Page 20 - Willscot I Mobile Mini Open Enrollment Guide

Spending and Savings Accounts
Flexible Spending Accounts (FSA)
Flexible Spending Accounts provide a great way to save money on your health and dependent care expenses.
Healthcare FSA
Combination FSA
Dependent FSA
Do You Have
a Health Savings Account (HSA)?
You are not eligible to have a Healthcare FSA if you or WillScot Mobile Mini contribute to an HSA.
You or WillScot Mobile Mini must contribute to an HSA to have a Combination FSA.
You are eligible to have a Dependent Care FSA whether or not you contribute to an HSA.
Eligible Expenses
Eligible medical, dental and vision expenses.
Eligible dental and vision expenses, and medical after you have incurred $1,400/individual or $2,800/family in out-of-pocket medical expenses
(or the indexed amounts announced by the IRS for
the plan year, if different.)
Expenses for child/elder care for eligible dependents that allow you and/or your spouse or domestic partner to work (medical, dental and vision expenses are not eligible for reimbursement with this account).
How It’s Funded
You can make paycheck contributions up to $2,750 per year, or to the maximum indexed amount announced by the IRS for the plan year, if different.
Your annual election amount is made during your enrollment period. You cannot change it unless you have a qualifying life event during the year (such as getting married or having a baby).
Your entire annual contribution is available to you at the beginning of the plan year.
You can make paycheck contributions up to $2,750 per year, or to the maximum indexed amount announced by the IRS for the plan year, if different.
Your annual election is made during your enrollment period. You cannot change it unless you have a qualifying life event during the year (such as getting married or having a baby).
Your entire annual contribution is available to you at the beginning of the plan year.
You can make paycheck contributions up to $5,000 per year per household (or to the maximum indexed amount announced by the IRS for the plan year, if different) to use for qualified dependent care or elder care expenses.
Your election is made during your enrollment period. You cannot change it unless you have a qualifying life event during the year (such as having a baby or a change in dependent care expenses).
Your funds are only available to you after they have been deposited into your account each pay period.*
Unused Funds
You will have through March 15 of the following year to incur new expenses after the close of the plan year. Claims must be submitted by March 31. Please note that this FSA grace period will impact your eligibility for HSA enrollment for the next plan year.
You will have through March 15 of the following year to incur new expenses after the close of the plan year. Claims must be submitted by March 31.
You should estimate your expenses carefully before enrolling because unused funds in your account do not carry over at the end of the plan year and are forfeited.
How to Access
You will receive a benefits debit card that you can use to pay for eligible expenses. Or, you can submit claims for reimbursement of eligible expenses.
NOTE: You’ll receive one debit card to use for all of your Mercer Marketplace 365 supported accounts.
*Your contribution could be impacted by other reimbursements and your tax filing status. Consult your tax advisor for more information.
20 Copyright2021MercerHealth&BenefitsLLC.Allrightsreserved. www.mercermarketplace.com/willscotmobilemini