OPTIONAL REIMBURSEMENT ACCOUNTS
(Also referred to as Flexible Spending Accounts or Cafeteria Plans)
Montana University System's benefits program includes two optional reimbursement accounts. These special benefits can work to your advantage by reducing your taxes on many out-of-pocket expenses for health care and dependent care. Employee Benefit Resources, LLP, administers this flexible benefit program.
==> Review your medical and dependent care account balances online, 24 hours a day.
==> Review your medical and dependent care summary plan description
==> Cafeteria Plan Participant Direct Deposit You may choose to receive your spending account reimbursements as a direct deposit to your checking or savings account. Complete the EBR form and submit it with a copy of a check (checking account) or deposit slip (savings account) to establish direct deposit.
==> Claim Rollover Election Form - Elect to pass through qualifying medical expenses not covered by your BlueCross BlueShield group health plan directly to your flex plan. This provides you with automatic claim submission without having to submit a paper claim form.
Health
Care Spending Account
Gives you a tax break on medical, dental and vision expenses
not covered under another health care plan.
Dependent Care Spending Account
Gives you a tax break if you pay someone to take care of your dependents while you work.
THE SPENDING ACCOUNT ADVANTAGE
No matter what benefits coverage you may have, you're likely to have some out-of-pocket expenses that aren't paid by your plans. This includes, for example, expenses you incur for medical or dental deductibles or copayments. Similarly, the cost of dependent care can be a significant, but necessary expense for working parents.
The Health Care and Dependent Care Spending Accounts can help reduce the impact of these out-of-pocket expenses on your budget. Here's how:
When you participate in one or both of the spending accounts, you use before-tax payroll deductions to pay many of your health care and/or dependent care expenses. You save money because your federal income, Social Security and Montana state taxes are figured after spending account deductions are taken. This means you can have a lower taxable income so less taxes will be taken out of your paycheck.
-
How much can you save?
-
As shown in the following chart, a rough rule of thumb is that your savings through either one of the spending accounts will equal your tax rate times your costs.
| Individual
in this federal |
Generally have
this |
And save this
percent |
|---|---|---|
15% |
15% + 7.65%* |
22.65% |
25% |
25% + 7.65%* |
32.65% |
|
||
-
In addition, reduced Montana state taxes on eligible expenses can add between 6% to 9% to your tax savings.
-
For example.....
Carla is a single mother of one child, earns $27,000, and is in the 15% federal income tax bracket. She expects out-of-pocket health care costs of $480 and day care costs of $2,600 -- a total of $3,080 in eligible spending account expenses. -
By using the Health Care and Dependent Care Spending Accounts to pay these expenses, Carla decreased her federal taxes and increased her spendable income
by ... $3,080 x 22.65% = $697.62 -
Carla will also save between 6% and 9% in Montana state taxes on her expenses -- or an additional $184.80 to $277.20.
YOUR SPENDING ACCOUNT OPTIONS
At each annual enrollment, you may choose to enroll in the Health Care Spending Account, the Dependent Care Spending Account or both. A yearly election is required. The following sections provide highlights of each spending account option.
Your
Health Care Spending Account
It probably comes as no surprise to you that health care is becoming
more expensive every day. To help you manage health care costs
that aren't covered by another plan, Montana University System
offers the Health Care Spending Account. Here's a brief summary
showing how the Health Care Spending Account works:
Eligible
expenses . . .
Includes amounts
you pay toward annual deductibles, copayments, amounts remaining
after the plan has paid benefits, orthodontia expenses, hearing
aids and exams, or travel to and from your doctor's office,
and any other medical expenses (except health care premiums)
that could be deducted on your Federal income tax return.
Your
annual contribution amount . . .
at the beginning
of each year, you decide how much you want to contribute to
your account. You may contribute from $10 to $500 a month
($6,000 per year) per household. In certain cases
this maximum may be subject to further limitations.
Making
your contributions . . .
automatic payroll
deductions in equal amounts from each paycheck throughout
the year are deposited directly into your individual plan
account. Contributions are deducted from your paycheck before federal and state income or Social Security taxes are withheld.
Receiving
reimbursements . . .
first, submit covered
medical, vision or dental expenses to the appropriate insurance
company. If ...
-
the expense is fully paid by the plan, no further action is necessary.
- the expense is not paid or is partially paid by the insurance company, you'll receive an Explanation of Benefits (EOB). You should then submit a completed Reimbursement form to Employee Benefit Resources, LLP for the unpaid portion, using the EOB as evidence of your expense.
