Flexible Spending Accounts (FSAs)

Flexible Spending Accounts (FSAs) allow you to pay for eligible expenses using tax-free dollars. Important: There is a “use it or lose it” rule imposed by the IRS. If you do not spend all the money in your FSA by December 31, any unused dollars above the $660 allotted rollover for Healthcare FSAs will be forfeited per IRS regulations for pretax contributions.

 

 The Two Types of FSAs Are:

    Plan Information

    Plan Name: XXXX

    Policy Number: #XXXX

    Effective Date: XX/XX/XXXX

    Network: XXXX

    Healthcare FSA

    Contribute up to $3,300 per year, pretax, to pay for copays, prescription expenses, lab exams and tests, contact lenses and eyeglasses. 

    Dependent Care FSA

    Contribute up to $5,000 per year ($2,500 if married and filing separate tax returns), pretax, to pay for daycare expenses associated with caring for elder or child dependents 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.

    How Much Could You Save?

    Here’s an example. Let’s say Tom decides to set aside $2,000 in an FSA for the year. Normally, on that money, he’d pay $560 in federal income tax, $100 in state income tax, and $153 in FICA tax. So, by contributing that $2,000 to his FSA, he’ll get an $813 tax savings for the year.

    Without the FSA, Tom would pay:

    • 28% in federal income tax: $560 savings
    • 5% in state income tax: $100 savings
    • 7.65% in Federal Insurance Contributions Act (FICA) tax: $153 savings

    His total tax savings for the year with an FSA: $813