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Introduction | The
accounts | Eligible health care expenses | Eligible
dependent care expenses | How the plan works | The
pretax advantage | Plan carefully | Submitting
claims
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Introduction
If
you are among the many LSU employees who have out of pocket medical
care and/or child care expenses, this plan is for you. La Sierra
University is pleased to offer its employees a plan whereby you
can pay for these expenses in a tax-favorable way through a plan
called Flexible Spending Accounts. The tax saving features of
these plans enable you to pay eligible expenses with dollars
that are not subject to federal, state and Social Security (FICA)
taxes. The result?
*
A lower tax bill.
* More purchasing power for health care and child care expenses
The
accounts
The
plans consist of a Health Care Account and a Dependent Care Account.
Both accounts are completely voluntary and function independently.
You can not use money from your Health Care Account to pay dependent
care expenses. Similarly, you can not use money from your Dependent
Care Account to pay health care expenses.
Eligible
health care expenses
The
Health Care Account enables you to be reimbursed with pre-tax
dollars on expenses not completely covered by your medical or
dental plans -- including deductibles and co-pays. Some common
uses for this account:
*
physical examinations
* eye examinations, glasses, contact lenses, and corrective eye surgery
* lab tests and other medical diagnostic procedures
* orthodontia above dental plan limits
* hearing exams and hearing aids
* surgery
* medical expenses not covered by another insurance source
* prescription drugs or insulin
* many other medical expenses
This
account can also be used to reimburse you in pretax dollars for
the health-related expenses of your dependents, as long as you
can claim them as a dependent on your tax return, even if they
are not covered under your medical or dental plans. Please ask
for a more complete list of the expenses you can pay with this
account.
Eligible
dependent care expenses
The
Dependent Care Account is a tax-favorable way to pay child care
expenses that enable you and your spouse, if you are married,
to work outside the home. Eligible expenses include the cost
of a day care center, a baby-sitter, or a nurse in your home
to enable you to work or attend school full time. If you hire
a baby-sitter to enjoy leisure activities, the expense would
not be eligible for reimbursement through the Dependent Care
Account. Other rules that apply to this account are described
in a separate brochure.
How
the plan works
The
Flexible Spending Accounts work much like a checking account
but with a pretax advantage. Each year, you decide how much to
deposit in your Health Care Account and/or Dependent Care Account
for the following calendar year. You draw on your account throughout
the year to pay expenses that qualify under the plan.
The
money you elect to deposit is automatically deducted from your
paycheck in equal amounts each pay period, before federal, state,
and Social Security taxes are calculated. Because of this pretax
advantage, the dollars you use for eligible expenses buy more
and you lower your taxable income at the same time.
The
pretax advantage
Because
you are lowering your taxable income with the money you set aside
in the flexible spending account, you will be paying less taxes
during the year. Lets say you decide to put aside $200
into the medical savings account. Each person will be saving
7.65% in Social Security taxes. This comes to $15.30. Depending
on which tax bracket you find yourself in when you file your
1040 form at the end of the year, you will be saving either 15%
or 28% in Federal taxes. This will come to either a $30.00 or
a $56.00 savings. State taxes are harder to determine a savings
on, but it would be any where from 3% to 9.3%. This amounts to
tax savings in the range of $6.00 to 18.60. When you add up these
numbers, you could see a overall tax savings of $51.30 all the
way up to $89.90 on the $200.00 you set aside.
Plan
carefully
An
important point to remember is that if you do not use the entire
amounts you set aside for eligible expenses, the Internal Revenue
Service (IRS) requires that the unused amounts be forfeited.
Unused
account balances cannot be carried forward to the next plan year
or returned in cash. Therefore, you must estimate your annual
expenses carefully. The amount of money you deposit in each account
should not exceed the amount of health care or dependent care
expenses you are certain you will incur.
Forfeitures
do not necessarily mean great financial losses, however. Even
if you forfeit some money at the end of the year, you may still
be ahead as a result of the tax savings. If you prefer not to
risk forfeiting any funds, review your expenses from the previous
year, plan carefully, and be conservative in your estimates.
Submitting
claims
You
may file a claim at any time during the plan year for eligible
expenses incurred during that year. Keep in mind that an expense
is incurred when the service is provided, not when you are billed
or when you pay for it. You may continue to file claims for eligible
expenses after the plan year has ended. You have until September
30 of the following year to do so. To file a claim, you must
have a copy of the medical bill, and a copy of the Risk Management
benefits statement showing the portion you owe.
If
you leave LSU for any reason, your deposits to the Flexible Spending
Accounts will stop. You may continue to submit claims for expenses
incurred during the plan year (even after your termination) up
to the amount you had in your account when your employment ended.
You may not submit expenses incurred beyond the plan year in
which your employment ended.
Dependent
Care reimbursement is limited to your account balance at the
time you submit a claim.
Health
Care reimbursement is limited to your total yearly election amount
(which may be more than your current health care balance) at
the time you submit a claim. After you claim reimbursement, regular
FSA payroll deductions will continue through the year to repay
the advance health care reimbursement.
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