If you participate in an HSA, you are eligible to participate in Dependent Care
or Limited Purpose FSA only (see below).
Limited Purpose FSA
You may choose only the Limited Purpose FSA if you have an HSA.
Reimbursements limited to eligible dental and vision expenses only.
Pre-Tax payroll deduction up to $2,700 annually.
Automatic streamline claim process.
Manual claim option available.
Must use within the plan year.
Dependent Care FSA
The dependent care FSA will reimburse claims for expenses incurred to allow the employee and if married, their spouse, to work, attend school full time, or be searching for employment. These expenses can include before and after school care,
care provided at a licensed daycare center, summer day camp and a private babysitter. Preschool is also considered an eligible expense. Amounts paid for kindergarten and other school tuition do not qualify for reimbursement
because the primary purpose is for the education of the child and not the care of the child.
Pre-Tax Payroll deduction up to $5,000 if single or married filing jointly tax return; $2,500 if married filing separately
Use it or lose it;
Eligible dependents are children under age 13 who qualify as a tax dependent for federal tax purposes; your spouse or elderly parent or any other qualified dependent who is physically or mentally incapable of self-care;
