Flexible Spending Arrangement Clause Samples
Flexible Spending Arrangement. A. During January 2026 and again in January 2027, the Employer will make available three hundred dollars ($300.00) in a Flexible Spending Arrangement (FSA) account for each bargaining unit member represented by a Union in the Coalition described in RCW 41.80.020(3), who meets the criteria in Subsection 22.5 B below.
B. In accordance with IRS regulations and guidance, the Employer FSA funds will be made available for a Coalition bargaining unit employee who:
1. Is occupying a position that has an annual full-time equivalent base salary of sixty-eight thousand and four dollars ($68,004.00)or less on November 1 of the year prior to the year the Employer FSA funds are being made available; and
2. Meets PEBB program eligibility requirements to receive the employer contribution for PEBB medical benefits on January 1 of the plan year in which the Employer FSA funds are made available, is not enrolled in a high-deductible health plan, and does not waive enrollment in a PEBB medical plan except to be covered as a dependent on another PEBB non-high deductible health plan.
3. Hourly employees’ annual base salary shall be the base hourly rate multiplied by two thousand eighty-eight (2088).
4. Base salary excludes overtime, shift differential and all other premiums or payments.
C. An FSA will be established for all employees eligible under this Section who do not otherwise have one. An employee who is eligible for Employer FSA funds may decline this benefit but cannot receive cash in lieu of this benefit.
D. The provisions of the State’s salary reduction plan will apply. In the event that a federal tax that takes into account contributions to a FSA is imposed on PEBB health plans, this provision will automatically terminate. The parties agree to meet and negotiate over the termination of this benefit.
Flexible Spending Arrangement. CEO shall be eligible to participate in Sound Transit’s Flexible Spending Arrangement plan, as currently in effect or hereafter amended at Sound Transit’s discretion. As to CEO, this benefit currently includes a matching contribution by Sound Transit up to the maximum allowable under the Internal Revenue Code Section 125 regulations, which for 2019 is anticipated to be Two Thousand and Seven Hundred Dollars and No Cents ($2,700.00).
Flexible Spending Arrangement. The City will offer the health care FSA to BPMA bargaining unit members.
Flexible Spending Arrangement. As an alternative, Your pre-tax pay can be allotted to the Limited Purpose Health Care Flexible Spending Arrangement. Under the Limited Purpose Health Care Flexible Spending Arrangement, reimbursements are limited to Eligible Health Care Expenses for dental and vision care services and products that meet the IRS definition of medical care. In addition, the expenses cannot be paid by Your Medical Plan coverage or any other insurance. I cannot request reimbursements for qualifying medical care expenses unless they are incurred by me and/or any of the following “dependents”: • My legal spouse • A qualifying child who is a U.S. citizen, national, or a resident of the U.S., Mexico, or Canada, and – − Is not someone else’s qualifying child, − Has a specified family-type relationship to me, − Lives in my household for more than half of the taxable year, − Is 18 years or younger, (23 years if a full time student at the end of the taxable year), and − Has not provided more than one-half of his or her own support during the taxable year. If permitted by my plan a dependent may also include a child who does not attain age 27 during my taxable year and has the following relationship to me: son/daughter or stepson/stepdaughter, eligible ▇▇▇▇▇▇ child, legally adopted child or legally placed with me for adoption. Ask Human Resources if this provision applies. • A qualifying individual who is a U.S. citizen, national, or a resident of the U.S., Mexico, or Canada, and – − Has a specified family-type relationship to me, is not someone else’s qualifying child, and receives more than one-half of his or her support from me during the taxable year, or − If no specified family-type relationship to me exists, is a member of and lives in my household (without violating local law) for the entire taxable year and receives more than half of his or her support from me during the taxable year. There is no age requirement for a qualifying child if he or she is physically and/or mentally incapable of self-care. An eligible child of divorced parents is treated as a dependent of both, so either or both parents can establish a HCFSA. If elected by my Employer, a debit card will be issued to me. With the card, I may pay certain claims at the point of service using funds from my HCFSA balance for the current plan year. If applicable, I agree to all of the conditions of the debit card, including but not limited to the following: • All claims reimbursed through the debit card are subject to Int...
Flexible Spending Arrangement. 1. During January 2025 and again in January 2026, the Employer will make available three hundred dollars ($300 ) in a Flexible Spending Arrangement (FSA) account for each bargaining unit member represented by a Union in the Coalition described in RCW 41.80.020(3), who meets the criteria in Subsection H.2 below.
2. In accordance with IRS regulations and guidance, the Employer FSA funds will be made available for a Coalition bargaining unit employee who:
a. Is occupying a position that has an annual full-time equivalent base sixty-eight thousand and four dollars ($68,004.00) or less on November 1 of the year prior to the year the Employer FSA funds are being made available; and
b. Meets PEBB program eligibility requirements to receive the Employer contribution for PEBB medical benefits on January 1 of the plan year in which the Employer FSA funds are made available, is not enrolled in a high-deductible health plan, and does not waive enrollment in a PEBB medical plan except to be covered as a dependent on another PEBB non-high deductible health plan.
c. Hourly employees’ annual base salary shall be the base hourly rate multiplied by two thousand, eighty-eight (2,088).
d. Base salary excludes overtime, shift differential and all other premiums or payments.