Flexible Spending Accounts (FSAs)

Flexible Spending Accounts (FSAs)

Flexible Spending Accounts (FSAs) allow you to contribute pre-tax dollars from your paycheck for qualified out-of-pocket eligible expenses. You decide at enrollment how much you want to save (up to the annual contribution limits). Throughout the year, you make contributions through pre-tax payroll deductions in equal amounts.

You may not change contributions or cancel within the calendar year, unless you have an eligible IRS-qualifying family status change.

For a list of qualifying expenses and eligibility rules, visit FSA Qualified Expenses or call 877-924-3967.

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FSA Questions Traditional Health Care FSA Limited Purpose Health Care FSA Dependent Care FSA
Who is allowed to enroll? Available to members of the Network Plan, as well as Tiered and One Step plan members who do not contribute to the HSA. Eligible employees not enrolled in a GT medical plan can also enroll. Available to Tiered and One Step plan members who contribute to the HSA All eligible GT employees
What is the account used for? Medical, dental, and
vision expenses, such as deductibles, coinsurance, copays, glasses and contact lenses, orthodontia and other dental expenses		 Dental and vision expenses only Dependent care expenses such as day care and after school programs for children under age 13, or elder care expenses, so you and your spouse can work or attend school full time
What is the contribution limit? $3,400 $3,400 $7,500, or $3,750 if married and filing separate tax returns
How do you pay for expenses? Debit Card Debit Card Reimbursement
Does money rollover year-to-year? Yes, you can roll over up
to $680 unused funds. All
other money in excess of
$680 will be forfeited		 Yes, you can roll over up
to $680 unused funds. All
other money in excess of
$680 will be forfeited		 No, any money left in the account after the plan year will be forfeited