Health Insurance

A health flexible spending account (FSA) allows employees to set aside pre-tax dollars to help pay for medical expenses that occur during a 12-month period. A flexible spending arrangement (FSA) is a form of cafeteria plan benefit, funded by salary reduction, that reimburses employees for expenses incurred for certain qualified benefits.

FSA Plan Summary Document

IRS Limit of Flex Spending Contributions

• You must enroll in an FSA every year. The maximum amount you can contribute on an annual basis is determined by the IRS annually.
• You may change your election amount if you have a qualified event.
• You may carryover up to $570 from 2022 to 2023. The full carryover will be available if you re-enroll in the FSA the following year.

To submit claims, use the Optum debit card or submit claims by mail or fax or directly via the portal and upload receipts at www.optumbank.com.  Reimbursement will be sent by direct deposit or check. There is no fee for reimbursement.

A Limited Purpose Flexible Spending Account (FSA) allows employees to set aside pre-tax dollars to help pay for dental and vision expenses that occur during a 12-month period. A Limited Purpose FSA is a form of cafeteria plan benefit, funded by salary reduction, that reimburses employees for expenses incurred for certain qualified benefits. A Limited FSA is available only to employees who enroll in the QHDHP - HSA plan. 

FSA Plan Summary Document

• You must enroll in a Limited FSA each year. The maximum amount you can contribute on an annual basis is determined by the IRS annually.
• You may change your election amount if you have a qualified event. 
• You may carryover up to $570 from 2022 to 2023. The full carryover will be available if you re-enroll in a Limited FSA the following calendar year.

To submit claims, use the Optum debit card or submit claims by mail or fax or directly via the portal and upload receipts at www.optumbank.com.  Reimbursement will be sent by direct deposit or check. There is no fee for reimbursement.

A Dependent Care (DC) Flexible Spend Account (FSA) allows employees to set aside pre-tax dollars to help pay for medical expenses that occur during a 12-month period. A Dependent Care FSA is a form of a cafeteria plan benefit, funded by salary reduction, that reimburses employees for expenses incurred for certain qualified benefits. Examples of these expenses include daycare, after-school care, and adult care.

FSA Plan Summary Document

• You must enroll in a Dependent Care FSA each year and you may contribute up to $5,000 in 2023.
• You may change your election amount if you have family status change.
• You can only use what you have accumulated. 
• All unused balance is forfeited.

To submit claims, use the Optum debit card or submit claims by mail or fax or directly via the portal and upload receipts at www.optumbank.com.  Reimbursement will be sent by direct deposit or check. There is no fee for reimbursement.