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| Customer Service |
Grace Mayer
(800) 279-2081 |
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Have Questions?
Contact Us |
Benefit Associates, LLC
1501 South Alexander Street,
Suite 104
Plant City, FL 33565
(813) 719-3937
www.benefitassociatesllc.com |
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The Sample Company FSA is managed by Grace Mayer.
All full-time employees are eligible for benefits the first of the month following 90 days.
A summary of your benefits is below.
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| Purpose: |
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An FSA allows employees to pay for certain healthcare and dependent care expenses on a pre-tax basis. By paying for these expenses before being taxed, employees lower their taxable income, pay less in taxes and increase their take-home pay. |
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| Eligible Expenses: |
In general, you can use your contributions to help pay for eligible medical expenses that would not otherwise be reimbursed by any other source. |
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| Maximum Contribution: |
$2,000 annually |
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| Restrictions Details: |
There are some IRS Restrictions.
For more information, visit the IRS' website |
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| Eligible Expenses: |
In general, you can use your contributions to help pay for the cost of care for your eligible dependents so that you (or if you're married, you and your spouse) can work. |
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| Maximum Contribution: |
$5,000 annually if you are married filing a joint return
$2,500 annually if you are single or married filing a separate return |
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| To Enroll: |
To enroll in this benefit, click the "FSA Participation Form" on the enrollment tab. |
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