Flexible Spending Accounts (FSAs)

Contribute pre-tax dollars up to the IRS annual maximum of $3,300 to pay for eligible healthcare expenses such as:

• Copays
• Prescription costs
• Contact lenses
• Eyeglasses
• Other eligible out of pocket costs associated with your medical, vision, and dental plans
• Eligible over the counter items such as pain relievers, feminine products, and cold and allergy medication

Go to FSAstore.com for thousands of items that are eligible through your FSA.
Eligible participants are allowed to rollover up to $640 of unused Healthcare FSA funds to the following Plan Year. The minimum amount that can rollover must be greater than $10.

Those enrolled in the High Deductible Health Plan (HDHP) can contribute pre-tax dollars up to the IRS annual maximum of $3,300 to pay for eligible vision and dental expenses.

Contribute pre-tax dollars up to the IRS annual maximum of $5,000 ($2,500 if married and filing separate tax returns), to pay for daycare expenses associated with caring for elder or child dependents up to the age of 13 that are necessary for you or your spouse to work or attend school full-time. You cannot use your Healthcare FSA to pay for Dependent Care expenses.

Claims Submission

• Claims must be received by Benefit Resource, Inc. prior to March 1 of the following year.
  • Claims denied during the run-out may be resubmitted but must be received by Benefit Resource within 21 days after the run-out ends.
• Eligible participants are allowed to rollover up to $640 of unused Healthcare FSA funds into the following Plan Year. The minimum amount that can rollover must be greater than $10.