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Page 1: 1 Flexible Benefits Administration Services for. 2 What is a Flexible Spending Account  Flexible Spending Accounts save you money  Lowers your taxable

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Flexible Benefits Administration Services

for

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What is a Flexible Spending Account

Flexible Spending Accounts save you money

Lowers your taxable income

Increases your spendable income

Use FSA money for health care and dependent day care expenses

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How Much Could You Save?With FSAs Without FSAs

Monthly gross pay $2,500 $2,500

Pre-tax contributions to FSA Dependent day care Health care

$300$100

$0$0

Taxable Income $2,100 $2,500

Less federal, state, FICA taxes $790.65 $941.25

After-tax monthly pay $1,309.35 $1,558.75

After-tax expenses Dependent day care Health care

$0$0

$300$100

Net spendable income $1,309.35 $1,158.75

Monthly savings $150.60 $0

Annual savings $1,807.20 $0

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How Flexible Spending Accounts Work

Set aside a certain amount of your paycheck before taxes are deducted.

Money is used for eligible health care and dependent day care expenses.

You choose how much to contribute to the account.

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Flexible Spending Account Limits

Health Care FSA

Maximum Annual Contributions: $2,500 ( for August 1, 2013 to July 31, 2014.)

Eligible Expenses: Deductibles, co-pays and other expense not covered by insurance

Prescription drugs and medical supplies

Dental, orthodonticsVision, eye glasses, contacts,

eye surgeryOver the counter items*

*Effective 1/1/11, the list of eligible OTC items is changing per the Patient Protection and Affordable Care Act of 2010.

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Dependent Day Care FSA

Maximum Annual Contributions: $5,000 married/joint return for August 1, 2013 to July 31, 2014.

$2,500 married/separate return

Eligible Expenses: Child care, non-residential summer camps, and elder care that you find

necessary to work

Eligible Dependents: A child under age 13 that you claim as a dependent. A spouse or other dependent

who is physically or mentally incapable of caring for

self.

Flexible Spending Account Limits

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Know your plan’s details FSA elections only made at annual enrollment,

when you join the company, or have a “qualifying event”

Use-it-or-lose-it Rule

Reimbursement options: Debit Card Online Claim Submission Hard-copy claims mailed or faxed

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Keep your Receipts

SHDR may asks for receipts based on IRS guidelines (especially for dental services)

Welcome packet will include an envelope to store your receipts

Use of debit card at certain IIAS merchants may prevent receipt request

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Simple Access to your FSA Account

Toll-free call center – 1-800-930-2441 8am – 6pm ET

Access account balance 24/7 1- 800-413-6706

Interactive website – www.shdr.com/flex Enter claim online Access forms, eligible expense list, account

balances and plan specifics IIAS Merchant Listing


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