1. Group Name
Employer ID: CHO
Name Here
Title Here

2. Instructions: Find and Replace Delete This Slide Before Presenting
Getting Started:
Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies plan.
Before showing this presentation to employees, please customize it by finding and replacing the following:
Group Name: Group Name
Health Insurance Carrier: Carrier
Plan Year: 00/00/ /00/0000
Plan Start Date: 00/00/0000
HRA Single Out-of-Pocket Responsibility: $$$$$
HRA Family Out-of-Pocket Responsibility: $$$$$$
HRA Single Funding: $
HRA Family Funding: $$
Carrier Single Deductible: $$$
Carrier Family Deductible: $$$$
FSA Maximum: $2,600

3. Your Health Plan Carrier
Deductible:
Single: $$$
Family: $$$$
Effective 00/00/0000, Choice Strategies will be administering:
Health Reimbursement Arrangement (HRA)
Flexible Spending Account (FSA)
Dependent Care Account (DCA)

4. Health Reimbursement Arrangement (HRA) Plan Year: 00/00/0000-00/00/0000
Key Features
Funding
Eligible Expenses
Employer funded
Funds used are tax deductible to employer
Tax free to the employee
Implementation in combination with High Deductible Health Plan helps to lower costs
BEFORE funds are available in the HRA for use, you must pay the following deductible expenses out-of- pocket.
Single: $$$$$
Family: $$$$$$
AFTER you pay the HRA deductible out-of- pocket, the HRA reimburses up to:
Medical Deductible
Copays
Coinsurance
Prescriptions

5. How is the deductible tracked?
Deductible not satisfied
Submit expenses via manual claims as you pay them out of pocket
Choice Strategies will track how much has been paid towards your deductible
You must continue to submit expenses as you pay them
Deductible satisfied
HRA funds are now available for use

6. What supporting documentation should I send?
Explanation of Benefits (EOB)
Statement from your health insurance company detailing your responsibility as the patient (deductible) and the insurance adjustments made.
Provider Bill or Statement
A detailed bill or statement from your doctor's office that details the date of service, procedures performed, amount due, doctor’s name, insurance adjustments, etc.

7. How do I claim the available HRA funds?
Provider Pay:
Choice will automatically issue payment via check to your provider after your required out of pocket portion is satisfied.
Member Pay:
Choice will automatically issue payment via check or direct deposit to you after your required out of pocket portion is satisfied.
Choice Strategies Card:
If you do not have a Choice Strategies Card, it will be issued to you once your required out of pocket portion is satisfied. You can then use the card for any eligible expenses after that time up to the HRA limit.

8. The HRA Run Out Period What Is It? My Plans Run Out
A 3 month period of time when employees may still receive bills/statements from prior year services. Employees may submit manual claims for expenses during this time
Claims must be submitted manually
Do not use the Choice Strategies Card for prior year expenses with an HRA
Plan Year
00/00/ /00/0000
Run Out Period

9. Flexible Spending Account (FSA) Plan Year: 00/00/0000-00/00/0000
Key Features
Funding
Eligible Expenses
Employer Owned
Less payroll taxes!
Employee Funded
Pre-tax contributions per pay period
Prefunded
Employees have access to funds from day 1 of the plan year
IRS Contribution limit
$2,600 pre-tax
All IRS eligible medical expenses
IRS Publication 502
WageWorks eligible expense list
Doctor Office visits
Hospital visits
Copays & Coinsurance
Prescriptions
Some Over-the-Counter products
Vision
Dental
And More!

