Page 15 - Success Academy | 21-22 Benefits Summary
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Flexible Spending Accounts
You can pay for eligible mass transit, commuter parking, medical, dependent day care, and/or adoption expenses with pre-tax contributions through payroll deductions. You may pay your expenses using a “Beniversal” MasterCard or claims submittal (except transit FSA). If you are enrolled in the HSA Plan, you can contribute to your HSA Account, but not the Medical FSA.
Mass Transit
Commuter Parking
Medical
Copay Plan Only
Terms
Maximum
Unused Balances
When Can I Enroll?
$270/month
Any time
$270/month
$2,750/year
Up to $550 rolls over, rest forfeited
Dependent Day Care
$5,000/year Forfeited
Roll over to next year
When Hired or Annual Benefits Enrollment or Life Event
