Section 125 Flexible Spending Program for Health Care

Section 125 Flexible Spending Program for… Health Care Reimbursement Dependent Care Reimbursement Renewal Date — 7/1/2019 Prepared for: Renewal Date — 07/01/2019

What Will an FSA Do for Me? It will help you keep MORE of your paycheck Allows you to set aside a portion of your pay before taxes are taken out and is available for use in either a health care and or a dependent care Flexible Spending Account. All contributions are tax-exempt (federal, state, social security and Medicare) The annual election amount you choose becomes a pre tax reimbursement fund for out-of-pocket health care or dependent care expenses. Prepared for: Renewal Date — 07/01/2019

Year End W 2 Taxable Income with Flexible Spending Accounts (FSAs) How it Works… Gross Earnings $35, 000 Medical Expenses -$1, 500 Day Care Expenses -$3, 000 Taxable Income $30, 500 Plus save an additional $1, 125 on payroll taxes* each year! *Payroll taxes calculated to assume a 25% payroll tax rate which encompasses federal taxes, state taxes, social security and Medicare. Prepared for: Renewal Date — 07/01/2019

Estimate Your Annual FSA Allowable Expenses Medical Co-payments: $90. 00 Prescription Co-payments: $220. 00 Dental Services: $250. 00 Prescription Eyeglasses: $180. 00 Contact Lens: $160. 00 Total Estimated Annual Expenses: $900. 00 NEXT STEP. . Determine your pre-tax payroll deduction Total Estimated Annual Expenses: $900. 00 DIVIDED BY. . . Annual Pay Cycles: 24/20 (Divide by the number of payrolls you have from your start date –July 1 st 2019 to June 30 th 2020) QUALS. . . Per Pay-Period Deduction: Prepared for: $37. 50/$45. 00 Renewal Date — 07/01/2019

Health Care Reimbursement Accounts Creates a fund to get reimbursed for qualified out of pocket medical expenses. The maximum annual election is $2700. 00 for 2019. Deducts evenly out of every paycheck (24/20 payrolls) during the plan year – July 12 th is the 1 st deduction. 26 Can cover your spouse, children under the age of 27, and any dependents. It is independent of your health insurance plan, you can even participate if you are enrolled in Medicare. Your full health care annual election is available from the first day of the Plan Year!!!! Prepared for: Renewal Date — 07/01/2019

Limited Health Care FSA Money is set aside from your paycheck before taxes are taken out to pay for qualified Dental and Vision expenses. The full amount you set aside is available on day one of your plan coverage. The annual election minimum and maximum is the same as the full use FSA: $250. 00 min. / $2, 700. 00 maximum Limited Healthcare FSA’s are for those who want to maximize their pretax savings when contributing to a Health Savings Account (HSA). Fully contribute to your HSA pre tax and then fund the Limited FSA for your vision and dental needs. Save your HSA money for healthcare that tracks towards your health plan’s deductible. Limited Healthcare FSA Covered Expenses: Vision expenses: Glasses, frames, contacts, prescription sunglasses, goggles, vision co payments optometrists or ophthalmologist fees, corrective eye surgery and more. Dental expenses: Dental care check ups, deductibles, co-payments, braces, x-rays, fillings, dentures and more. If your spouse has an HSA, you can only enroll in the Limited Healthcare FSA. Prepared for: Renewal Date — 07/01/2019

Flexible Spending Accounts (FSA) Medical FSA — Reimbursable Items • Co-pay, Deductibles, Coinsurance • Prescription Drugs • Birth Control Pills • Chiropractic Care • Contact Lenses & Lens Solution • Infertility Treatment • Laser Eye Surgery • Dental Expenses/Orthodontia • Eyeglasses, Exams • Tuition at special schools serving handicapped children • Acupuncture • Hearing Testing, Hearing Aids, • Mileage to/from medical appointments • “Potential” expenses w/ doctor’s note Over-The-Counter medications Require a Prescription from Your Doctor (Example: Sinus Medication, Tylenol, Heart Burn medication, etc) Prepared for: Renewal Date — 07/01/2019

Health FSA Non-Reimbursable Items Because the IRS Says So… • Health Insurance Premiums • Cosmetic Procedures (such as teeth whitening) • General Health Items (i. e. toothpaste, shampoo, baby formula) • Warranties (example would be for eye glasses and hearing aids) Prepared for: Renewal Date — 07/01/2019

