PR - 4.2024 Employee Benefits Guide (FINAL)

Examples of Eligible Expenses x Medical Plan Deductibles x Prescription Drugs x Vision Exams/Eyeglasses/ Contacts HEALTHCARE FLEXIBLE SPENDING ACCOUNT

x Laser Eye Surgery

x Insurance Co-payments x Acupuncture

x Weight Loss Programs

x Chiropractic

x Birth Control Pills / Devices / Procedures

x Dental and Orthodontia (Braces)

Contribution Limits x

Minimum contribution: $100 per year Maximum contribution: $3,200 per year

x

DEPENDENT CARE FLEXIBLE SPENDING ACCOUNT Examples of Eligible Expenses x Daycares x Day Camp x Eldercare Pre-Tax Benefits x Save 20% - 40% on your health care expenses x Save on purchases not covered by insurance x Reduce your taxable income resulting in more money in your pocket x Maximum contribution: $5,000 per year ($2,500 if married and file separate tax returns) Access to Funds You will be able to submit claims up to your year-to-date accumulated amount in your account. (You will only be reimbursed based on your accumulated contribution amounts) Pre-Tax Benefits x Save 20% - 40% on your dependent care expenses x Reduce your taxable income resulting in more money in your pocket Access to Funds Allows immediate access to the entire contribution amount from the 1st day of the benefit year, before all scheduled contributions have been made Contribution Limits x Minimum contribution: $100 per year x Before and After School Care

For addi Ɵ onal plan informa Ɵ on, please refer to your detailed plan design. In the event of a discrepancy, the carrier Plan Document shall prevail.

QUESTIONS? Call Bene fi tsVIP at 866.293.9736

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