FSA PLANS THAT ALLOW THE BENEFIT CARD

FSA Fact Sheets for plans that allow rollover

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA



FSA Fact Sheets for plans that allow grace extension

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA



FSA Fact Sheets for plans that DO NOT allow rollover or grace extension

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA



FSA PLANS THAT DO NOT ALLOW THE BENEFIT CARD

FSA Fact Sheets for plans that allow rollover

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA



FSA Fact Sheets for plans that allow grace extension

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA



FSA Fact Sheets for plans that DO NOT allow rollover or grace extension

One FSA Plan Offered
♦ Medical FSA Only
♦ Limited Purpose FSA Only

Two FSA Plans Offered
♦ Medical FSA & Limited Purpose FSA
♦ Medical FSA & Dependent Care FSA
♦ Limited Purpose FSA & Dependent Care FSA

Three FSA Plans Offered
♦ Medical FSA, Limited Purpose FSA & Dependent Care FSA