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Your FSA Options

Flexible Spending Accounts (FSAs)

FSAs allow you to set aside pre-tax dollars to pay for eligible health and dependent care expenses. Each year, you must elect the annual amount you want to contribute to one or both accounts. Your contributions will be deducted pre-tax from your paycheck which can help reduce your taxable income.

Healthcare Savings and FSA Planning

Health Care FSA

Annual Contribution Limit$3,400
EligibilityEligible employees who are not enrolled in the Choice HSA or Kaiser Permanente HMO with HSA plan
ELIGIBLE EXPENSES 1

Health plan deductibles, copays, coinsurance, and prescriptions, including dental and vision hardware and expenses

Availability of Funds
The full annual amount you elect is available on your plan effective date
Payment or Reimbursement Options
Debit card or reimbursement
2027 Services Deadline
12/31/2027
2027 Submission Deadline for Reimbursement
3/31/2028

Limited Purpose FSA

Annual Contribution Limit$3,400
EligibilityChoice HSA or Kaiser Permanente HMO with HSA plan participants only
ELIGIBLE EXPENSES 1

Dental and vision expenses only

Availability of Funds
The full annual amount you elect is available on your plan effective date
Payment or Reimbursement Options
Debit card or reimbursement
2027 Services Deadline
12/31/2027
2027 Submission Deadline for Reimbursement
3/31/2028

Dependent Care FSA

Annual Contribution Limit$5,000
EligibilityAll eligible employees
ELIGIBLE EXPENSES 1

Daycare for children age 12 and under, disabled children, and dependent adults

Availability of Funds
You can be reimbursed up to the amount available in your account
Payment or Reimbursement Options
Reimbursement
2027 Services Deadline
12/31/2027
2027 Submission Deadline for Reimbursement
3/31/2028

1 Refer to IRS Publication 502 and 503 for a complete list of eligible expenses.


Rules to Keep in Mind

Expenses must be incurred during the plan year to be eligible.

IRS requires a strict “use it or lose it” rule—any unused funds are forfeited at year-end.

Contributions can only be changed if you experience a qualified life event.

Health Care FSA and Dependent Care FSA funds cannot be combined or transferred.

If employment ends, only expenses incurred before termination are eligible unless COBRA is elected for a Health Care FSA.


Juggling Work & Family?

With a Dependent Care FSA, you can use pre-tax dollars to pay for daycare, preschool, after-school programs, and even elder care. These benefits make it easier to balance family responsibilities while working or going to school full time.

Your Rights

This website highlights some of your benefit plans. Your actual rights and benefits are governed by the official plan documents. If any discrepancy exists between this communication and the official plan documents, the plan documents will prevail. The company reserves the right to change any benefit plan without notice. Benefits are not a guarantee of employment.

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