​​​​​​​​​​​​​​​​​​​​​​​​Available to full-​time permanent employees, including temporary faculty employed for a one-academic year contract, and permanent part-time employees, including temporary faculty employed for a one-academic year contract, who work 50% time. A flexible spending account or dependent care assistance program governed by the IRS Code, allow employees to have income withheld from their paychecks before taxes for eventual reimbursement of certain heal​th care and child care expenses.​​

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https://www.myoptumfinancial.com/passhe 
​Customer Service available 24 hours a day, 7 days a week
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​​​ 2023​ FSA Handb​ook​ Carryover and Run-Out Information​​​ FSA FAQs​​​ ​​​​​​​
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​​How to Enroll

FSA elections should be made through Employee Self-Service (ESS) during Fall Open Enrollment. Employees should elect coverage in annual amount​s which is divided by your pay frequency. ​

​How Much To Elect

See how much you can save on eligible health and day care expenses. The Health Care FSA can be used for your medical expenses, and also the medical expenses of your spouse and tax dependents. 

​Eligible Expenses

Use your health care FSA to pay for items like prescriptions, copays, eyeglasses, lab fees and deductibles for you, your spouse, and your federal tax dependents. 

Use your dependent care assistance program to p​ay for items like daycare, summer camps, and custodial care for dependent adults.

​​Health Care FSA Carry​over

This year, up to $570 can carry over from your Health Care FSA. View the carryover information page​ for more information.

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Health Care Flexible Spending Account (FSA)

 ​

Health Care Flexible Spending Accounts provide tax savings for you, your spouse, and your federal tax- dependents on your out-of-pocket health expenses like:​

- Copays for Prescriptions or Doctor Office Visits
- Dental Care or Braces
- Eyeglasses, Contact Lenses, or Laser Vision Correction
- Eligible Over-the-Counter Items

- Maximum Election for 2023 - $2,850​​

Dependent Care Assistance Program (DCAP)

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​A welcome money saver for today's working parents. It allows you to set aside pre-tax money for eligible dependents (age 13 and under) day care expenses so you can work including:

- Day Care 
- Summer Camp
- Before/After School Programs
- Elder Care

- Maximum Election $5,000

​HSA Reminder

A health savings account (HSA) is available to an eligible individual who has high deductible health coverage as long as the individual has no other impermissible health coverage. A general purpose FSA is impermissible and renders an individual ineligible to make contributions to an HSA even when it’s their spouse enrolled in a general purpose FSA. The State System does not offer an HSA plan but if your spouse is enrolled in an HSA plan offered by their employer, this may impact your FSA enrollment.

Changing FSA/DCAP Elections

​Within 60 days of a qualifying event​, you must submit a Change in Status/Election Form​ and supporting documentation to your employer. Upon the approval of your election change request, your existing elections will be stopped or modified (as appropriate). Other events, such as change in child care expenses, may qualify to change your election amount.​

FSA Plan Documentation

​Flexible Benefits Plan Document
FSA Summary Plan Description - Dependent Care
FSA Summary Plan Description - Health Care​