
USDA FSA-2330 2016-2025 free printable template
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Music a flexible spending account is a special account you put pre-tax money in to pay for certain out-of-pocket costs you don't pay taxes on this money there are two types of FSA s health care and dependent care the health care flexible spending account allows you to use pre-tax dollars to pay for out-of-pocket expenses the annual contribution limit for a health care FSA is 2500 eligible expenses include eyeglasses co-pays hospital services LAST eye surgery or orthodontia over-the-counter items including and septic baby electrolytes diagnostic products and first aid products are also eligible for purchase with health care FSA dollars it is important to note that if you are enrolled in the high deductible health plan and elect to have a health care FSA that it will be limited purpose the limited purpose FSA can only be used on dental and vision expenses medical expenses are not eligible for reimbursement from the limited purpose FSA a dependent care FSA allows participants to use pre-tax dollars to cover eligible work-related dependent care expenses for qualified dependents or if you are married while you and your spouse work or your spouse attends school full-time the annual contribution limit to a dependent care FSA is 5000 with both type of FSA s the user to lose it rule applies your unused funds will not carry over into the next year you have until March 15 of the following year to incur expenses if expenses are not incurred ardor claims not file the unused balance in the FSA will be forfeited Infant source is the third-party administrator who administers our flexible spending plans you can create an online account to file a claim check your account balance view your account activity claim history and payment or reimbursement history Music
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