10. The Grace Period What Is It? My Plans Grace Period
A 2 ½ month period of time that extends the plan year so that participants can use any remaining funds
Choice Strategies Card can be used during this time
For previous year expenses
For expenses incurred during the Grace period
Plan Year
00/00/ /00/0000
Grace Period

11. The FSA Carryover What Is It? Example
A provision for FSAs that allows up to $500 to carryover from year to year
The carryover amount does not impact how much someone can contribute in the following year
John had a previous year FSA for $2,500
He spent all but $500
The $500 carried over into his new FSA
He choose to elect the full IRS maximum of $2,600 for his new FSA
John now has a new FSA with a balance of $3,100

12. Dependent Care Account (DCA) Plan Year: 00/00/0000-00/00/0000
Key Features
Funding
Eligible Expenses
Employer Owned
Less payroll taxes!
Employee Funded
Pre-tax contributions per pay period
Funds Accumulate
Money can only be used as funded into the account
IRS Contribution limit
$5,000 pre-tax
Married and filing jointly
$2,500 pre-tax
Married and filing separately
All IRS eligible custodial care expenses
WageWorks eligible expense list
Babysitting (work related, not provided by tax dependent)
Before or after school programs (primarily custodial)
Custodial elder care
Nanny
Preschool
Summer day camp
Transportation to and from eligible dependent care

13. FSA Savings Examples Without FSA / DCA Gross Monthly Salary $2,500.00
Less:
Federal Income Tax
$333.61
State Income Tax
$174.79
FICA Tax
$191.25
Net Income
$1,800.35
Health Care Expenses
$200.00
Dependent Care
$400.00
Spendable Income
$1,200.35
With FSA/DCA
Gross Monthly Salary
$2,500.00
Less:
Health Care Expenses
$200.00
Dependent Care
$400.00
Taxable Income
$1,900.00
Federal Income Tax
$253.54
State Income Tax
$132.84
FICA Tax
$145.35
Spendable Income
$1,368.27
Monthly Savings
$167.92
Annual Savings
$2,015.04

14. The Choice Strategies Card
Key Features
1 card
Even if there are multiple accounts
Swipe as Credit vs. Debit
Access to the PIN if needed, is on the “My Card” tab in the member online account
Card activates upon first use for an eligible expense
Within the available balance on the plan
Spouses automatically receive their own card
Dependent cards can be issued upon request, free of charge

15. Payment Example: Medical Deductible Expenses
Present health insurance carrier ID card
Pay copay if applicable
Complete visit with the healthcare provider
Provider will submit information to health insurance carrier
Carrier will make adjustments and issue an Explanation of Benefits (EOB)
Provider will issue a detailed bill or statement
Pay the bill using the Choice Strategies Card
Provide the card number on the provider bill within the billing section

16. Payment Example: Prescription Expenses
Bring the prescription to pharmacy
Pharmacist will advise of the prescription price
Make sure that the pharmacy has your updated insurance/benefit information
Pay the bill using the Choice Strategies Card
Swipe the card as credit vs. debit for your convenience
IIAS (Inventory Information Approval System)
No Request for documentation on Rx charges if IIAS Approved Pharmacy is used. (List available on

17. Submitting a Claim Online Mobile App Paper
Instructional video available
Processing time is about 1-3 business days
Only 2 more days to receive reimbursement if signed up for direct deposit
Instructional video available
Take pictures of your supporting documentation and upload directly to transactions / claim submissions
Fax:
Mail: P.O. Box 2205, South Burlington, VT
Member Forms Page

18. Documentation Requirements
No Response?
The IRS states that supporting documentation must be supplied for card transactions used with tax advantaged benefits.
Keeps a company’s plan in compliance
Card will be placed in a temporarily inactive state until the transaction can be resolved
Resolution occurs when appropriate documentation is sent or a refund is made to the account
Your Responsibility
Respond to documentation requests made by Choice Strategies
Notices are sent via or mail.
Always , if on file
Multiple notices sent
Appropriate documentation includes:
Explanation of Benefits
Detailed Provider's bill or statement

19. Online Account & Mobile Application
Training Video:
cc/NewMemberPortalOvervie w
Training Video:
Features
Available Balance
Transaction History
Upload Supporting Documents
Card Status
Update Personal Information
Submit Claims Online

20. Phone: (Option 2)