your spending account dallas, tx

hbbd``b`q@ xsWF0+X D*@ !H N] !R D,X m7@D.P $,Av$dAV 0000014814 00000 n Real Est, Argonne Retirees | Argonne National Laboratory, A health reimbursement account (HRA) will be established to help reimburse you for the BlueCross BlueShield of Illinois claim form or International claim form. >E *8x)R}3ABlVeIoB~YC7=g=_SId8X UZKX endobj To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. Take a look inside. these need to be directed to hrbenefits@dallascityhall.com. xref Download your copy, save it to the cloud, print it, or share it right from the editor. 0000038905 00000 n :~va*$# R1M{D=AY[7A[-]#k Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202Phone: (214) 653-7638 Fax: (214) 653-7608. 0000020691 00000 n The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. If the merchant does not accept the card, submit the expense through the HSA Bank website (www.hsabank.com) or by mail. Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc It is the second-most populous county in Texas and the ninth-most populous in the United States. Get access to thousands of forms. After submission, you will be asked which method of reimbursement you prefer (electronic transfer, check, etc.). Contact Optum Bank for details. And free to you. Additionally, any claim forms, communications or notices generated by YSA since the change have included the new address. Spending Account Claim Form TOLL FREE: 888.868.FLEX (3539) myameriflex.com uYou can submit this data via myameriflex. QFZ%us.7r?:7{7Zq u9s . UT FLEX How to Use Your Flexible Spending Account. You may also call 214-671-6947,Option 1. The information below outlines the two types of Flexible Spending (FLEX) Accounts provided to employees. 6,804 open jobs for Spending account in Dallas. by. Unlike an FSA, there is no use it or lose it rule and it comes with triple-tax benefits: For 2023, you can contribute $3,850 through payroll deduction if you have individual coverage or $7,750 if you have family coverage. However, there is a grace period ending March 15, 2023to use your 2022Medical Spending FSA or Limited Purpose FSA dollars on eligible expenses. endstream endobj 43 0 obj <> endobj 44 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>> endobj 45 0 obj <>stream % 0000001690 00000 n endstream endobj 66 0 obj <>>> endobj 67 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 68 0 obj <>stream 70 0 obj <> endobj 0000003723 00000 n Disability Coverage. Search Spending account jobs in Dallas, TX with company ratings & salaries. HdUK!)S3*~ {Ucz$jRc4ZZ}Um2_%FnW.^?s10-5O]kZy\ R wYm0Tk+{S/lB! ;k`SEf?=M5D3:NL[- Y%l2r. hbbd``b`@H~7 1s=q_* RqYW$$cAb@D+A\/ H2e`bd =@a You can also make pretax contributions to your HSA, up to IRS limits, to help your account grow. 2.3k. 70 56 2023. O;T The average salary for a account executive is $74,443 per year in Dallas, TX and $20,000 commission per year. Toll-free: (877) 275-4377 @=2 6 0000001416 00000 n }@2D8inx%'\#d;aT n$M4IAWDHl|"I@*x/#28}}?Qoe?IU6b3hM v':H,! 2022 Medical, Dental, Vision and Prescription Active Employees. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008 All other questions that cannot be answered by either of these need to be directed to hrbenefits@dallascityhall.com. following: Questions regarding plan information for active/pre65: 214-556-0971. KY"X_Th[[TEe-wW 0000032520 00000 n Paid Family Leave. UT Dallas; UT El Paso; UT Permian Basin; UT Rio Grande Valley; UT San Antonio; UT Tyler; Health Institutions. _:1UDU Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. No monthly maintenance fees. Learn about Dallas Independent School District Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former Dallas Independent School District employees. 