Your Flexible Spending Account Options

1. Your Flexible Spending Account Options Section 125 Cafeteria Plan Flexible Spending Account (FSA)

2. Flexible Spending Accounts (FSA) Designed to save you money / more take home pay Free Benefit!! • Money in an FSA is never taxed • No federal income tax • No social security tax • Every dollar you contribute is pre-tax, reducing your taxable income and increasing your take-home pay!

3. How Much Should You Contribute? • Estimate out-of-pocket expenses for the plan year for you and your qualified dependents: NOTE: If your spouse is enrolled or will be enrolling in a Health Savings Account Plan (HSA), you are not eligible to participate in this Medical FSA. • Medical expenses • Dependent Care expenses Employee (self) Spouse Dependents for

4. Medical FSA(Section 125 Cafeteria Plan) • Elect pre-tax dollars to pay for eligible Medical expenses: • Medical • Dental • Vision • With rising healthcare costs, every penny counts!

5. Co-pays and deductibles Prescription drugs/medications Dental/orthodontia care Glasses / Lasik / Contacts/ Solution Medical Equipment Drug & Alcohol Treatment Hearing aids Mileage to-and-from doctor appointments See complete eligible list Eligible Expenses for Medical FSA Ineligible Expenses: • Insurance premiums • Non-prescription OTC items • Cosmetic procedures • Personal hygiene products • Vitamins/supplements • Diet products/food • Exercise equipment • Health club fees • Non-prescription glasses • See complete ineligible list Please note: OTC drugs/medications require a prescription or Letter of Medical Necessity to be eligible for FSA reimbursement.

6. Dependent Care FSA • Elect pre-tax dollars to pay for eligible dependent day care services while you (and your spouse) are working or attending school full-time. • Daycare expenses and/or Before or after school care • Nursery school / Nannies • Summer Day Camp • Elderly Care • Qualifications: • Dependent care for children under age 13 • Dependent who is physically or mentally incapable of self-care including elderly parents. • Your daycare provider must claim your payments as income and pay tax

7. Annual Salary: $35,000 Out-of-Pocket Medical/Dental Expenses: $ 1,000 Out-of-Pocket Dependent Care Expenses: $ 2,500 FSA Savings Example Without FSA With FSA Gross Pay $ 35,000 $ 35,000 FSA Contribution - $ 0 - $ 3,500 Taxable Income $ 35,000 $ 31,500 Taxes (Fed, State, FICA) - $ 10,500 - $ 9,450 Out-of-Pocket Expenses - $ 3,500 - $ 3,500 Reimbursement from FSA + $ 0 +$ 3,500Take-Home Pay $ 21,000 $ 22,050 Annual savings = $1,050

8. Immediate Access to Medical Funds • The total amount of your Medical FSA annual contribution is available to you uniformly throughout the plan year, even though you are funding it each paycheck. • NOTE: Dependent Care FSA funds are available only as they are deducted from your paychecks (money-in, money-out). • Funds cannot crossover between each FSA type (i.e., Medical FSA funds cannot be used for Dependent Care expenses.) • Maximum = $2500 • Minimum = $10 per pay

9. How the TASC CARD Works • You will receive the FlexSystem TASC Card as a FSA participant. • It acts as a debit card and will come pre-loaded with the amount your annual contribution for Medical FSA. (use as credit) • The TASC Card will also work for your Dependent Care FSA, but only with the available account balance. • It is a “Smart Card” -- it will only be accepted for eligible expenses (see list).

10. Forfeiture – “Use It or Lose It” • “Use It or Lose It” - FSA balances do NOT rollover! • You must spend all the money in your account by the end of the Plan year/Grace period, or your remaining balance will be forfeited. Plan Year April 1 to March 31 • TIPS: • Be conservative. Set aside only dollars you will actually use. • Access your account to check balance frequently • Grace Period runs for up to 2 ½ months after the plan year ends (June 14th) • Run Out Period ends June 30th.

11. Points to Remember • Each plan year, the card dollar limit is replenished according to the new elected amount on the first day of the new plan. • The TASC Card cannot be used for expenses incurred in the prior plan year. • Keep your receipts! • Keep your TASC Card – do not throw away! Expiration Date!

12. MyTASC Online Login to MyTASC Click “Contact Us” 24-48-hour response time Donna Erhardt P 337-8318 / F 337-8666 donnamer@LeeSchools.net Interactive Voice Response Have 12 digit participant ID number ready Monday-Friday8:00am – 5:00pm CT AND/OR SMART PHONE APP Contact Information www.tasconline.com 1.800.422.4661

13. Reminder: Paper Enrollment Only Flexible Spending Account Enrollment Form Client TASC Id: 4401-8544-7853 Plan Name: The School District of Lee County, FL THE SCHOOL DISTRICT OF LEE COUNTY, FL Every line must be completed. Please enter zero (0) on DONNA ERHARDT the lines where no amount is being deducted. Make 2855 COLONIAL BLVD sure to sign and date the enrollment form. Return the FORT MYERS FL 33966 completed and signed form to your employer Participant Information: Email ______________________Employee ID_________________ Full Name ______________________________________________ Address ________________________________________________ City______________________________ State _____ Zip ________ (Plan Year is April 1 to March 31) (Grace Pd April 1 to June 14)