DesignPac Benefits Guide

Page 6

2013 Benefits

Page 6

Flexible Spending Accounts (FSA) For Healthcare Expenses

FSA Plan Info:

A healthcare flexible spending account (FSA) helps you save big on healthcare expenses that are not covered by the medical, dental and vision plans.

receive insurance coverage through your spouse’s employer. Your FSA funds can be used to cover eligible expenses for all your qualified dependents.

Website: www.flexdirect.adp.com

Because your FSA contributions are exempt from federal, social security taxes (FICA) and, in most cases, state income tax, you can save 20%40% on health services and products.

Receive reimbursements on an extensive list of eligible expenses

Fund your account with paycheck deductions

Reduce your income taxes

You may enroll in your employer’s FSA plan even if you

To view a list of eligible expenses, visit www.flexdirect.adp.com You can enroll in the FSA during Open Enrollment or during your new hire election period. Please note that once you make your FSA election for the year, you cannot change it until the next open enrollment or if you experience a qualifying family status change.

Flexible Spending Accounts Dependent Care A dependent care FSA helps you save on the care and supervision of your child. Whether you are a single parent or you and your spouse work or attend school fulltime, providing supervised care for your dependents is essential to your livelihood. Your dependent care FSA can be used to cover expenses

such as daycare, before afterschool care and day camps. Because your dependent care FSA is funded before any taxes are taken from your salary, the IRS determines which expenses are eligible for reimbursement. Some eligible expenses include:

Care at licensed nursery

Care provided in or outside your home during working hours

Before and after-school care

Day camps

Eldercare

Healthcare Flexible Spending Accounts (FSA)

You must be enrolled in the 1800Flowers.com Core You can be enrolled in the 1800Flowers.com medical medical plan to participate plan or a plan through your spouse's employer Savings account owned by you Maximum annual contributions: $3,250 for employee only coverage $6,450 for family coverage Employer Contributions: $15 per pay period for employee only coverage $20 per pay period for family coverage Set-up and annual fees may apply (please see the HSA fee schedule on the benefits portal) Unused funds roll over from year to year

Phone: 800.654.6695

Important Points on the FSA (healthcare and dependent care):

The FSA is not a savings account. You must use all of your contributions each year or risk losing any unused balance at the end of the plan year.

Be sure to submit all claims for eligible expenses by March 31st of the current year for claims incurred during the prior plan year.

The 2013 maximum amounts that you can contribute to the FSA:

schools or child centers

What’s the difference? Health Savings Account vs. Flexible Spending Accounts Health Savings Accounts (HSA)

Carrier: ADP Flex Direct

Healthcare: $2,500 Dependent Care: $5,000 (varies on filing status)

Save your receipts, because no taxes are taken on the funds in your FSA, the IRS requires that you retain all of your itemized receipts for purchases made with your FSA accounts/card.

It may be necessary for you to submit a receipt to prove eligibility of a purchase you have made.

You cannot have both an FSA and HSA at the same time.

Not a savings account and is not owned by you Maximum annual contributions: $2,500

No employer contributions

No set-up or annual fees Unused funds are forfeited if not used by 12/31

How to submit FSA claims: Complete and follow the instructions on the FSA claim forms which can be found on the benefits portal: www.1800flowers.essbenefits.com


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