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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 HSA Bank.

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.

  • This account cannot be used to pay a dependent’s healthcare expenses.
  • Any unspent amount at the end of 2026 will be forfeited. You cannot carry over a balance to 2027.

Health Care FSA

Can be used to pay eligible medical, prescription, dental, and vision costs. It’s not available if you enroll in a Health Savings Account.

Limited Purpose Health Care FSA

Can be used to pay eligible dental and vision costs. It’s only available if you enroll in an IRS-approved high deductible health plan, like our Consumer Choice Plan, and a Health Savings Account.

These accounts allow you to carry over your unspent 2026 balance to 2027, up to $680. Any amount above $680 will be forfeited.  

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.

Reminder: We’re transitioning from MyChoice Accounts to HSA Bank. View the transition timeline and steps you may need to take here.

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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 HSA Bank 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 $3,400 in 2026.

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 through the Company.

At the end of the calendar year, your unspent balance up to $680 can be carried over to 2027.

Any unspent amount above the carryover amount 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.

Visit the HSA Bank Resource Center or download the HSA Bank mobile app for resources, including lists of eligible expenses, FAQs, and a series of webinars to help you understand and maximize your account. From this site and the mobile app, you can also log into your account to view your balance, submit claims for reimbursement, and submit receipts when requested. 

You can contribute up to $7,500* in 2026, with a 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 $160,000 or more in 2026, you can contribute up to $3,500 to the Dependent Care FSA.

Visit the HSA Bank Resource Center or download the HSA Bank mobile app for resources, including lists of eligible expenses, FAQs, and a series of webinars to help you understand and maximize your account. From this site or mobile app, you can also log into your account to view your balance, submit claims for reimbursement, and submit receipts when requested. 

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 HSA Bank debit card or pay the expense and request reimbursement.
  • Note: If you use your debit card to pay healthcare expenses, HSA Bank may request a receipt to verify the expense was eligible for pre-tax dollars (per the IRS). You must respond to the request within 90 days.
  • Visit the HSA Bank Resource Center or download the HSA Bank mobile app to log into your account to view your balance, submit claims for reimbursement, and submit receipts when requested. 
  • 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 2026 must be submitted by March 31, 2027.
  • 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.

You’ll receive an HSA Bank debit card after you enroll in an FSA. Your debit card will be activated when you first use it; no additional action needed.

You’ll use this card for all HSA Bank accounts you enroll in, including a Health Savings Account, Health Care or Limited Purpose Health Care Flexible Spending Account (FSA), Dependent Care FSA, and Commuter Benefits. HSA Bank will coordinate deducting expenses from the correct account.

If you don’t receive your debit card or to request additional cards for yourself or your dependents, call the Client Assistance Center at 1-833-506-3611. Representatives are available 24 hours per day, seven days per week. If your card is lost or stolen, call this number for a replacement.  

Note: Additional cards are available at no cost. If you request a card for an eligible dependent, their name will be on the card.

Remember to keep all receipts for claims submitted through this program, even those automatically reimbursed with your debit card.

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 once you have $1,000 in your cash account

N/A

Use it or lose it

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

Yes.

At the end of the 2026 calendar year, your balance up to $680 can be carried over to 2027.

Any balance over $680 will be forfeited under the use it or lose it rule.

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