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Flexible
Spending Plan - Flex Plan Services
January 1, 2004 - December 31, 2004 |
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Information provided is
in summary format. Any difference between the summary
provided and actual contract will be settled in favor of the
contract.
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Eligibility |
Same as medical |
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Plan
Benefits |
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Health Care Reimbursement Account
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Dependent Care Assistance Account
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Annual
Benefits Limitation |
Health Care
Reimbursement Account: $3,600
Dependent
Care Assistance Account: $5,000
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Plan
Year |
January 1 through
December 31 |
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Mid-Year
Termination |
Pre-tax
contributions cease upon termination of
employment. Claims for reimbursements may be
submitted for services incurred on or before your
termination date. |
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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. |
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Medical
Related Expenses |
(Most) health care
expenses incurred by you and your family not covered
by a health insurance plan, such as deductibles and copayments.
See IRC Sec. 213.
"Additionally, a recent ruling, Ruling
2003-102, allows reimbursement for certain categories
of over-the-counter drugs such as allergy medications,
antacids, pain relievers, cold medicines, prenatal
vitamins only taken in preparation for or during
pregnancy, and other drugs used “to alleviate or treat
personal injuries or sickness.”
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Time
Frame to File Claims
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You should submit reimbursement claims during the Plan
Year, but in no event later than 180 days after the
end of a Plan Year. Any claims submitted after that
time will not be considered. |
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Permitted
Changes to Plan Contributions
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Qualified change
in family status |
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Detailed Plan Information |
Click here for detailed
information on your Flexible Benefits Plan. |
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Website
Information |
Visit Flex-Plan Services
at
http://www.flex-plan.com |