Flexible Spending Accounts

Flexible Spending Accounts (FSAs) are a great way to use pre-tax dollars for healthcare and/or dependent care expenses. As long as you use your FSA for eligible expenses, you are never taxed on the money you contribute. The Company offers three types of FSAs, all administered by MyChoice Accounts, sponsored by Businessolver.

Health Care Flexible
Spending Accounts

Dependent Care Flexible
Spending Account

Use to save money on healthcare expenses.

Eligibility varies based on medical plan enrollment.

Use to save money on dependent daycare expenses.

Note: This account cannot be used to pay a dependent’s healthcare expenses.

Health Care FSA

Not available if you enroll in a Health Savings Account

Limited Purpose Health Care FSA

Only available if you enroll in a high deductible health plan (as defined by the IRS) and a Health Savings Account

You may enroll in one of the Health Care FSAs and/or the Dependent Care FSA.

To enroll, you will need to designate a dollar amount for anticipated out-of-pocket expenses that are eligible for reimbursement under the FSA(s). You can enroll when newly hired (within 31 days of your date of hire), during Annual Enrollment (typically held each fall), or when you experience a qualified life event (such as marriage, divorce, or birth or adoption of a child).

Note: You must re-enroll each year to participate in an FSA, with a minimum contribution of $100. Your contribution election will not carry over from one year to the next.

Regular payroll deductions will be taken from your salary on a pre-tax basis in the amount of your election divided by the number of pay periods in the calendar year.

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Did You Know?

FSAs Come with a Use It or Lose It Rule
Plan carefully for the amount you contribute to an account for the year, since you may forfeit any amount not used by the end of year. The Health Care FSAs allow an amount to be carried over each year. The Dependent Care FSA does not allow a carryover amount.

You have until March 31 of the following year to submit claims for expenses incurred through December 31. In addition, you have until March 31 to submit receipts MyChoice Accounts has requested. If you do not submit these receipts, the amount in question becomes a taxable benefit (called Imputed Income).

There are two Health Care FSAs to choose from, depending on which medical plan option you elect. You can use your Health Care FSA to pay copays, coinsurance, and deductibles incurred during the calendar year. Refer to the Benefits Terms page for more information.

You can contribute up to $3,300 in 2025. The minimum contribution amount is $100 per year.

If you enroll in…

You can contribute to…

And pay eligible expenses for…

Core or Buy-Up Plan

Health Care FSA
  • Medical
  • Prescription Drug
  • Dental
  • Vision

Consumer Choice Plan

Limited Purpose Health Care FSA
  • Dental
  • Vision

You may also contribute to either Health Care FSA if you opt out of medical coverage.

At the end of the calendar year, your unspent balance up to $660 can be carried over to 2026. Any unspent amount above $660 will be forfeited under the use it or lose it rule. Keep in mind that the unused balance does not roll over until March 31 of the following year.

Note: If you had a balance in your Health Care FSA at the end of 2024, your unspent balance up to $640 was automatically rolled over for you to use in 2025. If you did not enroll in the FSA for 2025, you no longer have a working debit card, so you’ll have to submit eligible expenses for reimbursement through MyChoice Accounts (see How the FSAs Work for details).

In addition, if you enroll in the Consumer Choice Plan and have an unspent balance in the Health Care FSA, your balance was automatically rolled into a Limited Purpose Health Care FSA for use in 2025.

You can contribute up to $5,000* per year in a Dependent Care FSA. The minimum contribution is $100 per year.

You can use this account to pay eligible childcare (for a child up to age 13) and elder care expenses you incur because you and your spouse work. Note: This account cannot be used to pay a dependent’s healthcare expenses, and funds can only be used for expenses incurred when you are enrolled in the plan.  

*Note: If you make $150,000 or more in 2025, you can contribute up to $3,500 to the Dependent Care FSA.

Eligible Expenses

The following list includes some of the most common expenses that you may use Dependent Care FSA funds to pay for. This list is not meant to be comprehensive. You can find a complete description of eligible expenses in IRS Publication 503, “Child and Dependent Care Expenses.”

  • Day care, day camp, and after school programs
  • Au pair and babysitting expenses, in your home or someone else’s, during your scheduled work hours – including babysitting by a relative who is not a tax dependent
  • Elder care expenses

You may NOT use Dependent Care FSA funds to pay for:

  • Babysitting for social events
  • Care provided by your spouse, child under age 19, or any other person you claim as a dependent on your income tax return
  • Food, clothing, and diapers (unless such costs cannot be separated from the cost of the daycare)
  • Transportation between your home and the place where dependent daycare services are provided
  • Education expenses
  • Specialty or educational before-school or after-school programs
  • Overnight camps
  • Expenses for which a dependent care tax credit is taken or expenses that are reimbursed under a Health Care FSA
  • Late payment fees
  • Placement fees for providing a dependent daycare provider (e.g., an au pair)
  • Sports lessons
  • Field trips

Note: The Dependent Care FSA does not include an unspent balance carryover like the Health Care FSAs. You have until March 31 of the following year to submit claims for expenses incurred through December 31. Any unspent amount is then forfeited.