90 0 obj <>/Filter/FlateDecode/ID[]/Index[65 44]/Info 64 0 R/Length 111/Prev 468601/Root 66 0 R/Size 109/Type/XRef/W[1 2 1]>>stream New claims forms will also be sent that include updated information. 0000029729 00000 n The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866) 353 -9839 (TTY:711). Its county seat is Dallas, which is also the third-largest city in Texas and the ninth-largest city in the United States. <> Wb"77Su,1 U@k~l-[6rn20mn" =5ui{l; z|c8bz~'m>4#YWi)Ax0(a,j{Ut8i3{^H:}BWcBIa`V]_,SQ!oCC:{sa;Ua,MsNePg : N>O^Yc*:fIy ~DD&ugP}DZz$f\x.Afb2`FI`'FK1G`Ph=9/8bQom Fha\{^%t O2 I[nQx5y&bDiD6('S8SI44@gH{smBA*M:JO[ Yw7 yo6 2{dV x]Ks7Ja{ S1T)(eY,':{PllMn`( h/[(hO;Vh]J(QKSVZW>Tztrp|Xo=ATteUGGyYvwx^.-nw)jfYY]s|36tQLi86lNiO77opzv~c*Tf6vZKjx=xC.-uiSJ[jl- 6ZVA>>q&jP6b}iR4iHd(Cpu\e_'? endstream endobj 72 0 obj <>stream Your FSA funds may be used for qualified medical costs like copays and deductibles, prescriptions and some over-the-counter medicines, dependent care and more. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. ]A?~D-jF/aXdkut#F;u\#~,61'=mo/ di3{En. ,uFnPU5#kS_r,A'$$]3K ;> %PDF-1.6 % 0000042266 00000 n your spending account (ysa) login your spending account hewitt ysa reimbursement phone number your spending account phone number at&t hra claim form Create this form in 5 minutes! Old Red Museum of Dallas County History and Culture, Community Supervision and Corrections (Adult Probation), Department of Unincorporated Area Services, Office of Homeland Security and Emergency Management, Dallas County Unincorporated Area Strategy, Vehicle Registration - VTR 68-A Inspections, Dallas Area Rapid Transit (DART) Pass Program, Colonial Life Voluntary Supplemental Insurance, Public Employees Benefits Cooperative (PEBC). Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at Dallas Independent School District. Draw your signature or initials, place it in the corresponding field and save the changes. Your Spending Account P.O. 0 See IRS Form 2441 Part III for details. All claims must be submitted by March 31, 2023. No minimum balance fees. Install the signNow application on your iOS device. startxref If youre are enrolled in Consumer Directed HealthSelect and are interested in setting aside money on a pre-tax basis for eligible dental and vision expenses, check out the TexFlex limited-purpose FSA. h80%Em w0a 77 0 obj <>/Filter/FlateDecode/ID[<7C0EF33EDAADE1C3B0D9FABD37FA2AA8>]/Index[42 61]/Info 41 0 R/Length 138/Prev 119686/Root 43 0 R/Size 103/Type/XRef/W[1 2 1]>>stream Employees/Retirees can direct questions regarding benefits to the It will help you learn more about your accounts and the reimbursement process involved with your financial activities. 0000050024 00000 n Eligible expenses include deductibles, coinsurance and prescriptions. <>>> Fax: (512) 867-7438. Benefits of Using YourSpendingAccount. Your Spending Accounts PO Box 661147 Dallas, TX 75266-1147 YSA will be sending official communication to members about the new address around during the first quarter of 2020. BL@Ma Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947,Option 1Fax: 214-659-7098. 