Common use of Dependent Care Spending Account Clause in Contracts

Dependent Care Spending Account. Up to $5,000 can be set aside on a pre-tax basis to pay your dependent care expenses such as day care and nursery school for children or other eligible dependents. If you enroll in PPO/HSA, if desired, you may enroll in both a HSA and the Limited Purpose FSA. The Limited Purpose FSA allows you to reimburse yourself for eligible dental and vision expenses and eligible medical expenses once you have met the PPO/HSA deductible. The following compares a Health Savings Account to a Flexible Spending Account. If you enroll in the PPO/HSA, it is possible to enroll in both. CBOE Health Savings Account CBOE Flexible Spending Account Tax free contributions Yes Yes Limits Individual: $3,350 Family: $6,750 Individual: $2,550 Family: $2,550 Annual Catch up Contribution age 55+ $1,000 No Earnings on Contributions Yes No Carry over contributions year to year Yes No Portable Yes No Cash outs if no medical expenses Yes but if before age 65 subject to a 20% penalty No Account can be used for out-of-pocket and unreimbursed medical expenses Yes- HSA Qualified Expenses Yes - FSA Allowable Expenses To encourage your healthy lifestyle, CBOE has negotiated discounted rates for individual memberships with several health clubs. Each offers a variety of services and locations. BCBS Fitness Program $25 $0 XSport Fitness $35 $0 Bottom Line Yoga $69 $34 Lifetime Fitness $63 - $110* $28 - $75 Buckingham Athletic Club $100** $65 Chicago Athletic Club $65*** $30 All rates are subject to change. * Range is based on club location. ** Rate contingent on a certain number of employees enrolling ***$65/month with 12-month commitment; cost is $75 with no annual commitment As noted above with BCBS Fitness Program, our medical plan provider Blue Cross Blue Shield, allows access to a network of fitness centers for a low monthly fee of $25. If you are enrolled in a health plan through Blue Cross, no contract is required. With the $35 CBOE reimbursement, your net cost can be $0. To learn more about the facilities in the Blue Cross network sign in to Blue Access for Members (xxxx://xxx.xxxxxx.xxx/login.html) and click “Fitness Program.” As of 07/01/2016 4 All full-time employees are eligible to receive a Health Club reimbursement after completion of one month of continuous service. CBOE will reimburse you up to $35/month toward the cost of any health club , if you meet the following requirements:: • Full-time employee with at least one month of continuous service. • Completion of a Health Assessment (HA) each calendar year. To complete the HA go to Blue Access for Members click “Health Assessment”. You can provide proof of completion of your HA by stopping by Human Resources and logging on to Blue Access for Members (BAM) or by sending a screen shot of “My Assessments” in BAM to XXXXXX@xxxx.xxx. • Submit your monthly invoice unless you are a member of Buckingham Athletic Club or Lifetime Fitness. • Reimbursements occur on a semi-annual basis at the end of June and December. • Be an active employee at the time the reimbursement occurs. Please note the reimbursement is considered a taxable benefit.

Dependent Care Spending Account. Up to $5,000 can be set aside on a pre-tax basis to pay your dependent care expenses such as day care and nursery school for children or other eligible dependents. If you enroll in PPO/HSA, if desired, you may enroll in both a HSA and the Limited Purpose FSA. The Limited Purpose FSA allows you to reimburse yourself for eligible dental and vision expenses and eligible medical expenses once you have met the PPO/HSA deductible. The following compares a Health Savings Account to a Flexible Spending Account. If you enroll in the PPO/HSA, it is possible to enroll in both. CBOE Health Savings Account CBOE Flexible Spending Account Tax free contributions Yes Yes Limits Individual: $3,350 Family: $6,750 Individual: $2,550 Family: $2,550 Annual Catch up Contribution age 55+ $1,000 No Earnings on Contributions Yes No Carry over contributions year to year Yes No Portable Yes No Cash outs if no medical expenses Yes but if before age 65 subject to a 20% penalty No Account can be used for out-of-pocket and unreimbursed medical expenses Yes- HSA Qualified Expenses Yes - FSA Allowable Expenses To encourage your healthy lifestyle, CBOE has negotiated discounted rates for individual memberships with several health clubs. Each offers a variety of services and locations. BCBS Fitness Program $25 $0 XSport Fitness $35 $0 Bottom Line Yoga $69 $34 Lifetime Fitness $63 - $110* $28 - $75 Buckingham Athletic Club $100** $65 Chicago Athletic Club $65*** $30 All rates are subject to change. * Range is based on club location. ** Rate contingent on a certain number of employees enrolling ***$65/month with 12-month commitment; cost is $75 with no annual commitment As noted above with BCBS Fitness Program, our medical plan provider Blue Cross Blue Shield, allows access to a network of fitness centers for a low monthly fee of $25. If you are enrolled in a health plan through Blue Cross, no contract is required. With the $35 CBOE reimbursement, your net cost can be $0. To learn more about the facilities in the Blue Cross network sign in to Blue Access for Members (xxxx://xxx.xxxxxx.xxx/login.html) and click “Fitness Program.” As of 07/01/2016 4 All full-time employees are eligible to receive a Health Club reimbursement after completion of one month of continuous service. CBOE will reimburse you up to $35/month toward the cost of any health club , if you meet the following requirements:: • · Full-time employee with at least one month of continuous service. • · Completion of a Health Assessment (HA) each calendar year. To complete the HA go to Blue Access for Members click “Health Assessment”. You can provide proof of completion of your HA by stopping by Human Resources and logging on to Blue Access for Members (BAM) or by sending a screen shot of “My Assessments” in BAM to XXXXXX@xxxx.xxx. • · Submit your monthly invoice unless you are a member of Buckingham Athletic Club or Lifetime Fitness. • · Reimbursements occur on a semi-annual basis at the end of June and December. • · Be an active employee at the time the reimbursement occurs. Please note the reimbursement is considered a taxable benefit.