Benefits Handbook

You may contribute to the Plan through payroll deductions on a before-tax basis. When you have reimbursable health care expenses, you can receive your money back tax-free, up to the amount you elect to contribute for the year. You are reimbursed for eligible expenses that are not covered by another plan.

You contribute to the Health Care Flexible Spending Account over a 12-month plan year, from January 1 to December 31 (or fewer months, if you start or stop participating during the plan year as the result of a qualified family status change). You may use your Health Care Flexible Spending Account to pay for eligible expenses incurred during the plan year. You have until March 31 of the following plan year to submit for reimbursement eligible expenses you incurred during the plan year.

The Plan generally allows a maximum of $610 of your Health Care Flexible Spending Account unused balance to be carried over into the next plan year to be used for eligible expenses. In accordance with IRS rules, you will forfeit any amount that exceeds the maximum $610 carryover amount that is not used to pay eligible expenses incurred by December 31 (and submitted by March 31).

Example: You can use your 2024 Health Care Flexible Spending Account to be reimbursed for eligible expenses incurred between January 1 and December 31, 2024 (the plan year). You must submit claims for those expenses no later than March 31, 2025. If you have a $650 balance in your Health Care Flexible Spending Account on December 31, 2024, $610 of the $650 balance will be carried over for you to use in 2025. The remaining $40 of the $650 balance will be forfeited unless you submit by March 31, 2025 claims for eligible expenses incurred in 2024 to use the $40 balance.

For examples of IRC Section 213 qualified medical expenses, see IRS Publication 502, which is available at www.irs.gov or by calling the IRS at +1 800 829 3676. Note that certain items listed in Publication 502 may not qualify for Health Care Flexible Spending Account reimbursement, such as premiums for dental or vision insurance (see "Examples of Eligible Expenses" and "Examples of Ineligible Expenses" for more information). You may also contact the Claims Administrator, for information about reimbursable qualified medical expenses.