primeflex: flexible spending plans employee enrollment

PRIMEFLEX:FLEXIBLE SPENDING PLANS

EMPLOYEE ENROLLMENT

Flexible Spending Accounts Allows employees to pay for their family

medical and daycare expenses on a pre-tax basis

Reduces taxes Increases take-home pay Typically the only way to deduct these

expenses Diversified benefits Voluntary – Choose what you need If you have these expenses – Use it!! Easy

What Flexible Spending Accounts are available?

Medical Flexible Spending Account Dependent Care Reimbursement

Account

Medical Flexible Spending Account Co-Pays, Deductibles, Prescriptions,

Eyeglasses/Contact Lenses, Dental, too! OTC medicines - “Medically Necessary” $2,000 maximum contribution limit PrimeFlex Debit Card Claim Reimbursement Form Online submission of claims available KEEP ALL of your receipts! We will ask

for them for some of your expenses.

Dependent Care Reimbursement Account Child Daycare – under Age 13 Pre-Kindergarten Expenses / Summer Day

Camps Elder Care if claimed as dependent Both spouses need to be working! Maximum election of $5,000 per year.

($2,500 per if married, filing separately) Form #5 – Claim Reimbursement Form Online submission of claims available

Enrollment Online

Enter your Dependent Info & your Election

Account Balance Information

Submit Claims Online – 1st Step

Submit Claims Online – 2nd Step

Submit Claims Online – 3rd Step

Monthly Employee Statements*E-mail address must be provided

PrimeFlex Customer Service www.primepay.com

24/7 Online Account Access

Claim Reimbursement Forms

Updated list of eligible merchants

Medical and Dependent Care Expense List

877.7MY.FLEX 877.6FAX.FSA, fax primeflex@primepay.co

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