Page 10 - Northbridge Companies 2018 OE Guide_Fomatting corrections (002)HLD
P. 10

Flexible Spending Accounts





       Health Care Flexible Spending Accounts (FSA) allow you the          Health Care FSA
       opportunity to pay for qualified health expenses with pretax
       money. Benefit Strategies is administering Northbridge’s FSA.
                                                                           •  Minimum contribution is $100. You may
       When you participate in an FSA, your Federal Income Tax, Social       set aside up to $1,250 annually.
       Security and Medicare Tax withholdings will be reduced, and the
       savings you can enjoy with an FSA can be quite substantial. See     •  Use your Health Care FSA to pay for
       the Pretax Savings Illustration below for an example.                 qualified health expenses for yourself that
                                                                             are not covered by your medical, dental or
       You must complete a Benefit Strategies FSA enrollment form            vision plans.
       if you would like to participate.
                                                                           •  Can be used for yourself and your eligible
                                                                             dependents.

                                                                           •  Includes a debit card for easy access to
                                                                             your funds.
                      Pretax Savings Illustration
                                                                           •  Your Health Care FSA is “pre-loaded”,
         After-Tax Contributions   VS    Pretax Contributions                meaning that your annual contribution
                                                                             amount is available to you at the begin-
         Gross Pay         $2,917      Gross Pay          $2,917             ning of the plan year — regardless of the
                                                                             amount you have actually accumulated in
         Taxable Income    $2,917      Expenses for the month:               your account to date.
         FICA/Medicare      - $223
         Federal Tax        - $216      Health Insurance   - $300          •  $500 Rollover feature for unused funds.
         State Tax           - $90      Health Expenses    - $25

         Net Pay           $2,388      Taxable Income     $2,592
         Expenses for the month:       Taxable Income     $2,592
                                       FICA/Medicare      - $166
          Health Insurance   - $300    Federal Tax        - $118           For additional Information:
          Health Expenses    - $25     State Tax           - $56




          Spendable Income  $2,063      Spendable Income  $2,252
                                                                           A full list of eligible Health FSA expenses
                                        Monthly Savings    $189
                                                                           can be found at www.irs.gov/pub502.
                                        Annual Savings    $2,268

       The example above illustrates the pretax premium savings that an FSA   For full details on your FSAs, refer to your
       plan offers based on a person who is married, has one child, earns $2,917   Benefit Strategies  enrollment materials or
       per month, and spends $325 per month in health care expenses. In the   visit online at www.benstrat.com.
       example, a savings of $189 per month ($2,268 per year) is realized. Your
       own savings will depend on your age, marital status, the number of de-
       pendents you claim, etc.



         FSA Reminders!



       •  You must enroll each year to participate.
       •  $500 rollover provision for unused funds.
       •  You may not change your election during the year unless you have a
         “Qualified Family Status Change”. (See page 2 for details.)







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