You may request reimbursement from the Health Care Spending Account at any time during the year for up to the full amount you contribute, even if that amount hasn't yet been credited to your account. Your request for reimbursement must, however, be for amounts of $10 or more during the year.
Your claim may be for a single expense or you may save up smaller expenses until they total $10 or more. Claims for any amount may be submitted at the end of the year.
Reimbursement checks are issued daily. Submit claims to:
Employee
Benefit Resources, LLP
P.O. Box 1193
Helena, MT 59624
Your
Dependent Care Spending Account
If you pay someone to take care of your children or a dependent
disabled adult while you work, then you may be interested in the
Dependent Care Spending Account. It's a convenient way to budget
for dependent care expenses and get a tax break at the same time.
Here's how your Dependent Care Spending Account works:
-
Eligible dependents . . .
are our children under age 13 and older dependents, if they are mentally or physically incapable of taking care of themselves. -
Eligible expenses . . .
include most non-educational, non-medical day-care expenses for your eligible dependents. The purpose of the expenses must be to allow you -- and, if you're married, your spouse -- to work. -
Eligible providers . . .
these include licensed day-care centers and babysitters' services inside or outside your home. To get the tax-break, you must supply your day-care provider's tax I.D. number (or Social Security number) on your tax return. Tax ID numbers are not required for tax-exempt providers, such as church groups. -
Your annual contribution amount . . .
at the beginning of each year, you decide how much you want to contribute to your account. You may contribute from $10 to $500 a month per household. In certain cases this maximum may be subject to further limitations. -
Making your contributions . . .
automatic payroll deductions in equal amounts from each paycheck throughout the year are deposited directly into your individual plan account. Remember, contributions are deducted from your paycheck before federal and state income or Social Security taxes are withheld.
- Receiving reimbursement . . .
first, you pay your provider. You may submit a Claim for Reimbursement any time after the services have been rendered, as long as you have at least $10 in expenses. Claims for any amount may be submitted at the end of the year.
Reimbursement checks are issued daily. Unlike the Health Care Spending Account, however, your Dependent Care Spending Account may reimburse you only up to your account balance at the time your claim is submitted. The remaining portion of any partially paid claims will be paid to you when you have made additional contributions.
Your
Individual Health Plan Account
If any of your family members
are covered by an individual health plan, or if a family member
is paying COBRA payments, you may be able to pay these premiums
with pre-tax income. Plan members who are interested in this opportunity
should contact Employee Benefit Resources, LLP for more information.
IRS
Rules for Spending Accounts
In exchange for
the tax advantages available when you use the Health Care and/or
Dependent Care Spending Accounts, the IRS has some special rules.
As you make your spending account decision, keep in mind that
. . .
- Money you contribute to these accounts each plan year may be spent only on expenses you incur that plan year.
- Reimbursements from a spending account may be used only for expenses allowed for that account. For example, you may not be reimbursed for health care expenses from amounts you have deposited into the Dependent Care Spending Account.
-
Expenses you have reimbursed from a spending account may not be deducted on your federal income tax return.
- You may begin, stop
or change the amount of your spending account contributions
only at annual open enrollment unless you have an appropriate
life event change. To make a mid-year election change, the
increase or decrease in your annual election amount must be
consistent with the qualifying event. Qualifying events include:
- marriage
- divorce
- birth of your child
- adoption of your child
- death of your spouse or child
- change in your employment status
- change in your spouse's coverage or job
- unpaid leave of absence
Finally, if your eligible expenses for the year are less than the amount you contribute to your account that year, the remaining money will be forfeited. Our plan allows a 90-day grace period after the end of a plan year, during which claims may be submitted for the prior plan year.
You
may refer to IRS Publication 502 for more information
about reimbursable health care expenses and IRS
Publication 503 for more information on reimbursable dependent
care expenses. These publications
are available at many public libraries or may be obtained by
calling the IRS directly at 1-800-829-3676.
A Note About Social Security Benefits
By participating in the Health Care and/or Dependent Care Spending Accounts, you reduce your Social Security taxes. This could possibly affect your future Social Security benefits. Most experts say, however, that the tax advantage you get now will probably offset any potential reductions in future benefits.
If you want to know more about how one or both of these spending accounts can work to your advantage, please refer to your summary plan description or contact Employee Benefit Resources, LLP. You may also contact your Campus Payroll/Personnel Office for questions about enrolling in these accounts.
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