Coverage ends on . VSP Vision Insurance $ Type: Can continue indefinitely through direct payment to carrier. Employee Annual Pledge: $ overage ends . Reimbursement YTD Contribution: $ Medical Account can be continued for full plan year if Account Annual Pledge: Medical Account $ $ remaining calendar year contributions are deducted by YTD Contribution: $ final paycheck or are paid post-tax directly to ETF. Dependent Account $ Tax Sheltered Annuity YTD Contribution: $ Contact Vendor for distribution information. $ YTD Contribution: $ $ YTD Contribution: $ $ Deferred Contact Vendor for distribution information. $ YTD Contribution: $ Compensation Leave Information Worksheet prepared as of your paycheck.
VSP Vision Insurance $ Type: Coverage ends on . Can continue indefinitely through direct payment to carrier. Employee Reimbursement Account Medical Account Dependent Account $ $ Annual Pledge: $ YTD Contribution: $ Annual Pledge: $ YTD Contribution: $ overage ends . Medical Account can be continued for full plan year if remaining calendar year contributions are deducted by final paycheck or are paid post-tax directly to ETF. Tax Sheltered Annuity $ $ $ YTD Contribution: $ YTD Contribution: $ YTD Contribution: $ Contact Vendor for distribution information. Deferred Compensation $ YTD Contribution: $ Contact Vendor for distribution information. Leave Information Worksheet prepared as of your paycheck.