HEALTH CARE & DEPENDENT CARE REIMBURSEMENT PLANS Health Care Reimbursement Account Plan This plan allows you to set aside a portion of your pay on a pretax basis to reimburse yourself for eligible health, dental and vision care expenses for you, your spouse/registered domestic partner and eligible dependent(s). You may contribute up to $3,050 for the 2024 plan year through payroll deduction. Enrollment in the Health Care Reimbursement Account (HCRA) is required each year along with your designated contribution amounts. The 2024 monthly maximum is $254.16. ASIFlex is the claims administrator for this plan. Debit Card ASIFlex Mobile App FSAstore You can check your balance from The ASIFlex Card (a limited use Employees can purchase eligible products and pre-paid debit card) provides an the palm of your hand with the services through the Flexible Spending Account easy way to pay for out-of-pocket ASIFlex Mobile App. Submit claims (FSA) site, FSAstore. FSAstore.com has the health care expenses for you, your from anywhere, anytime. The app is largest inventory of FSA-eligible products and spouse, and any tax dependents. available to download in the Apple services on the web. It’s a website you can trust to The advantage of the card is that Store and Google Play. provide competitive pricing and quick turnaround you do not have to pay with cash or for Flexible Spending Account information and a personal credit card. The ASIFlex shopping. Cardless pay is now available through Card will allow you to pay directly the FSAstore by simply choosing the ASIFlex from your health care account and Payment option during the checkout process. Most can be used at health care providers FSA debit cards, as well as all major credit cards that accept VISA and certain retail are accepted. Please note: although it accepts merchants that inventory eligible FSA debit cards, ASIFlex might require a receipt for health care products. your purchase to substantiate the claim. Additional information about both plans can be obtained at asiflex.com or by calling ASIFlex at (800) 659-3035. Dependent Care Reimbursement Account Plan The Dependent Care Reimbursement Account plan (DCRA) allows you to set aside a portion of your pay on a pretax basis to reimburse yourself for childcare expenses for your eligible dependent child(ren) under the age of 13. Additionally, if you have an older dependent who lives with you and requires assistance with day-to-day living and is listed as a dependent on your annual tax return, you can claim these eligible expenses through your DCRA. You may contribute up to $5,000 each plan year ($2,500 if married, fling a separate tax return) through payroll deduction. Neither contributions nor reimbursements are taxed. Enrollment in the DCRA is required each year along with your designated contribution amounts. The 2024 monthly maximum amount is $416.66. ASIFlex is the claims administrator for this plan. 14
2023 Open Enrollment Page 14 Page 16