Page 35 - Public Citizen 2021-2022

Flexible Spending Account

This Flexible Compensation Plan allows you to pay your cost for the benefits plans you
elected that are sponsored by your Employer through a Salary Reduction Agreement. This

lowers your federal and state taxes. At the beginning of the plan year or your initial
enrollment, you will be asked to choose an amount to be withdrawn from your wages to go

into your FSA account.

Benefits offered within the FSA account are the following:

» Medical Expenses
» Dependent Care Expenses

» Transit Expenses
» Parking Expenses

You should never contribute more than you think you will use in a year since any money left in any of
the buckets on the last day of the plan year will be lost. This is a use it or loose it account with the
exception of the $500 carryover maximum.

Eligibility & Open Enrollment

Employees, 18 years and older, who are working 2 hours or more in a consecutive work week are
eligible to enroll in the FSA on the first day of their employment. If you do not elect to participate
in the FSA when you begin your employment with Public Citizen, you may have to wait until open
enrollment. Public Citizen's open enrollment is January 1st each year.

How to Enroll or Make Changes

If you wish to enroll in the flexible spending plan you will need to complete a TASC enrollment form.
Your HR office can supply you with the necessary forms upon request.

Any changes to your plan should be made by calling the Customer service number or visiting the
website. Please see the contact information included in this booklet.