Page 23 - Deweys Benefits Enrollments Guide

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Flexible Spending Accounts

Dewey’s Bakery provides you the opportunity to pay for out of pocket medical, dental, vision and
dependent care expenses with pretax dollars through Flexible Spending Accounts. You must enroll/re-
enroll in the plan to participate for the plan year May 1 to April 30. You can save approximately 25% of
each dollar spent on these expenses when you participate in a FSA. The FSA program is administered by
Flores & Associates. Some important information to be aware of if you enroll in the FSA program
through Dewey’s Bakery System:

 A debit card (Benny Card) will be provided to medical FSA plan participants. This will be
mailed to your home by Flores & Associates.
 All FSA participants will receive a Participant ID Card mailed to your with a user name
and temporary password that you may use to access your account and information
online at www.flores247.com.

These accounts can save you money if used wisely! A Health Care FSA is used to reimburse out-of-
pocket medical expenses incurred by you and your dependents, while a Dependent Care FSA is used to
reimburse expenses related to care of eligible dependents while you and your spouse work.

Contributions to your FSA come out of your paycheck before any taxes are taken out. This means that
you don’t pay federal income tax, Social Security taxes, or state and local income taxes on the portion of
your paycheck you contribute to your FSA. You should contribute the amount of money you expect to
pay out of pocket for eligible expenses for the plan period. There is a $500 rollover benefit per year for
your Health Care FSA. Any remaining funds, over $500, will be forfeited after the last day of the plan
year. If you do not use the money you contributed to your Dependent Care FSA, it will not be refunded
to you or carried forward to a future plan year. This is the IRS “Use It or Lose It” rule.

The annual maximum that you can contribute to the Health Care FSA is $2,600 for 2017. The annual
maximum that you can contribute to the Dependent Care FSA is $5,000 if you are a single employee or
married filing jointly, or $2,500 if you are married and filing separately.

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