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Benefits for 2022 Flexible Spending Accounts (FSA) Labster is offering a FlexibleSpendingAccount (FSA) for 2022. This ishow an FSA works: › YousetasidemoneyforyourFSAfromyourpaycheckbeforetaxesaretakenout. › Then use your pre-tax FSA funds throughout the plan year to pay for eligible health care or dependent care expenses. › Yousavemoneyonexpensesyou’realreadypayingfor. Healthcare FSA IRS Annual Contribution Limit: $2,850 Dependent Care FSA IRS Annual Contribution Limit: $5,000 ($2,500 if married & filing separately) You may rollover up to $570 annually of unused Healthcare FSA funds. Unused Dependent Care FSA funds are forfeited at the end of the plan year. HEALTH FSA ELIGIBLE EXPENSES DEPENDENT CARE FSA ELIGIBLE EXPENSES › Medical expenses: co-pays, co-insurance, and › Careforyour childwhoisunderage13 deductibles › Beforeandafter-schoolcare › Dental expenses: exams, cleanings, X-rays, and › Babysittingandnannyexpenses braces › Daycare,nurseryschool, andpreschool › Vision expenses: exams, contact lenses and › Summerdaycamp supplies,eyeglasses,and laser eye surgery › Care for a relative who is physically or mentally › Professional services: physical therapy, incapableof self-careand livesinyour home chiropractor, and acupuncture › Prescriptiondrugsand insulin › Over-the-counter health care items: bandages, pregnancy test kits, blood pressure monitors, etc. Refer to your FSA documentation for more information. 2022 Employee Benefit Guide This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance 15 carrier or provider’s contract.

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