FLEXIBLE SPENDING ACCOUNT (FSA) for health and/or dependent care (pre-tax benefit)
If you are unfamiliar with flexible spending accounts, please review this link https://info.healthequity.com/Member/FSA or visit the Health Equity site
Must work 20 hours or more per week and a minimum of ten months per calendar year. Participation is optional.
Flexible Spending Account (FSA) form
Pre-tax Benefits Deduction Authorization form
FSA accounts must be re-enrolled in each year; renewal is not automatic. If you wish to continue this plan or start, please fill out the form
Health Equity is the third party administrator. Visit this site and you will find videos, documents and tools to answer your questions about flexible spending accounts.
2023 Contribution Limits:
Minimum contribution for a flexible spending account is $300 per calendar year.
Maximum contribution for a flexible spending account is $3,050 per calendar year.
Maximum contribution for a dependent care flex account is $5,000 per calendar year.
Direct deposit is available for flex reimbursements.
You can rollover a maximum of $570 of your 2022 FSA. An account will automatically be created for you in 2023 with the unused funds beginning on April 1st.
Healthcare FSA accounts with a balance of more than $570 will forfeit amounts over $570.
No rollover is available for dependent care accounts; unused contributions are forfeited.
Claims for 2022 expenses may be submitted through March 31, 2023.