Savings & Spending Accounts

To receive Citi’s contribution and to make contributions on your own behalf, you must open an HSA by accepting the terms and conditions and satisfying Citi’s policies and procedures required to establish an HSA.

You can add before-tax contributions to your HSA, up to IRS limits noted below. You can have tax-free money deducted from your pay and deposited directly into your HSA. You can change your contribution amount at any time during the plan year, so your savings can match your budget for upcoming health care expenses.

Citi contributes, too: up to $500 for Employee Only coverage and up to $1,000 for any other coverage category.

Establishing an HSA: Citi will make quarterly contributions of $125 (for employee only coverage) or $250 (for any other coverage level) if you meet the criteria noted on this page by the deadlines below:

You will receive a payment card for your HSA, designed to make it easier to pay for care. Use your HSA funds to pay for eligible health care expenses, like your deductible, coinsurance and other qualified medical, dental and vision care expenses, for you and your dependents. Visit www.irs.gov and access Publication 502 for a list of eligible expenses. It may be beneficial to pay for your health care expenses out of pocket to let your account grow.

Note: As part of the CARES Act, you can use your HSA for an expanded list of eligible healthcare purchases, including over-the-counter drugs, medicines not prescribed by a physician and menstrual care products. Access a detailed list of eligible expenses by clicking on “TRIP and Spending Accounts” under “Want to Get to Our Best in Class Vendors Fast?” in the upper right hand corner of My Total Compensation and Benefits.

Unused funds in your HSA will roll over to the next year. Once your balance reaches a certain amount, you may invest it, allowing it to grow over time.

You always own the funds in your HSA. You can take the account with you if you retire or leave Citi.

Use your HSA debit card to pay your doctor directly (if you established an HSA and there are sufficient funds in your account).

Visit ConnectYourCare through My Total Compensation and Benefits to pay claims or reimburse yourself for eligible out-of-pocket expenses from your HSA, if you established one and have sufficient funds in your account. If there is not enough money in your HSA to cover the claim, you can reimburse yourself after funds are deposited into your HSA.

Pay out of pocket and submit a reimbursement request to have funds withdrawn from your HSA at a later date. You do not have to file for reimbursement during the same year the expense was incurred.

Pay out of pocket and save your HSA balance for expenses you incur later this year or in future years.

Note: Money in an HSA grows tax-free and can be withdrawn tax-free as long as it is used to pay for qualified health-related expenses (a list of eligible expenses can be found in IRS Publication 502, available at www.irs.gov). If HSA funds are used for ineligible expenses, you will pay ordinary income tax on the amount withdrawn, plus a 20% penalty tax if you withdraw HSA funds before age 65. After age 65, you can use your HSA funds for any purpose with no penalty, but will still pay ordinary income tax.

You can contribute between $120 and $2,750 for 2021. You have access to the entire amount elected for the year starting with your first day of coverage.

Note: In 2021, you may start, increase, decrease and/or stop your contributions at any time up until October 31, 2021; however, you cannot decrease your goal amount so that it is less than what you have contributed to date.

The HCSA can be used for qualified health care expenses, including, but not limited to:

• Doctor visit copays
• Prescription drugs
• Vision care expenses, such as exams, prescription eyeglasses and sunglasses
• Physical therapy

Visit www.irs.gov and access Publication 502 for a complete list of eligible expenses.

Note: As part of the CARES Act, you can use your HCSA for an expanded list of eligible healthcare purchases, including over-the-counter drugs, medicines not prescribed by a physician and menstrual care products. Access a detailed list of eligible expenses by clicking on “TRIP and Spending Accounts” under “Want to Get to Our Best in Class Vendors Fast?” in the upper right hand corner of My Total Compensation and Benefits.

You receive a ConnectYourCare (“CYC”) payment card to pay for eligible expenses. Use your CYC payment card to pay for eligible services at the doctor’s office, pharmacy or other providers. You also have the option of paying out of pocket for medical care and later filing a claim on the ConnectYourCare website available through My Total Compensation and Benefits.

The HCSA is a spending account subject to the “use it or lose it” rule under the Internal Revenue Code. This means that you must incur eligible expenses each year to use the HCSA balance because it cannot be rolled over and used the next year.

As you are determining how much to contribute to an HCSA, plan accurately using the planning tools on Your Benefits Resources™ (YBR™) found on My Total Compensation and Benefits because any balance remaining unused by December 31, is subject to forfeiture. As such, you should think carefully about your health care needs for the coming year before electing your contribution amount.

