FLEXIBLE SPENDING ACCOUNT HEALTH CARE FSA DEPENDENT CARE FSA ▪ Administered by PrimePay ▪ Administered by PrimePay ▪ You may contribute up to $2,750 per year to pay for eligible ▪ You may contribute up to $5,000 ($2,500 if married and medical, Rx, dental and vision expenses filing taxes separately) to pay for eligible dependent care ▪ Funds are available to you on the first day of the plan year expenses. ▪ You can roll over up to $550 of unused funds into the 2022 ▪ Funds are available as you accrue them in the account. plan year ▪ You cannot roll over any unused funds into the 2022 plan ▪ Any amounts over $550 in the account would be forfeit under year the ‘use it or lose it’ rule ▪ Any unused funds would be forfeit under the ‘use it or lose it’ rule. Please note your current coverage elections WILL NOT automatically rollover 21 21