18 XYZ COMPANY is offering a Flexible Spending Account (FSA) for 2022. This is how an FSA works: • You set aside money for your FSA from your paycheck before taxes are taken out. • Then use your pre-tax FSA funds throughout the plan year to pay for eligible health care or dependent care expenses. • You save money on expenses you’re already paying for. • Medical expenses: co-pays, co-insurance, and deductibles • Dental expenses: exams, cleanings, X-rays, and braces • Vision expenses: exams, contact lenses and supplies, eyeglasses, and laser eye surgery • Professional services: physical therapy, chiropractor, and acupuncture • Prescription drugs and insulin • Over-the-counter health care items: bandages, pregnancy test kits, blood pressure monitors, etc. • Care for your child who is under age 13 • Before and after-school care • Babysitting and nanny expenses • Day care, nursery school, and preschool • Summer day camp • Care for a relative who is physically or mentally incapable of self-care and lives in your home HEALTH FSA ELIGIBLE EXPENSES DEPENDENT CARE FSA ELIGIBLE EXPENSES FLEXIBLE SPENDING ACCOUNT (FSA)

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