Page 18 - Trident 2022 Flipbook

FLEXIBLE SPENDING ACCOUNTS (FSA)

Flexible Spending Accounts allow you to pay for out-of-pocket health and dependent care expenses on a
tax-free basis. You may begin making contributions in the month following your hire date. Our FSA is
administered by TaxSaver Plan. Please note, if you are enrolled in the HDHP, you are not eligible to enroll
in the Health Care FSA.

How the Health Care FSA Works

The Health Care FSA allows you to pay for eligible IRS-
approved medical care expenses not covered by your
insurance plan. Money that you now spend on the
following items can be placed in the FSA pretax. The
maximum annual contribution is $2,700.00
 Deductibles and copayments FSA Claim Filing Extension:

 Over the counter medications (prescription required)
Active Employees have a 2.5-month extension to
 Prescription drug copayments utilize FSA contributions remaining as of 12/31
 Dental, vision and hearing care expenses
each plan year. Only use your card for current
year expenses. Eligible claims incurred by 03/15
How the Dependent Care FSA may be submitted for reimbursement from the prior
year’s plan balance. Active Employee claims must
Works be filed with TaxSaver FSA division no later than

03/31.
The Dependent Care FSA allows you to use pre-tax
dollars towards the following qualified dependent care.
The maximum annual contribution is $5,000.00

• Preschool or nursery school expenses
• Babysitter in your home
• Day care center
• Summer day camp
• After-school care

This FSA is used for reimbursement of eligible day care
expenses for a Dependent who lives with you and who is
under age 13 (or disabled at any age).

FSA Plan Termination

FSA Plans end the last day of the month
when your service with the Rangers ends.

The above is a summary of this benefit option.

Click here for more detailed information on this available benefit option.

2022 Trident Benefit Guide Page 18