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Flexible Spending Plan

January 1, 2002 - December 31, 2002

 

MEDICAL         DENTAL         VISION         LIFE/AD&D         LTD         STD         FLEX         EAP

 

Information provided is in summary format.  Any difference between the summary provided and actual contract will be settled in favor of the contract.

Eligibility Eligible full- or part-time employees
Plan Benefits

- Medical Reimbursement Account

- Dependent Care  Account

Annual Benefits Limitation

Medical Reimbursement Account:  $3,600

Dependent Care Account:  $5,000

Plan Year January 1st through December 31st.
Mid-Year Termination In the event that your employment is terminated, voluntarily or involuntarily, you may file claims against your account as long as the incurred dates for your expenses are prior to your termination date.
Dependent Care Expenses Dependent care expenses are eligible if they enable you and your spouse to be gainfully employed.  These expenses can also be reimbursed through the plan if your spouse is disabled or a full-time student for at least five months during the year.
     Eligible Dependents Children under the age of 13, a disabled spouse or other dependents who are physically or mentally incapable of self-care.
     Eligible Expenses Must be tied to the care of a qualified dependent, excluding tuition, educational expenses or overnight camps.
Medical Related Expenses (Many) health care expenses incurred by you and your family not covered by a health insurance plan, such as deductibles and copayments.  Eligible health care expenses include, but are not limited to:
     Eligible Medical Expenses Ambulance, nursing, fertility treatment, chiropractic services, wheelchairs or lifts, oxygen equipment, special beds or mattresses, diabetic supplies, physical therapy, Braille or other special books/items, etc.
     Eligible Vision Expenses Routine eye examinations, eyeglasses, corrective surgery.
     Eligible Dental Expenses Routine and preventive services, X-rays, orthodontia and appliances, restorative and major services including fillings, crowns, implants and bridges, dentures, periodontal services.
     Eligible Hearing Expenses Routine hearing examinations, hearing aids and repair, and repair of special telephone equipment for the deaf.
Additional Information Click this link for additional eligible expense information.
Time Frame to File Claims You have until March 31st of the following year to submit expenses incurred through December 31st of the plan year.
Permitted Changes to Plan Contributions Qualified change in family status
FSA Direct Find enrollment tools here, such as Medical and Dependent Care Expense Calculators.
 



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