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×ó°®ÊÓƵ Eligible Employees:

Human Resources is pleased to announce open enrollment for Health Care and Day Care Flexible Spending Arrangements through Navia Benefits Solutions. These are optional pre-funded benefits that are employee paid using tax-free dollars and are payroll deducted.

allows you to pay for out-of-pocket medical expenses with tax-free dollars. Think of it as a tool to pay for your regular medical expenses throughout the plan year. Maximum enrollment for this plan year is $2,700.

Child care can be one of the single largest expenses for a family with children. can be used to pay for qualified daycare expenses with pre-tax dollars, which can save you up to $1700 per year. Maximum enrollment for this plan year is $5,000.

Please open the attached Enrollment Kit for details about the FSA program.

You can also go online to and explore.

It’s easy to enroll: Determine your election amount and .

It’s easy to manage: Your elected amount will be available July 1, and payroll will be deducted evenly within the Plan Year (24 payroll deductions).

It’s easy to use: Simply use your or submit your receipt for reimbursement. Be sure to keep your receipts in case verification is requested.

It’s easy to connect: Go online or upload the mobile app for claims submission, balance, etc.

Extra Benefit: $500 carryover of a remaining balance up to $500 for the next plan year.

FORMS

Please review the Navia FSA Enrollment Kit for details about the FSA program.

• Online Registration Instructions
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• Claim Form

You can also go online to and explore by clicking on and under the Benefits & Info drop down.

HEALTH CARE FSA

The Health Care FSA allows you to pay for out-of-pocket medical expenses with tax-free dollars. Think of it as a tool to pay for your regular medical expenses throughout the plan year.

Maximum enrollment for this plan year is $2,650.

Common Eligible Expenses, but not limited to:
• Prescription Drugs
• Copays
• Deductibles
• Dental Work
• Prescription Glasses
• Contact Lenses
• Hearing Aids
• Heart Monitors
• Humidifier
• Insole/Shoe Inserts
• Chiropractic Massage
• Prenatal Vitamins
• And much more
Health Care FSA –

DAY CARE FSA

Child care can be one of the single largest expenses for a family with children. A Day Care FSA can be used to pay for qualified day care expenses with pre-tax dollars, which can save you up to $1700 per year.

Maximum enrollment for this plan year is $5,000.

Common Eligible Expenses, but not limited to:
• Child Care by a relative
• Babysitter
• Preschool
• Before and After School Care
• Day Camps
• Elder Care
Day Care FSA –

×ó°®ÊÓƵ Eligible Employees are Regular Employees scheduled to work 19 hours or more per week.

WHEN BOTH SPOUSES ARE ×ó°®ÊÓƵ EMPLOYEES

When both spouses are ×ó°®ÊÓƵ employees and are choosing an election amount for the Health Care FSA, please note that both spouses can opt up-to the maximum annual election amount of $2,700.

When both spouses are ×ó°®ÊÓƵ employees and are choosing an election amount for the Day Care FSA, please note that both spouses can opt up-to half of the annual election of $5,000. If maximum amount is chosen, then both spouses would elect their annual election to be $2,500 each.