Benefit Brochure 2022

Further Flexible Spending Account

Pay for health care expenses tax-free

All systems go! Use your FSA for these:

■ Medical expenses that your plan doesn’t cover: – Out-of-pocket expenses until you reach your deductible

Select a medical FSA at

– Copayments, coinsurance and prescription drugs

■ Dental and vision care not covered by your health plan

Heads up! You can’t use your FSA for these:

■ Health insurance monthly premiums

We’re here for you Talk with one of our specially trained FSA customer service representatives to answer any questions you may have.

■ Expenses that aren’t related to medical treatment or care as defined by the IRS

It’s important to save all your receipts and explanation of benefits (EOB) statements to validate expenses, as required by the IRS.

1-800-859-2144

7 a.m. to 8 p.m. CST, Monday-Friday

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