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© Hitesman & Wold, P.A. 2019 <br />Cafeteria Plan <br />Summary Description (3-11) <br />31 <br />dependents) to a minimum of 20% of such expenses (producing a maximum credit of $600 for one <br />dependent or $1,200 for two or more dependents.) The maximum 35% rate must be reduced by 1% (b ut <br />not below 20%) for each $2,000 portion (or any fraction of $2,000) of your adjusted gross incomes over <br />$15,000. <br />4.13 When would it be better for me to use the tax credit? <br />In general, if your income tax bracket is 15% or less, it will be more advantageous for you to <br />forego participation in the Dependent Care FSA, pay the expenses with after-tax dollars, and claim the <br />dependent care tax credits. However, you should analyze your own situation carefully to determine which <br />method is right for you. The actual dete rmination of the preferable method for treating benefit payments <br />depends on a number of factors such as one’s tax filing status (e.g., married, single, head of household), <br />number of dependents, etc. Each Participant will have to determine his or her tax po sition individually in <br />order to make the decisions between taxable and tax -free benefits. If you are uncertain about whether to <br />participate in this Dependent Care FSA or take the dependent care credit, you should consult your tax <br />advisor. <br />Please refer to Exhibit B for an example of how choosing between participating in the Dependent <br />Care FSA and taking the household and dependent care tax credit will impact your disposable income. <br />4.14 What if I am no longer eligible? <br />If your employment terminates or you otherwise cease to be eligible for coverage under the <br />Dependent Care FSA, you may not make any further contributions to your account. However, you may <br />continue to submit claims for reimbursement of Eligible Expenses incurred while you were a Participant <br />until the expiration of the claims run out period. <br />4.15 What if I receive benefits in error? <br />If a reimbursement is made by the Dependent Care FSA in excess of the amount to which you are <br />entitled under the Dependent Care FSA, the Dependent Care FSA has the right to recover such <br />overpayment. Repayment of an overpayment is a condition of participation in the Cafeteria Plan. <br />4.16 What if the dependent care expenses I incur during the Plan Year are less than the <br />annual benefit I have elected? <br />Any amounts remaining in your account attributable to a particular Plan Year shall be forfeited <br />following the claims run-out period described in Section 3.6. You will not be entitled to receive any direct <br />or indirect payment of any amount that represents the difference between the actual dependent care <br />expenses you have incurred, on the one hand, and the annual benefit you have elected and paid for, on <br />the other. If you do not use it, you lose it. <br />4.17 What reporting will I receive? <br />The amounts reimbursed under this Dependent Care FSA for each calendar year will be reported <br />on your W-2. If the actual amount paid is not known by the deadline for providing the W -2 (e.g., because <br />of the claims run-out period), the Employer may report a reasonable estimate of the reimbursements that <br />will be paid under the Dependent Care FSA for the year. A reasonable estimate may be the amount of <br />benefits you elected under the Dependent Care FSA for the year.