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FLEXIBLE SPENDING AND HEALTH SAVINGS ACCOUNTS

Health care accounts can be used to help offset your out-of-pocket health care expenses, such as co-payments, prescription medications, dental work, eye glasses, and lab work.

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Account Information

Health Flexible Spending Account (FSA)
Who is the provider?
Fidelity
https://nb.fidelity.com
800-274-0503
Which plan is this account available for?
Cigna OAP Traditional Medical Plan and Cigna PPO Traditional Medical Plan. Employees on a HDHP may participate in a Limited Purpose FSA (see below).
What would I use this account for?
Eligible health care expenses including dental, vision, and prescription medications. List of qualifying expenses.
What is the maximum annual contribution?
$3,300
What is the annual company contribution?
Stampin' Up! does not contribute to this account.
Are there investment options?
No
When are the funds available?
Your entire contribution amount is available at the beginning of the plan year.
What happens if I don't use the money during the year?
There is a grace period that will allow you to use FSA funds 60 days after the plan year. Requests for reimbursement must be received 120 days after the plan year. After the grace period, funds that remain in your FSA account will be forfeited.
Health Savings Account (HSA)
Who is the provider?
Fidelity
www.401k.com
800-835-5097
Which plan is this account available for?
Cigna OAP HDHP and Cigna PPO HDHP
What would I use this account for?
To save for future health care expenses, but also to pay for eligible health care expenses including dental, vision, and prescription medications now. For more information see the Fidelity HSA Guide in the resources section.
What is the maximum annual contribution?
Employee: $4,300
Two Party or Family: $8,300
Age 55+: additional $1,000 catch up
What is the annual company contribution?
Employee: $250; additional dollar for dollar match up to $500.
Two Party: $500; additional dollar for dollar match up to $1,000.
Family: $500; additional dollar for dollar match up to $1,000.
Are there investment options?
Yes; find more information at 401k.com or the Fidelity HSA Investment Considerations brochure in the resources section.
When are the funds available?
Contributions can be used only after they have been deducted from your paycheck and deposited in your account.
What happens if I don't use the money during the year?
This is a personal account and the funds will continue to accrue until they are withdrawn or used for qualified expenses; they will also go with you if you leave Stampin’ Up!

HSA Contribution Rules

Contribution limits include contributions made by the employee and Stampin’ Up! An HSA is an individual account, meaning you can only contribute to an HSA that is setup in your name. If your spouse also contributes to an HSA, they must have a separate account in their name and the amount contributed in total to both accounts should not exceed the annual contribution limit.

Your allowed annual contribution is calculated based on the number of months covered by a qualified HDHP and your coverage type (employee only or family). For example, if you have employee-only coverage eight months of the year, your maximum contribution is $2866 ($4300/12 x 8).

Per the last-month rule (IRS Publication 969), if you are eligible on the first day of the last month of your tax year (usually December 1), you are considered eligible for the entire year. You may contribute up to the annual maximum IRS limit, but only if you maintain qualified HDHP coverage for the entire following year.

Limited Purpose FSA

Employees enrolled in the HDHP may elect to contribute to a limited purpose FSA. A limited purposed FSA only allows reimbursement of dental and vision expenses since they are not eligible for payment under the HDHP. However, you may also use your HSA funds for qualifying dental and vision expenses.

Dependent Care FSA

A dependent care FSA is funded with pre-tax dollars and can be used to pay for care of a dependent child, dependent parent, or other legal dependent. It is not pre-funded with your annually selected amount. Money is deposited into the account as it is deducted from your pay and is only available to use after being deposited into the account.

  • Only expenses that allow you and your spouse (if married) to work are eligible for reimbursement under the plan.
  • Services must be incurred in the plan year (January 1–December 31) or in the 60 day grace period after the plan year.
  • Use it or lose it. You will lose funds not used by the end of the 60 day grace period.
  • There is a 120-day period to submit reimbursement requests following a plan year.

FSA Account Access

As a participant in an FSA, you may use the Fidelity website to access your personal account to submit claims, view detailed claims history, access account information, and update your personal information.

HSA Account Access

Stampin’ Up! partners with Fidelity to administer HSA accounts. In order to receive all Stampin’ Up! contributions and contributions you have elected to make through payroll deductions, you must open a Fidelity HSA. To do this, login to Fidelity’s website using the same login information you use for your 401k account, click the open link next to Health Savings Account and follow the online instructions.

After you have opened an HSA with Fidelity, you may transfer savings from other HSA providers using the Fidelity HSA Transfer form or online.

Stampin’ Up! pays the administrative fee for this service while you are actively employed; you will be responsible for the monthly service fee after termination of employment.

Fidelity HSA Guide

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Fidelity HSA Four Things To Know

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Fidelity HSA Investment Considerations

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Fidelity HSA Enrollment Form

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Fidelity HSA Transfer Form

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Fidelity FSA & Reimbursement Accounts Service Guide

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Fidelity FSA Brochure

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Fidelity Dependent Care FSA Brochure

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Fidelity Limited Purpose FSA Brochure

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Fidelity FSA Quick Start Guide

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Fidelity FSA Quick Start Guide (Spanish)

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Fidelity Netbenefits Access Card FAQs

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Fidelity FSA Eligible Expenses

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Fidelity FSA Flyer

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Fidelity Reimbursement Request Form

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Fidelity Recurring Dependent Care Request Form

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