for
reimbursement. Claims for the HCRA may be made by utilizing
your Benny FSA Debit card instead of submitting a claim form.

How the Accounts Save You Money Without an HCRA or DCHA With an HCRA or DCRA
Gross Salary $25,000 $25,000
LESS: Annual Amount Deposited into HCRA / DCRA $0 ($2,000)
Taxable Income $25,000 $23,000
LESS: Annual Taxes (assumed at 25%) ($6,250) ($5,750)
Net Salary $18,750 $17,250
LESS: Out-of-Pocket Medical and/or
Dependent Care Expenses for the Year ($2,000) N/A
Disposable Income $16,750 $17,250
Your Tax Savings NONE $500

HCRA

 The HCRA helps you pay for medical, dental, and vision expenses that aren’t covered by
insurance. Your annual election cannot be less than $130 ($5 per pay) or more than $1,000 for
the 2013 plan year pursuant to Health Care Reform. The full amount will be available January
1, 2013. For a complete list of eligible expenses visit the IRS website at
www.irs.treas.gov/pub/irs-pdf/p502.pdf.

 Over-the-counter (OTC) drugs and medications, such as those listed below, are not eligible for
tax-free reimbursement UNLESS you have a doctor’s written directive (prescription) for the item:

 Acid controllers  Anti-Inch/Insect /Bite  Digestive aids  Pain relief
 Allergy and sinus  Antiparasitic treatments  Feminine anti-fungal/itch  Respiratory products
 Antibiotic products  Baby rash ointments  Hemorrhoid preparations  Sleep aids/sedatives
 Anti-diarrheals  Cold sore remedies  Laxatives  Stomach remedies
 Anti-gas  Cough, cold and flu  Motion sickness

 To file a claim for an OTC, get an itemized receipt that shows items purchased, the date
purchased and how much it cost, and send it with a completed claim form and the doctor’s script
for the item(s) listed above. These items cannot be paid with your Benny Card.

 Health supplies such as adult incontinence products, pregnancy tests, contact lens solutions and
supplies, diabetic testing supplies, and first aid supplies are eligible for reimbursement without a
prescription.

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