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Flexible Spending Accounts

View or Print FSA Benefit Summary  PDF document
View or Print FSA Reimbursement Form PDF document
View or Print FSA Change of Election Form PDF document
Information on Over-the-Counter Medications PDF document
Eligible FSA Expenses
FlexSave Website
Order Additional Flexible Spending Cards

Purpose of the Plan

The Flexible Spending Account is designed to cover specific out-of-pocket health and dependent care expenses you anticipate during the course of the Plan Year. The Flexible Spending Account allows you to use pretax dollars to pay for health expenses not covered by insurance. Expenses payable through the Flexible Spending Account include charges for contact lenses, eyeglasses, dental expenses, plus any deductibles and co-payments. In fact, any medical, dental, hearing or vision expenses that would otherwise qualify as a deduction on your income tax return will qualify for reimbursement, as long as the expense is not paid by another benefit plan. You may also pay for dependent care expenses.

How to Participate

In order to participate in the Plan you must file a Flexible Spending Accounts Election Form each year with the Compensation and Benefits Administrator during the open enrollment period. This form will be distributed to each eligible employee with their open enrollment packet. If you do not complete the form and return it to the Compensation and Benefits Administrator prior to the date required, you will not be eligible to become a participant again until January 1st of the next Plan Year, unless there is a change of family status during the year that qualifies you to participate.

For more information on the Flexible Spending Accounts, access the links above or call Susan Praski at x20503.


Flexible Spending Account Participants!

FlexCard Approval at Point-of-Sale PDF document
February 22, 2018
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