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Flexible Spending Account (FSA) Enrollment
Set aside pre-tax dollars for eligible healthcare and dependent care expenses
Healthcare FSA
Maximum Annual Contribution: $3,200
Per paycheck: $0.00
Eligible Expenses Include:
- Medical copays and deductibles
- Prescription medications
- Dental and orthodontic care
- Vision exams and eyewear
- Medical equipment and supplies
- Chiropractic and physical therapy
Dependent Care FSA
Maximum Annual Contribution: $5,000
Per paycheck: $0.00
Eligible Expenses Include:
- Daycare and preschool
- Before/after school programs
- Summer day camp
- Elder care facilities
- In-home care providers
FSA Contribution Calculator
Contribution Summary
Total Annual Contribution
$0.00
Per Paycheck (26 pay periods)
$0.00
Estimated Tax Savings
$0.00
Important: Use It or Lose It
FSA funds must be used by the end of the plan year or during the grace period. Any unused funds will be forfeited. Consider your expected expenses carefully.