Flexible Spending Accounts

Boon-Chapman - www.myrsc.com

Please visit the Boon-Chapman website in order to view up-to-date information concerning your flexible spending account. Once on the site you will be able to view all claims history, transactions, account balance, Q&As and any additional information needed concerning your account.

Example of Tax Savings

Click here to see an example of the amount of taxes that could be saved using a flexible spending account versus paying for expenses after-tax. The example also provides you with tax savings on a pre-tax health insurance premium.

FSA Q&A

Have questions concerning your Flexible Spending Account? This Q&A will help guide you to the answers you need when determining whether or not a flexible spending account is for you. This will give you examples of qualifying expenses, filing deadlines, debit card information, and many other facts concerning FSA's.

2008 Flexible Spending Account Plan

Click here to view a full description of The Flexible Spending Account Plan for team members of United Supermarkets, L.L.C. This document summarizes the Plan rights and benefits for you as a participating team member.

• Change Status Matrix
• Plan Information Summary

2008 Flexible Spending Account Claim Form

Below are the spending account claim forms. Please select the appropriate form that corresponds with the expenses incurred in 2008.

• Health Care FSA Claim Form
• Dependent Care FSA Claim Form
• Health Care FSA Debit Card Reimbursement Form

Flexible Spending Account Information

Click here for information concerning the flexible spending accounts for 2008. The information includes the address for filing claims, the contribution minimum and maximums, eligibility requirements, and reimbursement dates.

Expense Estimation Worksheet

Click here in order to estimate how much you will need to contribute to your flexible spending account for 2008. Also included with the worksheet is a listing of eligible and ineligible expenses that may be used under the flexible spending accounts. Please note that any contribution made to your FSA in 2008, but not used in 2008 will be forfeited. The deadline to file claims is March 31st of the year following the year of enrollment.

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