HEALTH CARE & LIMITED PURPOSE FSA

Plan Materials

• FSA User Guide
• IRS Medical and Dental Expenses Pub. 502
• Healthcare FSA Flyer
• Limited Purpose FSA Flyer 

Overview

HEALTH CARE FSA (NOT available to colleagues enrolled in Anthem HDHP medical plan)

This FSA (sometimes referenced as a general health care FSA):

• Can be used to reimburse yourself for eligible medical, prescription drug, dental and/or vision care expenses for you and your eligible dependents that are not reimbursed by any insurance plan. Examples include:
  • Deductibles, copayments and coinsurance
  • Prescription drugs
  • Eye examinations, glasses, contacts, LASIK
  • Hearing examinations
  • Orthodontic expenses

The money you contribute towards your Health Care FSA accumulates each payroll period. However, your total annual contribution is available for use as early as January 1. (For new hires it is available the day City National Bank Benefits become effective).

LIMITED PURPOSE HEALTH CARE FSA (Available for those enrolled in the HDHP medical plan ONLY)

The Limited Purpose Health FSA works similar as the Health Care FSA except that:

• It is compatible with a Health Savings Account (HSA), and can only be used to reimburse yourself for eligible dental and vision expenses for you and your eligible dependents that are not reimbursed by any insurance plan; and
• The Limited Purpose FSA cannot be used for medical and/or prescription drug expenses.

Contact Information