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2012 Benefit Enrollment Guide - Education Management Corporation

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Dependent Care FSA<br />

This account reimburses you for qualified day care expenses<br />

that are necessary so that you, or you and your spouse, can<br />

work. If you are single or if you are married and filing a joint<br />

tax return, you can contribute up to $5,000 annually into<br />

your dependent care FSA ($2,500 if married and filing<br />

separate federal income tax returns).<br />

The expenses covered on the days you are working include<br />

charges for:<br />

• Licensed nursery schools<br />

• Daycare centers<br />

• Babysitting<br />

• Disabled dependent day care (in or out of your home)<br />

If the care is in your home, the provider cannot be one of your<br />

dependents. On the claim form, you must provide the name,<br />

address and taxpayer identification number of the person<br />

performing dependent care services.<br />

You cannot receive advance reimbursements from a dependent<br />

care FSA. You can only be reimbursed up to the balance in<br />

your account.<br />

Use it or lose it<br />

When deciding how much to contribute to your health care or<br />

dependent care FSA for the year, be sure to estimate carefully.<br />

Consider predictable expenses based on past experience and<br />

upcoming events or changes. It’s important to do the math<br />

accurately, because if you don’t use up your FSA dollars by the<br />

end of the year, you will lose them.<br />

Note: Eligible health care expenses can be incurred through<br />

March 15, 2013 for reimbursement from your <strong>2012</strong> health<br />

care FSA.<br />

Filing a claim for reimbursement from your FSA<br />

To submit a claim for your eligible dependent care and/or<br />

health care FSA, complete a claim form, available on<br />

Employee Resource. Attach the dated receipts along with<br />

any other required documentation and fax or mail the form<br />

to WageWorks.<br />

WageWorks Card = instant reimbursement<br />

When you elect to contribute to a health care FSA, you will<br />

receive a WageWorks Card for on-the-spot access to your<br />

pretax dollars. Your WageWorks Card is similar to a VISA ® debit<br />

card. Use it to pay for eligible expenses directly at the point of<br />

service when you incur an expense at a designated health<br />

care merchant (doctor’s office, hospital, health care clinic,<br />

pharmacy, etc). However, you must keep receipts, as you may<br />

be required to send your receipts to WageWorks for review.<br />

When coverage ends<br />

You will not be eligible to receive reimbursement for expenses<br />

incurred after your participation end date. Your participation in<br />

the health care FSA or dependent care FSA will end:<br />

• On the date you terminate employment or cease to be a<br />

full-time or part-time* employee<br />

• When you elect to stop participating — if permissible —<br />

due to a qualifying change of status event<br />

Health care FSA participants whose participation has ended<br />

due to a COBRA qualifying event will be extended the<br />

opportunity to continue their participation in the health care<br />

FSA under COBRA.<br />

*Part-time employees with hire dates prior to December 1, 2011 will retain<br />

benefits eligibility in a grandfathered status through December 31, 2013.<br />

Part-time employees hired on or after December 1, 2011 are eligible for the<br />

employee assistance program and the 401(k) plan only.<br />

28 Questions? Contact HR One Connect at 1.888.471.3362 (1.888.HR1.EDMC).

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