Expense Account Plan Information
Health Benefit Expense
Account
Plan Information
What it is
The Health
Benefit Expense Account is a program that allows you to set aside money,
before taxes, from your paycheck to pay for health related expenses not
covered by insurance. The great advantage is that you pay no
federal taxes on your contributions. For example, if you
put in $1000 and are in a 20% federal tax bracket you save $200 ($1000 x
20% = $200). If you or someone in your family (i.e., spouse and eligible
dependents) goes to the doctor or dentist, takes medication or wears
glasses, whether you have insurance or not, the Health Benefit Expense
Account may save you money.
Please note:
This account will be subject to New Jersey State Income Tax.
How it works
It's very simple. Each year you may choose to contribute between $100
and $5000 into the account*. When you have an eligible expense save the
receipt and mail or fax it in with the expense account form
(www.princeton.edu/hr/ben/eatoc.htm) to get reimbursed. Direct deposit
from your expense account to your checking or savings account is also
available (www.princeton.edu/hr/ben/forms.htm). You have until March 31,
2010 to submit claims for eligible expenses you have during the 2009
plan year, otherwise any money left in your account is
forfeited.
* Elections do not
automatically carry over each year. You must make a new election through
e-Benefits, our online benefits enrollment system each year to
participate in the Health Benefit Expense Account program, even if you
participated in 2008. You have until March 31,
2010 to submit claims for expenses you have during the 2009 plan year,
otherwise any money left in your account is forfeited.
How much to contribute
Contributions depend on household needs' think about how many copays you
will have for physician visits or prescriptions. Will you pay a
deductible? Perhaps you expect a large dental, orthodontic (e.g.,
braces), or vision expense (e.g., LASIK surgery). Please estimate your
expenses carefully because the IRS does not allow you to roll over
unused funds at the end of the year, so any money left in the account
will be forfeited.
Expense Account Worksheet
Use the worksheet below to calculate your expenses for the 2009 plan
year, January 1st- December 31st. You can calculate your savings at:
http://www.crosbybenefits.com/fsacalculator.asp. Do not include
itemized medical deductions you plan to claim on your annual tax return.
Remember to include the health expenses of your spouse and eligible
dependents.
Everyday Health Expenses (not
covered by insurance)
| Dental (non-cosmetic) |
_________ |
| Vision (prescription glasses, contact lenses, exams,
LASIK, supplies) |
_________ |
| Prescription Drugs |
_________ |
Over-the-Counter Medication (Antacids, Allergy
medication, Cold medicine, Pain relievers, First aid) |
_________ |
Expenses Within Your Medical Coverage
| Deductible (amount you pay before the plan begins to pay) |
_________ |
| Co-Insurance (% you pay after deductible is met) |
_________ |
| Copays (for doctor's office visits) |
_________ |
Other Expenses
| Orthodontia (only incurred expenses) |
_________ |
| LASIK eye surgery |
_________ |
| Chiropractic care |
_________ |
| Counseling |
_________ |
| Total estimated out-of-pocket expenses |
_________ |
Dependent Care Expense
Account
Plan Information
This is not a plan to cover your dependent's
health-related expenses. This is a plan to pay primarily for child care
expenses of dependent children 12 years and under.
What it is
The Dependent Care Expense Account is a program that allows you to set
aside money, before taxes, from your paycheck to pay primarily for
childcare expenses* of dependent children 12 years and under. The great
advantage is that you pay no federal taxes on
your contributions. For example, if you put in $1000 and are in a 20%
federal tax bracket you save $200 ($1000 x 20% = $200). If you (and your
spouse, if married), work full time and pay for day care, day camp or
after-school programs, then the Dependent Care Expense Account may save
you money.
Please note: This account
will be subject to New Jersey State Income Tax.
* In addition to childcare, the Dependent Care
Expense Account can be used to pay for the dependent care expenses for
any dependent living with you that is physically or mentally unable to
care for themselves and for whom you can claim as a dependent.
How it works
It's very simple. Each year you may choose to contribute between $100
and $5000 ($2500 if you are married and filing separately), into the
account**. When you have an eligible expense save the receipt and mail
or fax it in with the expense account form (www.princeton.edu/hr/ben/eatoc.htm)
to get reimbursed. Direct deposit from your expense account to your
checking or savings account is also available (www.princeton.edu/hr/ben/forms.htm).
You have until March 31, 2010 to submit claims for eligible expenses you
have during the 2009 plan year, otherwise any money left in
your account is forfeited.
Please note that if you claim the dependent care
tax credit it will be reduced, dollar for dollar, by the amount you
contribute to the Dependent Care Expense Account. Also, depending on
your household income it might be advantageous to claim childcare
expenses on your federal income tax return. You cannot claim the
expenses on your tax return and use the Dependent Care Expense Account.
Please ask your tax adviser which plan is best for you.
** Elections do not automatically carry over
each year. You must make a new election through e-Benefits, our online
benefits enrollment system each year to participate in the Dependent
Care Expense Account program, even if you participated in 2008. You
have until March 31, 2010 to submit claims for expenses you have during
the 2009 plan year, otherwise the leftover money is forfeited.
How much to contribute
Contributions depend on household needs' think about how much you spend
on childcare every year. Will you use day care or a private nanny?
Perhaps your child is going to nursery school or day camp this
year. Please estimate your expenses carefully
because the IRS does not allow you to roll over unused funds at the end
of the year, so any money left in the account will be
forfeited.
Expense Account Worksheet
Use the worksheet below to calculate your expenses for the 2009 plan
year, January 1st- December 31st. You can calculate your savings at:
http://www.crosbybenefits.com/fsacalculator.asp.
Common Childcare Expenses
| Nanny/Au Pair (Tax ID# or Social Security # required) |
_________ |
| Day Care Center |
_________ |
| Before and After School Programs |
_________ |
| Day Camp |
_________ |
Expenses you cannot claim
| Overnight Camp |
Kindergarten tuition |
| Day care provided by another dependent |
Private primary school |
| Day care provided "off the books" |
|
Last Updated:
07/01/09
|