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A Flexible Spending Account enables you to pay for out-of-pocket health care or dependent care with pre-tax payroll deductions. FSAs are exempt from federal taxes, Social Security (FICA) taxes and, in most cases, state income taxes. Depending on your tax bracket, you may save up to 30% or more in taxes.
The Health Care FSA is used to reimburse eligible out-of-pocket healthcare expenses. You can contribute a maximum of $5,000 to a Health Care FSA each year. Click on Health Care FSA Overview for more information.
For a list of eligible health care expenses go to Eligible Health Care Expenses
In addition to expenses incurred by you and your spouse, your Health Care FSA may also reimburse expenses incurred by your dependents. Go to Eligible Dependent Expenses to find out whose expenses may by reimbursed.
Use the FSA Expense Estimate Worksheet to help you estimate your health care expenses and choose your annual FSA contribution.
Click on FSA Online Account Management to find out about a fast and easy way to manage your FSA activity.
FSA Auto-Claim Authorization Form (PDF Document)
FSA Direct Deposit Authorization Form (PDF Document)
Health Care FSA Reimbursement Form (PDF Document)
The Dependent Care FSA helps you pay for child care expenses which make it possible for you and your spouse (if applicable) to work. Under certain circumstances it also may be used to help pay for the care of elderly parents or of a disabled spouse or dependent. To be eligible, you must be at work during the time your eligible dependents receive care. Click on Dependent Care FSA Overview for more information.
FSA Dependent Care Reimbursement Form
FSA Direct Deposit Authorization Form
The maximum amount you can contribute annually to the Dependent Care FSA is $5,000 ($2,500 if you are married and file separate tax returns).
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