2024-BenefitsGuide-V16-Final

Flexible Spending Accounts

A Flexible Spending Account (FSA) is an individual account that allows you to set aside part of your pre-tax earnings each pay period. This plan is administered by Anthem Blue Cross. You can use the Healthcare FSA funds to pay for qualified healthcare expenses for you (and your eligible dependents) that are not covered under your medical, dental, or vision plans. Dependent Day Care FSA funds can be used to pay for child and dependent care expenses that qualify as a credit or deduction on your tax return.

Neither you nor your dependents have to be enrolled in a Reliance Rewards medical plan for eligible expenses to be reimbursable under the FSA.

LIMITED PURPOSE (for Saver Plan Enrollees)

HEALTHCARE

DEPENDENT DAY CARE

Youmay contribute from$130 to $5,000 per year per household. Eligible day care expenses for dependents under age 13, or for your spouse, your parents, or your parent(s) in-law who are mentally or physically incapable of caring for themselves and declared as a dependent on your federal income tax return. Qualified dependent day care expenses include day care or elder care and are the same as those you are allowed to take as a credit or deduction on your federal income tax return. To qualify for reimbursement, these expenses must be necessary to allow you and your spouse (if applicable) to work outside the home.

Annual Contribution Limits

You may contribute from $130 to $3,050 per year. You may be reimbursed for certain healthcare expenses, provided they are not reimbursed by any health plan, and qualify as a medical deduction on your federal

You may contribute from $130 to $3,050 per year. If you enroll in the Saver Plan, you can enroll into a “Limited Purpose” Healthcare FSA. As noted, you may be reimbursed for certain healthcare expenses that are not covered by your HSA, provided they are not reimbursed by any health plan, and qualify as a medical deduction on your federal income tax return. Examples include: • Dental/Vision plan copays, deductibles, and coinsurances • Acupuncture • Contact lens solution • Hearing aids and exams

income tax return. Examples include: • Medical and dental plan deductibles • Copays and coinsurance • Prescription drug copays • Acupuncture • Contact lens solution • Hearing aids and exams

Eligible Expenses

• Expenses not covered/partially covered by the medical, dental, and vision plans

Reimbursements can be made by: • Use your Anthem Blue Cross FSA Debit Card or • Submit a paper or online claim to Anthem Blue Cross FSA

Getting Reimbursed

2024 Healthcare FSA and Dependent Day Care FSA dollars can be used to reimburse expenses incurred beginning January 1, 2024, through March 15, 2025

Eligible Expenses

You have through March 30, 2025, to submit claims for reimbursement against the 2024 plan year FSA dollars. Anthem Blue Cross FSA may request verification of expenses before they process your claim. Keep your receipts!

Claim Deadline

IMPORTANT RULES FOR FLEXIBLE SPENDING ACCOUNTS • As required by the IRS, any money in your FSA accounts that is not used for expenses incurred from January 1, 2024, through March 15, 2025, will be forfeited. This is called the “use it or lose it” rule. • Your payroll contributions will stay the same for the entire plan year. You cannot change your contribution level during the plan year unless you have a Qualifying Life Event – for example, marriage, the birth of a child, or a change in employment. • You cannot use money in your Healthcare FSA to pay for Dependent Day Care expenses or vice versa.

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