Page 15 - Success Academy | 21-22 Benefits Summary
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Visit, company code: sacs
 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
Copay Plan Only
Unused Balances
When Can I Enroll?
Any time
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

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