Rip Curl Flexible Benefit Plan

A Flex Plan allows you to pay for:  Group Health Insurance Premiums  Certain Medical Expenses  Dependent or Child Care Expenses TAX FREE !!!

Rip Curl Flexible Benefit Plan What do you mean… TAX FREE?

Rip Curl Flexible Benefit Plan You can place a portion of your salary into the Flex Plan before: You can place a portion of your salary (from each pay period) into the Flex Plan before:  FICA (Social Security)  7.65%  Federal Taxes  (Start at 15%)  State Taxes  (Approximately 8%) If you add up all of the taxes taken out of your paycheck each pay period, you will see that it is close to 30% - 40%!!

Rip Curl Flexible Benefit Plan Group Health Insurance Premiums  Pay your portion of the employer sponsored group health insurance premium  You will lose nothing in this plan, you will only save money  Don’t forget to sign the enrollment form

Rip Curl Flexible Benefit Plan Medical Care Reimbursement Account What’s Reimbursable? Medical expenses NOT reimbursed by any insurance!!  Certain “over-the-counter” medications  Chiropractic Care  Massage Therapy/Body Scans  Dental / Orthodontics  Vision  Contact Lens/Solution  Deductibles/Co-payments  Laser Vision Correction

Rip Curl Flexible Benefit Plan Eligible Expenses In order to get expenses reimbursed, the expense must be….. MEDICALLY NECESSARY!!!! No Vitamins or Dietary Supplements  No Vitamins or Dietary Supplements  No Toiletries/Sundry Items (toothpaste, tissue, etc.)  No lotions, soaps, creams, suntan lotion, etc.  Nothing cosmetic in nature For more information on qualified expenses, visit us on the web at

Rip Curl Flexible Benefit Plan Dependent Care  Pay for child care / dependent care expenses up to $5,000 per year  If the dependent is a child the child must be under the age of 13  If the dependent is over the age of 13, they must be physically or mentally incapable of taking care of themselves  Must provide taxpayer ID# or SS# of person or organization providing care Visit us on the web at for more information on Dependent Care, in addition to a sample Visit us on the web at for more information on Dependent Care, in addition to a sample Dependent Care Receipt Dependent Care Receipt

Rip Curl Flexible Benefit Plan  Plan year begins March 1, 2007 and ends February 28, 2008  Plan Year Medical Maximum:$2,  Plan Year Dependent Care Maximum: $5,  Reimbursement Requests will be processed every other Monday (same week as payday) and will be added to your paycheck. Plan Specifics

Rip Curl Flexible Benefit Plan Submitting In A Request For Reimbursement  Fax, Mail, or copies of receipts to  Must be received 4 FULL business days prior to processing  General Rule of Thumb – submit your requests on payday for reimbursement on the following paycheck  Receipts must show date of service and the description of the service that was provided  Charge card or cash register receipts, or cancelled checks (without detailed description) are not acceptable  Balance due statements (without detailed description) will not be accepted  If your request form is filled out incorrectly, or receipts and proper documentation are missing, a letter will me ed to you explaining why your request is being denied.

Rip Curl Flexible Benefit Plan Can I stop or change contributions during the plan year?  NO, unless there is a…  Marriage  Divorce/Legal Separation  Birth  Death  Adoption/Change in Legal Guardianship  Change in spouse’s job  Change in spouse’s insurance If you have questions about a possible qualifying event, please contact your Human Resources Department or visit our website,

Rip Curl Flexible Benefit Plan How do I join the plan?  Determine if you are an eligible employee  Estimate your non-covered expenses  Complete the enrollment form  Complete the Evergreen Election Form

Rip Curl Flexible Benefit Plan What if I don’t use all the money I put into the plan?  Don’t let this happen to you!!  Only put in money for your planned expenses  Use the worksheet provided on our website, or in your enrollment packet You lose it!!

Rip Curl Flexible Benefit Plan

Flex vs. No Flex Before FlexWith Flex Gross Pay$32,000 Pretax Expenses (1) $0$2,000 Taxable Gross$32,000$30,000 Taxes (2) $9,600$9,000 Net Pay$22,400$21,000 Reimbursable Expenses$0$2,000 Spendable Income$22,400$23,000 (1)Group insurance premiums, unreimbursed medical expenses, and child care expenses (2)Estimated FICA, Federal Income Tax, State Income Tax (30%)

Rip Curl Flexible Benefit Plan  Download forms and worksheets  Access lists of covered/non-covered expenses  Medical Care Reimbursement Account  Dependent Care Reimbursement Account  Direct link to the I.R.S. for complete technical information  Submit questions and receive expert answers  Check Flexible Benefit Plan account balance/s 24/7  Track all requests and reimbursements  Visit the FSA Online store to purchase OTC items with your Debit Card. All transactions are approved at point of sale. That means NO receipt substantiation!!! Visit us on the Visit us on the