2018 Aflac Incorporated Benefits Guide

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SALARY REDIRECTION AGREEMENT
AFLAC EMPLOYEE HEALTH AND WELFARE
BENEFITS PLAN SALARY REDIRECTION
AGREEMENT:
Aflac offers some benefits options on a pretax basis. During
each open enrollment period, you may choose to retain,
change, add or delete the stated pretax benefits listed in this
benefits guide through the online open enrollment process.
Once you authorize your benefits elections through the online
annual benefits process during the open enrollment period
set by Aflac, you’re acknowledging that you understand the
insurance premiums and/or flexible spending account
election amounts that will be deducted beginning with your
Jan. 15, 2018, paycheck.
You also acknowledge that you understand these deductions
will be continuous and in an amount equal to the insurance
premiums and/or flexible spending account election amounts
for each payroll period throughout the year (January to
December), unless you experience a change in status as
governed by federal regulations.
The amount of your required contribution is based on a
schedule that can be found on
.
If there is an insignificant rate change during the plan year
(same as calendar year), by submitting your benefits elections
through the online annual benefits process, you authorize Aflac
to make a corresponding change in the amount deducted
from your salary without your signing a new Salary Redirection
Agreement.
YOU ALSO ACKNOWLEDGE THAT:
1 Your pretax contributions for payment of benefits
reduce your compensation for Social Security tax
purposes and, therefore, your Social Security benefits
may be decreased.
2 You cannot change or revoke your Salary Redirection
Agreement for premiums between the first day of the
plan year (Jan. 1) and the plan’s next anniversary date
(Dec. 31), unless a change in status occurs. The Salary
Redirection Agreement change must be caused by
and consistent with the change in status.
3 Coverage under a selected benefits plan or insurance
policy does not begin when the benefits enrollment
form is submitted. The terms, conditions and coverage
effective date are determined under the separate
benefits plan or insurance policy chosen.
4 As a medical flexible spending account participant, you
understand that reimbursement is made only for eligible
expenses. If you do not incur an eligible expense
before the end of each calendar year (and submit a
claim for reimbursement for such an expense within
90 days following the end of each calendar year), you
will forfeit any amount over $500 you requested be
withheld from your salary in anticipation of such an
expense. This is known as the “use it or lose it rule” for
medical flexible spending accounts.
5 As a dependent care flexible spending account
participant, you understand that reimbursement is
made only for eligible expenses. If you don’t incur an
eligible dependent-care expense within 2.5 months
following the end of each calendar year (and submit
a claim for reimbursement for such an expense within
90 days following the end of each calendar year), you
will forfeit the amount you requested withheld from
your salary in anticipation of such an expense. This is
known as the “use it or lose it rule” for dependent care
flexible spending accounts.
How to Apply for
Aflac Coverage