Flexible Spending

Flexible Spending Plans

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In accordance with federal regulations, employees may elect to contribute a portion of their salary to a flexible spending account. Compensation contributed to this account is not subject to Federal income tax, Social Security taxes and, in most cases, state or local taxes. This plan allows employees to pay for certain unreimbursed expenses on a before-tax basis:

Complete details about the Flexible Spending Plans may be obtained in the Human Resources Office. Enrollment will take place prior to January 1 of each calendar year and may not be changed except under very limited circumstances.

Flexible Spending Documents and Forms

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  • Flexible Spending Forms

    Name Description Status Source
    FSA and DCA Enrollment Form Required 5. Inspira FSA Enrollment Form.pdf Edit FSA and DCA Enrollment Form Delete FSA and DCA Enrollment Form
    FSA Flyer Required Healthcare-FSA-No-Card-Flyer.pdf Edit FSA Flyer Delete FSA Flyer
    FSA Reimbursement Required 3. FSA Reimburse_FlyerUpdate_AQ_final_HR.pdf Edit FSA Reimbursement Delete FSA Reimbursement
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.