Page 23 - Lyon Benefits Guide 01-18 National - FINAL

FLEXIBLE SPENDING ACCOUNTS

NATIONAL BENEFIT SERVICES | HEALTH CARE & DEPENDENT CARE FSA
You can set aside money in Flexible Spending Accounts (FSAs) before taxes are deducted to pay for certain health and dependent care
expenses, lowering your taxable income and increasing your take home pay. Only expenses for services incurred during the plan year are
eligible for reimbursement from your accounts. You choose how you would like to pay for your eligible FSA expenses. You may use a
debit card provided by National Benefit Services or pay in full and file a claim for reimbursement. Please remember that if you are using
your debit card, you must save your receipts, just in case National Benefit Services needs a copy for verification. Also, all receipts should
be itemized to reflect what product or service was purchased. Credit card receipts are not sufficient per IRS guidelines.

HEALTH CARE FSA OPTIONS DEPENDENT CARE FSA OPTION
This plan is used to pay for expenses Limited Health Care FSA This plan is used to pay for eligible
not covered under your Medical, Dental, AVAILABLE IF YOU ARE expenses you incur for child care, or for
and Vision plans, such as deductibles, ENROLLED IN THE HDHP WITH the care of a disabled dependent, while
coinsurance, copays and expenses that HSA MEDICAL PLAN you work. You may defer up to $5,000
exceed plan limits. You may defer up to This plan is much like the Health Care pre-tax per year (or $2,500 if you are
$2,650 pre-tax per year. Note, if you are Spending Account described above, however, married but file taxes separately).
enrolled in the HDHP with HSA medical under the Limited Health Care HSA, you’re
plan and wish to participate in the Health limited to qualifying Dental and Vision
Care FSA, you must elect the Limited expenses ONLY while preserving your HSA
Health Care FSA. funds for Medical expenses. You may defer
up to $2,650 pretax per year.

FSAs offer sizable tax advantages. The trade-off is that these accounts are subject to strict IRS regulations, including the use-it-or-lose-it
rule. According to this rule, 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. We encourage you to plan ahead to make the most of your FSA dollars.
If you are unable to estimate your health care and dependent care expenses accurately, it is better to be conservative and underestimate
rather than overestimate your expenses.

HEALTH CARE FSA SAVINGS COMPARISON
WITHOUT THE WITH THE
HEALTH CARE FSA HEALTH CARE FSA
Gross Annual Pay $45,000 $45,000
Pre-Tax Health Care FSA Not Elected $1,200
Taxable Gross Income $45,000 $43,800
Payroll Taxes (at 30%) $13,500 $13,140
Net Pay $30,300 $30,660
Annual Net Pay Increase $0 $360

It is important to note that your FSA elections will expire each year on December 31st. If you plan to participate in the FSA for the
upcoming plan year, you are required to re-enroll.

Click here to watch a quick video to learn the basics of how Flexible Spending Accounts work.

FLEXIBLE SPENDING ACCOUNTS
http://video.burnhambenefits.com/fsa/

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