  • You decide how much to contribute on a pre-tax basis annually.
  • When you have an eligible expense, you can either use your debit card or pay the expense and request reimbursement.
  • Note: If you use your debit card to pay expenses, MyChoice Accounts may request a receipt to verify the expense was eligible for pre-tax dollars (per the IRS). If you do not respond to the request within 90 days, your debit card may be frozen. Once you provide the requested receipts, your debit card will be turned back on.
  • To electronically submit a claim and request reimbursement for either account:
    • Log into your Benefits4MeEnroll account online or on the MyChoice Mobile App (App Store or Google Play)
    • Select the piggy bank icon for MyChoice Accounts or Accounts on the mobile app.
    • Select Submit Claim.
    • Fill in the required information, including date of service, category, type, payment amount, and upload your documentation. Affirm the disclaimer and select Review Claim.
    • Review and Submit.
    • You may view your claim status by select Claims and Claim History online or on the mobile app, scroll down to Claims, then View All.
  • To request reimbursement by mail or fax:
  • Whether you submit your claim manually or electronically, you will be reimbursed with tax-free dollars through your choice of a mailed check or direct deposit.
  • All claims for reimbursement of expenses incurred in 2024 must be submitted by March 31, 2025.
  • If you have not provided requested receipts by March 31, the amount in question becomes a taxable benefit (called Imputed Income).
  • The total amount you choose to set aside for the Health Care FSA and the Limited Purpose FSA is available to cover eligible expenses beginning January 1.
  • Your claims for dependent care expenses will be reimbursed only if there’s enough money in your Dependent Care FSA to cover the expense. If there is not enough money in your account, you’ll receive the amount in your account and then receive the balance of your reimbursement in the future.
  • For the Health Care and Limited Purpose FSAs, if your employment with the Company ends, you may only submit claims for expenses that were incurred before the end of your employment. If you need to submit claims for expenses incurred after your employment ends, you are required to elect COBRA coverage.
  • For the Dependent Care FSA, you can submit claims incurred during the entire plan year regardless of employment status.

FSA Debit Card

You will automatically receive a debit card to pay for eligible expenses. The card allows you to pay for out-of-pocket expenses directly from your FSA and may be used at providers accepting Visa (as long as the providers have a system in place to identify card-purchased items as FSA-eligible). Just present the card at the time you pay. You pay no money up front and don’t have to wait to be reimbursed.

Important:

When using the debit card, be aware:

  • With the debit card, you don’t need to submit a claim in order to receive reimbursement. The amount is deducted from your balance automatically.
  • However, at times you may be asked to submit substantiation for a claim (e.g., receipts). If an expense cannot be auto-substantiated, the IRS requires submission of supporting documentation. If you do not respond to the request within 90 days, your debit card may be frozen. In that case, you can still use the funds in your account by submitting a request for reimbursement. Once you provide the requested receipts, your debit card will be turned back on.
  • Note: If a claim is not substantiated by March 31 of the following year, the amount of the claim becomes a taxable benefit.
  • In addition, if the provider’s system for identifying card-purchased items as FSA eligible doesn’t recognize an item you are buying, you will not be able to use your debit card. Instead, you will have to pay for the item and submit a claim for reimbursement.
  • Remember to keep all receipts for claims submitted through this program, even those automatically reimbursed with your debit card.
  • For recurring expenses, such as monthly orthodontic payments or other medical, dental, or vision expenses, you may use your debit card, but you will need to submit documentation that the expense is eligible when you first submit a claim for this expense to MyChoice Accounts (MCA).

Feature

Health Savings Account

Health Care Flexible Spending Accounts (Health Care FSA and Limited Purpose FSA)

Eligibility

You must be enrolled in the Consumer Choice Plan and not enrolled in Medicare Part A or B or paid via stipend

Available for use with any medical plan option. If you enroll in the Consumer Choice Plan, which comes with access to an HSA, you can use the Limited Purpose Health Care FSA for eligible dental and vision expenses.

If you are not enrolled in medical coverage through the Company, you can still contribute to an FSA.

Company contribution

The Company will contribute to your account:

  • Up to $500* for Employee Only coverage
  • Up to $1,000* if you cover any dependents

*If you enroll mid-year, the Company contribution to your account will be prorated

N/A

Investing your balance

You can invest your balance at any time

N/A

Use it or lose it

N/A – your account balance will roll over year over year

Yes.

At the end of the 2025 calendar year, your balance up to $660 can be carried over to 2026.   

Any balance over $660 will be forfeited under the use it or lose it rule.

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