Monday, February 08, 2010
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Benefits Advisor explaining benefits to an employee
Flexible Spending Accounts

Flexible Spending Account Overview

Through FSAs, you can pay for certain health and dependent care expenses with before-tax (tax-free) dollars. There are two types of FSA plans:

  • Health Care – This plan allows you to pay up to $15,000 in healthcare expenses (for you and your dependents) that aren’t covered by insurance, with tax-free dollars (such as deductibles and co-payments and services not fully paid by your insurance coverage).

  • Dependent Care – This plan allows you to pay up to $5,000 with tax-free dollars to someone who is caring for your dependents (children or incapacitated adults) so you can work.

These accounts allow you to pay for planned expenses with before-tax dollars. For example, if you earn $40,000 and put $2,000 into an FSA (either health care or dependent care), you will reduce the income you pay taxes on to $38,000.

When you use money out of your paycheck to purchase something, you are paying for that item with after-tax dollars. You can make your pay check go farther if you contribute to an FSA and use tax-free FSA money to reimburse yourself for eligible healthcare and dependent care expenses.

  

 

Reimbursement Claim Forms

FSA Health Care Claim Form

FSA Dependent Care Claim Form

FSA Health Care Letter of Medical Necessity

FSA Health Care Capital Expense Worksheet

Information on Filing a Claim

Filing Claims for FSA Health Care Expenses

Filing Claims for FSA Dependent Care Expenses

Summary Plan Documents (SPD)

Flexible Benefit Plan SPD (pdf)

Dependent Care SPD (pdf)

Health Care SPD  (pdf)

IRS Publications

»» Health Care FSA
IRS Pub 502 (pdf)

»» Dependent Care
IRS Pub 503
(pdf)

Contact the
FSA Administrator
FSA@rc-hr.com
(951) 955-5873
(951) 955-8944 fax

  

 
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