Page 10 - Benefit Guide
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Savings accounts [Option for HSA and FSA]

Company offers several accounts that enable you to pay for eligible expenses tax-free. The IRS provides a list of eligible
expenses for each account at www.irs.gov.

           Health Savings                       Health Care Flexible                          Dependent Care FSA
            Account (HSA)                   Spending Accounts (FSAs)
                                                                                           Use for eligible childcare expenses
    Available to those enrolled in     Your options depend on your medical plan            for dependents under age 13 or
    the HSA Plan as long as you are    enrollment.                                         elder care.
    not enrolled in any other health
    coverage or Medicare, or claimed   ΅΅ Health Care FSA – If you are not enrolled
    as a dependent on someone else’s
    tax return.                           in an HSA plan, you can use this account
                                          for medical, pharmacy, dental and vision
                                          expenses.

                                       ΅΅ Limited Purpose FSA – If you are enrolled in an

                                          HSA plan, you can use this account to pay for
                                          dental and vision expenses only.

Comparison of accounts                                    HSA                                      FSA

 Does the company contribute?                                                                         X
 Amount for full-year 20XX
 Can I contribute my own savings?                   Employee: $XXX                           
                                           Employee +1 or Family: $X,XXX
 Is there an IRS maximum annual                                                              
 contribution?                                        
                                                                             Health Care or Limited Purpose: $2,700
 Will my savings roll over each year?                                                   Dependent Care: $5,000
                                                    Employee: $3,550
 Will I earn interest on my savings?                  Family: $7,100                                  !
 Are the savings tax-free?                                                    Up to $500 for Health Care and Limited
 In most states                        Those 55 and older can contribute an  Purpose FSAs; No rollover for Dependent
 Will I get a debit card?                     additional $1,000 annually.
 Do I keep the money if I leave the                                                               Care FSA
 company?                                                                                             X
 Can I also have a Flexible Spending
 Account (FSA)?                                          Unlimited                           

                                                                                                     !
                                                                               Not available for Limited Purpose FSA
                                                      
                                                                                                      !
                                                                            Option to continue Health Care or Limited

                                                                                Purpose FSA only through COBRA

                                                             !                                        N/A
                                                  Limited Purpose and
                                             Dependent Care FSAs only

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