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FSA ENROLLMENT KIT - Mydenny's

FSAENROLLMENTGUIDEE veryone spends money on doctorvisits, prescriptions, dental exams, glasses andcontacts,andover-the-counter medicines, not to mention daycare. Why not savetax dollars onyour eligible expenses? By enrolling ina Flexible Spending Accountyou can make these every day expenses more s 1, 2016 December31, 2016 Plan SpecificationsMedical FSA Maximum Annual Contribution$2, Care FSA Maximum Annual Contribution$5, (or $2,500 if married but filing separately)Minimum Contribution Required to Participate$ ScheduleWeekly WednesdayReimbursement MethodCheck/ Debit CardMinimum Reimbursement AmountNoneRun OutPeriod tofileclaims90 daysafter the end of the plan year (3/31/2017)Grace Period to incur claims2 months through 3/15/2017 REMINDERS: Expenses for entire family may be reimbursed regardless of whether or not they are covered by the health/dentalinsurance.

FSA ENROLLMENT GUIDE Everyone spends money on doctor visits, prescriptions, dental exams, glasses and contacts, and over-the …

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