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Flexible Spending Accounts a Boon for Taxpayers

Patricio Figueroa Jr.

In these times of recession and increasing costs for commuting, food and housing, not-for-profit organizations (NPOs) are examining ways to increase the take-home pay of their employees.

Dollars strapped with tethscope, showing savings potential of an FSA

With virtually no cost to the organization, staff members may be able to reduce their taxable income and get reimbursed for medically related out-of-pocket expenses and over-the-counter medicines. The caveat is that one must get and save co-pay receipts for doctor and dentist visits, pharmaceutical costs and other eligible expenses. Most pharmacy chains print receipts that enumerate each item and which are eligible for reimbursements. Depending on the account selected, one can have child-care (day care) or home-assistance services covered for a spouse or parent. This benefit is called a flexible spending account, or FSA.

What are FSAs?

A flexible spending account is a tax-favored program offered by employers that allows their employees to pay for certain out-of-pocket health-care and dependent-care expenses with pretax dollars. By using pretax dollars, an FSA provides an immediate discount on those expenses equal to taxes one otherwise would pay on that money.

Those with FSAs can both reduce their taxes and get more for their money by saving up to 40% more than usual for out-of-pocket health-care and dependent-care expenses with after-tax (as opposed to taxed) dollars.

The federal government's flexible spending account program ( FSAFEDS) offers three types of FSAs:

  • The health care flexible spending account (HCFSA), which can be used to pay for qualified medical and health care expenses that are not paid by a Federal Employees Health Benefits (FEHB) plan or any other insurance. Note : HCFSA cannot be used to pay for any type of insurance premiums, including long-term-care insurance premiums.
  • The limited expense health care flexible spending account (LEX HCFSA), only available to employees who enroll in a FEHB program under a high deductible health plan (HDHP) with a health savings account (HSA). Eligible expenses are limited to dental and vision care services and products that meet the IRS definition of medical care . Using an LEX HCFSA can allow use of HSA funds for other purposes.
  • The dependent care flexible spending account (DCFSA). It is used to pay for eligible dependent-care expenses such as child care for children under age 13 or day care for anyone claimed as a dependent on a federal tax return who is physically or mentally incapable of self-care, It is used so that a person with a dependent (and spouse, if applicable) can work, look for work or attend school full time.

Participation in any FSA is completely voluntary. Unlike other federal benefits, however, a chosen FSA is only in effect for one benefit period . In other words, participants must enroll each year . Those who do not enroll during open season are not allowed to participate in the next benefit period unless they claim a qualifying life event (QLE) that allows them to make an election outside of open season. Open season for FSAFEDS runs concurrently with the FEHB open season in November and December each year for enrollment the following year.

The FSAFEDS benefit period is from January 1 st through March 15 th of the following year. It includes a 2½-month grace period from January 1 st through March 15 th of the following year. During the grace period, eligible expenses incurred from January 1 st through March 15 th of the following year can be applied toward a prior year's balance. The intent is to help account holders avoid forfeiting any of the funds they deposited in FSA accounts. Participants should carefully consider the amount they choose to set aside in the account.

The U.S. Office of Personnel Management has adopted the grace period on behalf of all agencies and employees who are part of FSAFEDS and has also extended the filing deadline for claims against the prior-year account (including claims incurred during the “grace period”) to midnight Eastern Standard Time on April 30 th .

FSAFEDS follows Internal Revenue Service (IRS) guidelines to determine eligible expenses and other requirements for participation in an FSA issued under Sections 105, 125, and 129 of the Internal Revenue Code.

Differences Among FSAs

A health care flexible spending account pays for the qualified medical expenses not covered or reimbursed by an FEHB plan (health insurance plan) or any other type of insurance. It is NOT limited to only dental and vision care services or products.

Though the LEX HCFSA is similar to the HCFSA, it differs by the type of expenses it covers. The expenses are limited to dental and vision care services or products that meet the IRS definition of medical care. In addition, only those employees who have a HDHP/HSA are eligible to enroll in an LEX HCFSA.

The dependent care flexible spending account pays for child care or adult dependent care expenses that are necessary to allow a person or that person's spouse to work or attend school full time. It also pays participants while they or their spouses look for work; it does not pay if no job is found or there is no earned income for the year. The dependent care flexible spending account does NOT pay for medical care for dependents.

Despite the differences among the accounts, each allows participants to pay for qualified expenses with pretax dollars, money that is deducted from a paycheck before taxes are taken out by an employer -- a savings of 20% to 40% or more.

An FSA offers tax savings by allowing participants to pay for out-of-pocket expenses with pretax money. Without an FSA, people would still pay for these expenses but with money remaining in their paychecks after federal (and often state and local) taxes are deducted.

Patricio Figueroa Jr. is the editor and publisher of Independence Today .


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