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<br />Breast Pump <br />Cosmetic Procedures (i.e., surgeries, baldness drugs) <br />Electrolysis or Hair Removal <br />Non-prescription dietary supplements and vitamins <br />except with letter of medical necessity <br />Medicines and drugs from other countries <br />Expenses incurred prior to the effective date of participation <br /> <br />Health Club Dues <br />Dental Procedure to Whiten Teeth <br />unless there is a medical reason <br />for the discoloration <br /> <br />Veterinary Fees <br /> <br />The eligible and ineligible expenses listed here are only a guide. You may call the IRS and ask for a copy <br />of Publication Number 502 (or access the IRS web site at http://www.irs.ustreas.gov). <br /> <br />Dependent Care Flexible Spending Account <br /> <br />You can use the Dependent Care Flexible Spending Account to set aside pre-tax dollars for eligible <br />dependent care expenses throughout the plan year. <br /> <br />You can use the Dependent Care Flexible Spending Account to pay for many types of dependent care <br />situations, including care for children, disabled spouses, or other disabled dependents. However, to <br />qualify as eligible expense, the following must be true: <br /> <br />· Care for your dependent(s) must be necessary for you and your spouse (if you are married) to <br />work, look for work, or go to school full time. In other words, expenses are not eligible if they <br />are for services provided while you are out for the evening socially or on vacation. <br />· The expenses must be incurred during the calendar year in which you participate. <br />· If the services are provided by a day care facility that cares for seven or more individuals at the <br />same time, the facility must be licensed. <br />· Your care provider is anyone other than a person whom you claim as a dependent on your federal <br />income tax return (a son or daughter who provides care must be at least age 19). In addition, you <br />must provide your caregiver's name, address, and Social Security number or taxpayer <br />identification number when you file for reimbursement. You also must provide this information <br />on your federal income tax return, unless your caregiver is a church or other religious <br />organization. <br /> <br />Eligible Dependents <br /> <br />An eligible dependent is a child younger than age 13 whom you claim as a dependent on your income tax <br />return. An eligible dependent can also be an older dependent (over age 13) who: <br /> <br />· Depends on you for a least half of his or her support; <br />· Regularly spends at least eight hours a day in your household; and <br />· Is physically or mentally unable to care for him or her. <br /> <br />Your dependent may be a disabled spouse, an elderly parent, or any other relative or dependent, as long as <br />he or she meets all of the above requirements. <br /> <br />Eligible Expenses <br /> <br />The Dependent Care Flexible Spending Account can be used to pay for IRS-specified dependent care <br />expenses you incur so that you may work or attend school full time. It is important to contribute money <br />only for dependent care expenses you know you will have during the upcoming year. Do not forget to <br /> <br />7 <br />