RSI FSA Information Sheet

Flexible Spending Account — Real Savings. Real Simple. Using a Flexible Spending Account (FSA) is great way to WITH AN FSA YOU CAN: stretch your benefit dollars. You use before-tax dollars in your An FSA is a great way to pay for expenses with pre-tax dollars. FSA to reimburse yourself for eligible out-of-pocket medical • Enjoy significant tax savings with pre-tax deductible and dependent care expenses. That means you can enjoy tax contributions and tax-free reimbursements for savings and increased take-home pay—all with the qualified plan expenses convenience of a prepaid benefits card. Plus you can rollover $610 from one year to the next, reducing your risk of losing • Quickly and easily access funds using the prepaid benefits dollars at the end of the plan year. card at point of sale, or request to have funds directly deposited to your bank account via online or mobile app WHAT IS AN FSA? • Reduce filing hassles and paperwork by using your prepaid benefits card With an FSA, you elect to have your annual contribution • Enjoy secure access to accounts using a convenient deducted from your paycheck each pay period, in equal Consumer Portal available 24/7/365 installments throughout the plan year, until you reach the • Manage your FSA “on the go” with an easy-to-use mobile yearly maximum you have specified. The amount of your pay app that goes into an FSA will not count as taxable income, so you will have immediate tax savings. FSA dollars can be used during • File claims easily online (when required) and let the the plan year to pay for qualified expenses and services. system determine approval based on eligibility and • A Healthcare FSA allows reimbursement of qualifying availability of funds out-of-pocket medical expenses. • Stay up to date on balances and action required with • A Dependent Care FSA allows reimbursement of automated email alert and convenient portal and mobile dependent care expenses, such as daycare) incurred by home page messages eligible dependents. • Get one-click answers to benefits questions • Use it or Roll It Over. And now up to $610 of your unused healthcare Flexible Spending Account balance can be carried over into the next plan year instead of you “losing it” - making enrollment in an FSA much less risky. This gives you more flexibility to spend your FSA money when With all FSA account types, you’ll receive access to a secure, you need it. You can use it for necessary out-of-pocket easy-to-use web portal where you can track your account healthcare expenses, rather than feeling pressured to balance, view your investment accounts and submit requests engage in last minute and potentially unnecessary for reimbursements. spending at the end of the year. In addition, you’ll receive a convenient prepaid benefits card to make it easy to pay for eligible services and products not covered by your health insurance. When you use the card, payments are automatically withdrawn from your account. Just swipe the card and go. It’s that easy! Save your receipts! Most expenses can be validated through the card transaction, but you may be prompted to provide a copy of the receipt for certain transactions in accordance to IRS regulations. When required, receipts can be easily sent uploaded to either the consumer portal online or, through the mobile app. It’s as simple as taking a picture of the receipt using the camera on your mobile device! ©2019 All Rights Reserved WEX, Inc.

IS AN FSA RIGHT FOR ME? CLAIMS ACCESS An FSA is a great way to pay for expenses with pre-tax dollars. To track your FSA balance, view your investment accounts and A Healthcare FSA could save you money if you or your submit receipts and requests for reimbursements please visit dependents: www.rsiadmin.com and click on "1Cloud Member Login". Log in • Have out-of-pocket expenses like co-pays, coinsurance, to your account by using your username and password. Your user or deductibles for health, prescription, dental or vision name will be your Plug Power email address. plans • Have a health condition that requires the purchase of For example: If your name is John Doe , your username prescription medications on an ongoing basis will be: [email protected] • Wear glasses or contact lenses or are planning LASIK Your temporary password will be: password1 surgery • Need orthodontia care, such as braces, or have dental expenses not covered by your insurance A Dependent Care FSA provides pre-tax reimbursement of out-of-pocket expenses related to dependent care. This benefit may make sense if you (and your spouse, if married) are working or in school, and: • Your dependent children under age 13 attend daycare, after-school care or summer day camp • You provide care for a person of any age whom you claim as a dependent on your federal income tax return and who is mentally or physically incapable of caring for himself or herself PLAN AHEAD Before you enroll, you must first decide how much you want to contribute to your account(s). You will want to spend some time estimating your anticipated eligible medical and dependent care expenses for the June 1, 2023 – May 31, 2024 plan year, but know that you don’t have to worry about losing unused funds (up to $610) for your healthcare FSA. Dependent Care does not roll over. Above: With the convenience of a mobile device, you can see your available balance anywhere, anytime as well as file claims Throughout the year, you’ll likely find yourself with expenses and upload receipts. for yourself and your family that insurance won’t cover. By taking advantage of an FSA, you can actually reduce your Get started with the Reimbursement Specialists, Inc, taxable income and reduce your out-of-pocket expenses mobile app in Minutes when you use your FSA to pay for the things you’d purchase anyway. Simply download the Reimbursement Specialists, Inc. App for your Android or iPhone (also compatible with iPad® and iPod touch®) and log in using the same password you use to access *The amount you save in taxes with a Flexible Spending Account will vary the RSI consumer portal. depending on the amount you set aside in the account; your annual earnings; Questions? Contact the RSI Claims Department: whether or not you pay Social Security taxes; the number of exemptions and deductions you claim on your tax return; your tax bracket and your state and Toll Free Phone: 855-493-9859 local tax regulations. Check with your tax advisor for information on how E-mail: [email protected] participation will affect your tax savings. ©2019 All Rights Reserved WEX, Inc.