Note that you may start, increase, decrease and/or stop your contributions at any time up until October 31, 2021; however, you cannot decrease your goal amount so that it is less than what you have contributed to date.

You can contribute between $120 and $2,750 for 2021. You have access to the entire amount elected for the year starting with your first day of coverage. You can only increase, decrease or stop your contributions during the year if you experience certain qualified changes in status.

Note: In 2021, you may start, increase, decrease and/or stop contributions at any time up until October 31, 2021; however, you cannot decrease your goal amount so that it is less than what you have contributed to date.

The LPSA can only be used for qualified dental and vision care expenses which include, but are not limited to:

• Preventive care
• Dental cleanings and fillings
• Orthodontia
• Eye exams
• Prescription eyeglasses and sunglasses
• Prescription contact lenses
• Laser surgery

See additional rules, features and uses.

You receive a CYC payment card to pay for eligible expenses. Use your CYC payment card to pay for eligible services at the doctor’s office, pharmacy or other providers. You may also pay out of pocket for care and later file a claim on the ConnectYourCare website available through My Total Compensation and Benefits.

The LPSA is a spending account subject to the IRS “use it or lose it” rule. This means that you must spend your balance each year because it cannot be rolled over into the next year.

As you are determining how much to contribute to an LPSA, be sure to plan accurately using the planning tools on Your Benefits Resources™ (YBR™) found on My Total Compensation and Benefits. You will forfeit any unused funds by December 31, so think carefully about your health care needs for the coming year before electing your contribution.

Note that you may start, increase, decrease and/or stop your contributions at any time up until October 31, 2021; however, you cannot decrease your goal amount so that it is less than what you have contributed to date.

You can contribute between $120 and $5,000 per year on a before-tax basis to reimburse yourself for day care expenses for qualified dependents so that you (and your spouse, if you are married) can work or look for work.

Note: In 2021, you may start, increase, decrease and/or stop contributions at any time up until October 31, 2021; however, you cannot decrease your goal amount so that it is less than what you have contributed to date.

Examples of eligible dependent day care expenses include:

• Care at a licensed nursery school, day camp (including specialty camps) or day care center
• Services from individuals who provide dependent day care inside or outside your home, unless the provider is your spouse, your own child under age 19 or any other dependent
• After-school care for children under age 13 (Note: If you were enrolled in a DCSA during the 2020 plan year, you can use DCSA funds for dependents up to age 14 in 2021.)
• Household services related to the care of an elderly or disabled adult who lives with you
• A care provider’s expenses for the transportation between your house and the place that provides day care services

Note: You cannot use the DCSA to reimburse yourself for your dependent children's health care expenses. Use the HCSA or LPSA for eligible health care expenses.

You can submit a claim for eligible expenses online on the CYC website, available through My Total Compensation and Benefits, or you can submit a paper claim to CYC using the Dependent Day Care Account Claim and Provider Documentation Form. The claim-filing instructions are on the CYC website and the Dependent Day Care Account Claim and Provider Documentation Form.

The DCSA is a spending account subject to the IRS “use it or lose it” rule. This means that you must incur eligible expenses each year to use the DCSA balance because it cannot be rolled over and used the next year.

As you are determining how much to contribute to an DCSA, plan accurately using the planning tools on Your Benefits Resources™ (YBR™) found on My Total Compensation and Benefits because any balance remaining unused by December 31, is subject to forfeiture.

Note: As part of the Consolidated Appropriations Act, unused funds in 2020 will automatically carry over to 2021 to help pay for eligible expenses. Unused funds from 2021 will also automatically carry over to 2022.

You are eligible to enroll in TRIP if:

• You commute to work by public transportation (bus, subway, train, ferry or van pool) or you commute to work by car and have out-of-pocket parking expenses
• You do not participate in another Company-sponsored parking or mass transit program

TRIP allows you to purchase transit and parking passes, up to $270, online so you can commute to and from work. The first $270 of your transit and/or parking pass will be deducted from your pay before taxes are withheld. Any amount of your transit pass or parking pass that exceeds $270 will be deducted from your pay after taxes are withheld.

You can enroll in TRIP on the CYC website, available as a link from My Total Compensation and Benefits. Note: TRIP is not part of Annual Enrollment. You can enroll at any time.