Page 21 - Allegacy 2017 booklet 8.5x11

Allegacy Benefit Solutions Page 21

Flexible Spending Account

Provided by Stanley Benefits

 Employees can contribute a maximum of $2,500, to be used for qualified
health expenses such as medical copays, deductibles, dental
and vision expenses.
 Employees enrolled in the Health Savings Account compatible plan are
allowed use of FSA funds for expenses related to any benefits excluding
medical.
 Employees can contribute a maximum of $5,000 for Dependent Care.
 Debit cards will be provided to all enrolled employees at no cost.
Employees are responsible for the cost of additional cards for
dependents.
 Fulltime Allegacy employees that do not have Allegacy Health plan cover-
age are eligible to receive additional contributions into their FSA, up to $500,
if they participate in the Allhelath Wellness program. You will be able to earn
$125 FSA credit per quarter and this will be disbursed in January 2018.

Additional Points

 Employees are eligible for all benefits on the first day of the month
following 1 month of full-time employment.
 Late entrants may be subject to waiting periods for any of the
enclosed benefits, except in cases of qualifying events.
 Domestic partners (same or opposite sex) are eligible for medical, dental,
vision benefits. Basic and Voluntary Dependent Life, Whole Life & Allstate
Programs.