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| YOUR CHOICE
BENEFITS If you elect an option that offers benefit credits you may use them to: 
receive taxable cash for time you could have worked but did not;
create an extended eligibility bank;
create a health care spending account;
increase life insurance;
save for retirement through a 401(k) savings plan.Paid Time-Off Bank You may deposit your benefit credits into a Paid Time-Off "bank". You may then use the credits to receive pay for any time you could have worked but did not (you simply file a claim with the Fund Office). Any credits remaining in the paid time-off bank at the end of the year will be cashed out. This benefit will be considered taxable income (any amount you receive during the calendar year will be subject to withholding and reported on your W-2 earnings at the end of the year). Extended Eligibility Bank You may choose to have all or a portion of your benefit credits "banked" for future use. In the event of a temporary layoff, termination of your employment, or retirement, you can extend your coverage under the Fund plan by using the amount in your bank to buy coverage for an additional period of time. Health Care Spending Account With any benefit plan, there are some items not covered such as plan deductibles and co-payments. By depositing all or a portion of your benefit credits into your Health Care Spending Account, you can set aside money to pay for health care-medical, prescription drug, dental and vision care (expenses that are not reimbursed by any plan). When you submit a receipt for eligible expenses, you’re paid tax-free from your account. How the Health Care Spending Account Works You decide how much of your benefit credits you want to contribute based on your estimated expenses for the coming year. You may contribute up to a maximum of $500 each year. When you have an eligible expense, pay for it as you normally would. Then, submit the receipt and a claim form to be reimbursed from your account. Use It or Lose It It’s important that you estimate your expenses carefully before contributing your benefit credits to this account, because any balance remaining in this account at the end of the year will be forfeited. Eligible Health Care Expenses Only certain health care expenses are eligible for reimbursement. Eligible expenses include: Medical or dental plan deductibles; Coinsurance amounts and
co-payments; Expenses that are not covered, or are partially covered under your
medical or dental plan; and Expenses beyond maximum medical and/or dental benefit
limits, and/or above usual, customary and reasonable (UCR) charges or plan allowances.Health Care Expenses Not Eligible For Reimbursement You cannot use your health care spending account to reimburse: Expenses reimbursed by any other medical/dental plan; Over the counter medications; Health club, spa, or exercise class fees; Cosmetic surgery (unless performed to correct a congenital deformity,
or deformity resulting from injury or disease); Contributions, or premiums for health care coverage,
for you, your spouse, and/or your children; Expenses not eligible for deduction from the IRS.
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