Page 15 - Aspiration Partners Employee Benefits Guide – National

Our Health Care FSA and Dependent Care FSA are
administered through Igoe Administrative Services. Flexible
Spending Accounts (FSAs) are special tax-advantaged
accounts used to pay for eligible out-of-pocket health care
and dependent care expenses. If elected, your account(s) Important FSA Rules
will be funded with tax-free dollars using convenient payroll Because FSAs can give you a significant tax
deductions. Only expenses for services incurred during the advantage, they must be administered
plan year are eligible for reimbursement from your according to specific IRS rules:
accounts. If you are using your debit card, you must save
your receipts, just in case Igoe needs a copy for verification.
Also, all receipts should be itemized to reflect what product Health Care FSA
or service was purchased. Credit card receipts are not You must forfeit any money left in your
sufficient per IRS guidelines. account(s) after your expenses for the year
have been reimbursed. The IRS does not
Igoe - Health Care FSA allow the return of unused account balances
at the end of the plan year, and remaining
This plan is used to pay for expenses not covered under balances cannot be carried forward to a
your health plans, such as deductibles, coinsurance, copays
and expenses that exceed plan limits. Employees may defer future plan year.
up to $2,750 pre-tax per year. Eligible expenses include:
$500 Carry-Over
Up to $500 of any unspent funds remaining
in your account at the end of the plan year
will carry-over to the next plan year, and
unspent funds above $500 will be forfeited.

Coinsurance, Medical and Dental Eye Exams,
Copays and Prescriptions and Eyeglasses Dependent Care FSA
Deductibles Orthodontia and Lasik Eye
Surgery Unused funds will NOT be returned to you or
carried over to the following year. You must

Go to www.fsastore.com to shop for FSA-eligible products, file claims by January 31st of each plan year.
and for a list of eligible expenses.

Igoe - Dependent Care FSA

This plan is used to pay for eligible expenses you incur for
child care, or for the care of a disabled dependent, while you
work. Employees may defer up to $5,000 pre-tax per year.
Eligible expenses include:

Educational Video
Flexible Spending Accounts

Licensed nursery schools, Adult daycare facilities http://video.burnhambenefits.com/fsa/
qualified childcare centers,
after school programs,
summer camps (under age
13), preschool