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.-~,,. <br />1, <br />,~ ~. <br />• Acne treatment <br />• Antiperspirant <br />• Any charges incurred outside of <br />plan year even if paid for during <br />plan year <br />• Any illegal treatment <br />• Bleaching of teeth <br />• Blemish concealer <br />• Breast pumps <br />• Chapsticks <br />• Cosmetics <br />• Cosmetic surgery, electrolysis, and <br />hair transplants that are not <br />medically necessary <br />• Cost of illegal drugs, even if <br />physician directed <br />• Cost of remedial classes for <br />non-handicapped child <br />• Cotton balls <br />• Dancing or ballet, even if recommended <br />by doctor <br />• Dental floss <br />• Denture care products <br />• Deodorant <br />• Dietary supplements <br />• Exercise equipment <br />• Face creams <br />• Finance charges <br />• Funeral expenses <br />• Hair growth/removal products <br />• Health insurance premiums deducted on <br />a pre-tax basis <br />• Life insurance <br />• Marriage counseling <br />• Maternity clothes <br />• Meals <br />• Mouth wash <br />• Nutritional supplements <br />(~ • Powder, baby or talcum <br />¢~ • Shampoo <br />• Skin lotion <br />• Stop smoking programs for <br />general well-being <br />• Suntan lotion <br />• Swabs <br />• Swimming lessons <br />Who chooses how contributions <br />will be made to the Health Care <br />Savings Plan? <br />Employees covered by a bargaining unit: <br />Amounts to be put into the account must be <br />negotiated or agreed to by both the bargaining <br />unit and employer and written into the collective <br />bargaining agreement or Memorandum of <br />iJnderstanding (MOU). <br />Employees not covered by a bargaining unit: <br />Amounts to be put into the account must be <br />agreed to by the employer and included in a <br />written personnel policy. <br />What type of contributions can <br />be made to the plan to receive the <br />favorable tax treatment? <br />Employer Contributions: <br />An employer could elect to put a specific <br />dollar anlount into employees' accounts, or <br />set aside a percentage of employees' salaries <br />into the accounts. <br />Mandatory Employee Contributions: <br />A mandated monthly contribution <br />could be required to be set aside in a plan. <br />Severance Pay: <br />Many public employers pay unused vacation or <br />sick leave at the time of termination. The policy <br />may mandate that all or a portion of this payout <br />be put into the plan.: <br />13 HCSP 1-800-657-5757 •~1S5L296-2761 www.msrs.state.mn.us • fax 651-297-52.38 2 <br />