This is a summary of the Dependent Care Reimbursement Account. The actual administration is governed by the Plan Document. If you have specific questions regarding the application of the Dependent Care Reimbursement to your situation, please contact your Human Resources Representative.
 

GENERAL:

The Dependent Care Reimbursement Account allows you the opportunity to pay Dependent Care expenses on a pre-tax basis by setting aside a predetermined dollar amount each payday to cover allowable expenses. You may think of a Reimbursement Account as a special savings account from which you can draw to reimburse yourself for Dependent Care expenses. Because the Reimbursement Account contributions are untaxed (by Federal, State and Social Security) at deposit and untaxed at withdrawal, you decrease your taxable income, while increasing your spendable cash.

• Choose an annual amount for your Dependent Care Account. Best to underestimate!
• Proportionate amount will be deducted from your paycheck on a pre-tax basis and accumulate in your Dependent Care Account.
• Reimbursement is made on a pre-tax basis up to the current balance of your account, as you submit evidence of expenses to your Representative.
• The reimbursement (when aggregated with all other reimbursements received by you under the Plan during the same year) may not exceed the least of the following limits:
a.) $5,000 ($2,500 if married filing separate income tax returns).
b.) Your taxable compensation (after the reduction agreed to).
c.) If you are married, your spouse's actual or deemed earned income. Your spouse will be deemed to have earned income of $200 ($400 if you have two or more dependents), for each month in which your spouse is (i) physically or mentally incapable of caring for himself or herself, or (ii) a full-time student at an educational institution.
• USE IT OR LOSE IT! If you have not submitted enough expenses to equal your annual Dependent Care Account by the end of the year deadline, you will forfeit the balance remaining in your account.

You may enroll or make changes to your deduction:

The Enrollment Form must be submitted to Human Resources, along with a copy of your child's birth certificate or verification of adoption and/or statement from your physician, if for a dependent over age 13 who is physically or mentally incapable of caring for himself or herself.

ELIGIBLE EXPENSES:

Under the Plan, you will be reimbursed only for Dependent Care expenses meeting all of the following conditions:

• The expenses are incurred for services rendered after the date of this election and during the calendar year to which it applies.
• Each individual for whom you incur the expenses is:
a.) a dependent under age 13 whom you are entitled to claim as a dependent on your Federal Income Tax Return, or
b.) a spouse or other tax dependent who is physically or mentally incapable of caring for himself or herself.
• The expenses are incurred for the care of a dependent described above or for related household services and are incurred to enable you to be gainfully employed.
• If the expenses are incurred for services outside your household, they are incurred for the care of a dependent who regularly spends at least 8 hours per day in your household.
• If the expenses are incurred for services provided by a dependent care center (i.e., a facility for more than 6 individuals not residing at the facility), the center complies with regulations.
• The expenses are not paid or payable to a child of yours who is under age 19 at the end of the year in which the expenses are incurred.
• The expenses are not paid or payable to an individual for whom you or your spouse is entitled to a personal tax exemption as a dependent.
  
  
• REIMBURSEMENT:
  • Complete
    Dependent Care/Child Care Expense Reimbursement Form
    Dependent Care/Child Care Expense Reimbursement Form
    
  • Submit form by 8th of each month.
  • Reimbursement equal to submitted expenses, subject to account balance.
  • Expenses submitted greater than your account held for future application.
  • Dependent Care payment made in last paycheck of the month.
  • Only expenses incurred during the current calendar year are reimbursable.
  • USE IT OR LOSE IT! If you have not submitted enough expenses to equal your annual Dependent Care Account by the end of the year deadline, you will forfeit the balance remaining in your account.