• When you have eligible expenses, you can use your tax-free FSA dollars to cover them.
• The amount you elect each year is deducted from your paycheck before taxes are withheld.
• Per IRS regulations, unused funds are forfeited and do not roll over.
• Keep in mind that each FSA functions separately. You cannot transfer money from one account to the other.
• You can contribute up to the IRS annual limits noted below.

• Set aside up to the annual IRS maximum to use for eligible medical, dental and vision expenses.
• You have immediate access to your annual contribution. Funds are taken each pay period up to the total contribution you have elected. You may use any amount up to your total contribution, even if you have not yet contributed that amount.
• The deadline to incur expenses is March 15th.
• Any claims incurred through March 15th must be postmarked no later than March 31st, or any remaining funds in the account will be forfeited based on IRS regulations.
• Use your FSA debit card to pay for eligible expenses.
• For reimbursement of eligible out-of-pocket expenses, complete and return the Fidelity Reimbursement Request form.

• Set aside up to the annual IRS maximum to use for eligible dental and vision expenses only. (Limited Purpose FSA funds can not be used for medical purposes.)
• You have immediate access to your annual contribution. Funds are taken each pay period up to the total contribution you have elected. You may use any amount up to your total contribution, even if you have not yet contributed that amount.
• The deadline to incur expenses is March 15th.
• Any claims incurred through March 15th must be postmarked no later than March 31st, or any remaining funds in the account will be forfeited based on IRS regulations.
• To pay for eligible expenses, use your FSA debit card at the point of service or submit receipts and documentation for reimbursement.

• Set aside up to the annual IRS maximum to use for eligible dependent care expenses, such as preschool, summer day came, before or after school programs, or child or dependent adult daycare.
• The deadline to incur expenses is March 15th.
• Any claims incurred through March 15th must be postmarked no later than March 31st, or any remaining funds in the account will be forfeited based on IRS regulations.
• Submit your receipts and documentation for reimbursement. Keep in mind that you can only use your available balance.

• Set aside up to the monthly IRS maximum in pre-tax dollars for parking and transit-related expenses that you incur for your job. You can change or stop contributions at any time.

Please contact your local HR Benefit Advocates for more information.