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<br />. <br /> <br />. <br /> <br />. <br /> <br />CilV of Arden Hills <br /> <br />Summary Plan Description <br /> <br />income for that year. If you are married, your income limitation is the lower of (a) your earned income <br />for the year, or (b) your spouse's earned income for the year. If your spouse is a full-time student or is <br />physically or mentally incapable of caring for himself or herself during the year, your spouse will be <br />considered to have earned income of $250 per month if you have one Dependent who qualifies for <br />coverage or $500 per month if you have two or more Dependents who qualify for coverage. <br /> <br />However, to sustain the nontaxable status of dependent care benefits you receive from the Plan, you will <br />be required to report the amount of those rein1bursements and the name, address, and social security <br />number or employer identification number of the dependent care provider on your federal income tax <br />return. <br /> <br />By each January 31, as part of your W-2, the Employer will provide you with a statement showing the <br />amount of dependent care reimbursement paid to you during the preceding calendar year so that you can <br />calculate the amount, if any, that was taxable. This statement may be a part of your W-2. The Employer <br />will not withhold income taxes or social security taxes from dependent care benefit payments. <br /> <br />To illustrate the tax savings offered by the Plan, suppose Terry expects to be paid a gross salary of <br />$35,000 during the year. If Terry has two children and expects to have $1000 in health care expenses <br />that will not be covered by insurance or any other health care plan and $2500 in dependent care expenses. <br />Terry may pay these expenses on an after-tax basis from her salary or, by participating in the Plan, she <br />can receive benefits from the Plan which allow hcr to pay the expenses with pre-tax dollars. The <br />difference is illustrated in the following table. (For illustration purposes it is assumed that Terry pays <br />$1.00 for each $1.00 of health care reimbursement coverage during the Plan Year and she is in the 30% <br />tax bracket.) <br /> <br />Sample Paycheck Comparison <br /> <br />Without Plan <br /> <br />With Piau <br /> <br />Annual earnin s <br />Health care expenseslDependent care expenses paid <br />throu h the Plan <br />Taxable com ensation <br />Estimatcd Federal Tax Withholdin <br />Social Security and Medicare (FlCA) Tax (7.65%) <br /> <br /> <br />$35,000.00 <br />-3,500.00 <br /> <br />$35 000.00 <br />c 10,500.00 <br /> <br />$31 500.00 <br />-9,450.00 <br /> <br /> <br />-2,410.00 <br />$19 640.00 <br />-0 <br /> <br />After-tax com ensation <br />Health care expenseslDependent care expenses paid <br />after-tax <br />S end able income after taxes and ex enses <br /> <br />$18322.00 <br /> <br />$19 640.00 <br /> <br />Terry's total gross compensation, considering both gross salary and Plan benefits, will have stayed the <br />same, but her compensation after federal taxes, health care expenses, and dependent care expenses will <br />have increased by $1,318.00. <br /> <br />The full or partial non-taxability of benefits is the primary benefit of the Plan. However, the exact effect <br />the Plan will have on you will depend on the benefits you elect as well as other factors that affect the <br />amount of income taxes you pay. <br /> <br />SPD-l1 <br />