The Benefit Card — FSA Debit Card Just Swipe the Benefit Debit Card at Point-of-Sale. Works at doctor offices, pharmacies, hospitals and mass merchants, vision and dental. An exception would be “mom & pop” pharmacies. It will automatically clear transactions that match a co-pay table. Recurring expenses previously approved as eligible, recurring at the same vendor for the same dollar value. IRS views certain expenses as automatically eligible, while others will require an itemized receipt. For example; vision centers and dental expenses. Save your Receipts! ABS may send you a follow-up email on items that can’t be automatically seen as eligible. Prepared for: Renewal Date — 07/01/2019

What If I Can’t Use My Benefit Card? Use Your ABS Reimbursement Request Form. Submit your eligible expense receipts along with a reimbursement request form to ABS via fax, mail or the ABS mobile app. You may also log into your online portal and click on “I want to…” file a claim on the right side of your screen and upload from there. ABS will reimburse you directly within 10 business days via check or direct deposit. Reimbursement requests can be submitted any time during the plan year and up to 90 days following the end of the plan year. Prepared for: Renewal Date — 07/01/2019

Flexible Spending Accounts (FSA) FSA Plan Details Your employee packet contains important information about your plan. The Plan Highlights and Enrollment Instructions outline very important details: Annual Elections –Minimum and maximum contributions allowed. Plan Year Dates – The start date of the plan year, and more importantly the end date. How to Enroll Other information specific to your plan offerings. Prepared for: Renewal Date — 07/01/2019

Some Rules that We Must Mention… Only eligible expenses incurred within the Plan Year are eligible for reimbursement. “Your Plan has the 2 -1/2 month grace period. ” You will have until September 15 th, 2020 following the end of the Plan Year (June 30 th, 2020) to incur an eligible expense to use up money leftover from the previous Plan Year. Funds not spent by the end of the 2 -1/2 month grace period will be forfeited. All claims must be filed by the end of the 90 -day run off period (September 30 th , 2020) following the end of a plan year. IN OTHER WORDS “Use it, or lose it” Prepared for: Renewal Date — 07/01/2019

More Rules…. Can I Change My Health or Dependent Care Your Election? Once enrolled, your election cannot be changed until the following plan year, unless you have a family status change, such as: • Marriage or divorce • Death of a spouse or a dependent • Birth or adoption of a child • Spouse becomes employed or terminated • You or your spouse change job status • You or your spouse take a leave of absence Prepared for: Renewal Date — 07/01/2019

Or Visit www. abs 125. com Step 1. Click on Employees and Participants Step 2. Click here for Quick Balance, Personal Account or our Video Library! For more information, Call Toll Free: 877 -732 -8125 Prepared for: Renewal Date — 07/01/2019

Manage your health benefits on the go. Want a simple, easy way to check your healthcare account balances and submit receipts from anywhere? Wondering whether you have enough money to pay a bill or make a purchase? • The Mobile App lets you securely access your health benefit accounts with a touch of a finger. Designed so you can quickly find what you need most, our Mobile App provides easy, on-the-go access to all your health accounts. • View balance information for all your account(s) right away Use the “I Want To” section to quickly take any number of actions. Example: Scan items for eligibility • Stay up to speed With Advanced Benefit Strategies, you can get to the healthcare account information you need—fast. Prepared for: Renewal Date — 07/01/2019

Download ABS Mobile APP and Access your Account 24/7 Download the advanced Benefit Strategies mobile app for your chosen device from the Apple App Store or Google Play and log in using the password you use to access the ABS consumer portal at www. abs 125. com This is what you see after you load the mobile app. Prepared for: Renewal Date — 07/01/2019

Find FSA Eligible Items @ Browse 4, 000 FSA Eligible items and eligible items with a prescription. • Click on the Eligibility List. • All items denoted with a require a doctor’s prescription. • Pay using your Benefits Card or your personal credit card. Find the FSA Store at www. abs 125. com Prepared for: Renewal Date — 07/01/2019

Dependent Care FSA Pre-tax Daycare/Child Care Expenses, So You Can Go to Work, or Seek Employment Available to all dependent children under the age of 13! Care of the mentally and physically disabled. (See IRS eligibility guidelines) Pre-tax annual election is $5000. 00 per household for 2019. Reimbursement occurs when funding is in the account: Pay To Balance. Prepared for: Renewal Date — 07/01/2019

Automatic Dependent Care Reimbursement Request form If You Have a Fixed Cost: Complete the Automatic Dependent Care Reimbursement Affidavit at the beginning of the plan year and submit the completed form the 1 st time with a receipt. OR Submit your receipts online via your portal at www. abs 125. com and click on “I want to…” file a claim on the right side of the screen. OR Submit receipts using the regular reimbursement request form. Prepared for: Renewal Date — 07/01/2019