0000032931 00000 n Sending Your Claim to Your Spending Account Send this form and your documentation to Your Spending Account by fax or mail. 2022 Medical, Dental, Vision and Prescription Active Employees. Apply to Customer Service Representative, Procurement Manager, Account Executive and more! 108 0 obj <>stream stream HELPFUL INTS If the receipt is handwritten, it must include the service provider's signature. Contact Us | Help | Privacy Policy | ADA Statement. Share on Facebook . Which plans are eligible for the OP&F stipend? Flexible Spending Accounts (FSA) for Medical Expenses and/or Dependent Care. .Li{~y:^}I|fT;_5JCZcp|3!Sru~Z pMgVi5nmh9uz^n>"nx}ZgCNgug*dwFq*&L6Q{T0;`fdOw#0Lq]HG6MS9GtAlxDCqqe[:Ql:8yAf_R]-Tgr:`D:$1M"XhjOPdfw{Zh)X^a`i%P5/^boB5cwuy?dzaF81:ayBWIe'h#]TMd>mP0 &/6TkzHT=AVtQh/KV : jv4q>#Gz8vM)/ral0'IlN,wj{{_6iznq>C,9K{R\:OWmKhFvm EZu ph` F 0000000016 00000 n But first, you must participate in at least one account in order to have access to YourSpendingAccount. 0000011883 00000 n You are responsible for verifying your HSA was used for eligible medical expenses under the IRS tax code. The Medical Spending FSA, Limited Purpose FSA, and Dependent Care FSA are separate. 0000014590 00000 n Read our response. The grace period does not apply, and you may not roll these funds into a Limited Purpose FSA for 2022. 7R=nq(C(k[B%xpi 21 y?|/zg}v6eU$7H-BA9Tc.^FLx9X}*O:#f#AHCG&z7F 5$Bw 85K2qEN/F&&pf .\4h`.K"$n> 8/NkWu5W[Y% BxBifZiKb[[3S,uStWy|Kt355e9mwg\ruuh:zv$3_}D4t0jx&]Lim&ad|yQ2B$z^v:JA%NQM$_jnRLZE,O!o4z9>PjVtUV2r?MXkoL`.`oQh JssY~GhOnjV(;3Q+ E5vOC^7KWui5/fXVEn::e[n=}e:x7QD:II{g#6/:^% 1 0 obj SHARES. Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202 Phone: (214) 653-7638 Fax: (214) 653-7608 The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. 2) Select "Documents and Forms" from the left-hand navigation menu. Box 661147 Dallas, TX 75266-1147 Tel: (888) 611-5500 (toll free) Monday through Friday: 8 a.m. - 6 p.m. CT . To comply with HSA rules, your Limited- Purpose FSA may only be used to reimburse out-of-pocket dental and vision expenses for you, your spouse, and your dependents. Dependent Care FSA is for dependent daycare only. Posted 6 days ago Machine Operator Positions Futamura 3.2 Topeka, KS From $30 an hour Full-time Day shift + 2 The plan helps you save money for health care and dependent care expenses. Dallas, TX. Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. This is called the "use it or lose it" rule. Prescription Drugs Plan. Keep your receipts and invoices. Members Report Fall Newsletter Now Available, OP&F Pre-Retirement Webinar video now available. 0000050141 00000 n It's free to use. Select the area you want to sign and click. Ohio Police & Fire Pension Fund. 0000050063 00000 n You cannot transfer funds between accounts or charge multiple accounts for the same expenditure. When you enroll in the Medical Spending or Limited Purpose FSA, you will receive a debit card fromHSA Bank in the mail. Deep integrations streamline the experience at every step. Health care reimbursement for qualified out-of-pocket health care expenses that are not covered by insurance (i.e. Select the area where you want to insert your signature and then draw it in the popup window. Smart-Choice The Woodlands, TX 77387 Health Savings Account administration Smart-Choice Accounts PO Box 64009 -4009 Human Resources Centre (HRC): 1-888-927-7700 BMO U.S. Benefits Enrolling and making changes to your annual . Retirement Plan with Employer Match . hb``a``d`e`sXc`A3&0tt4 1Hx7@acq! ;LA(vrE3)!AQO!)^2c^" s? k&| Anb!uZ + Ordinarily, these expenses are paid with after-tax money. 0000041523 00000 n 952 salaries reported, updated at January 29, 2023. LOCATION. Ordinarily, these expenses are paid with after-tax money. endstream endobj 70 0 obj <>stream Questions regarding plan information for active/pre65: 214-556-0971. 4 0 obj prescription and office visit co-pays, lab fees, glasses, contacts, dental services, over-the-counter products, etc.). Apply now for jobs that are hiring near you. 0000005496 00000 n As of the 2010 census, the population was 2,368,139. This is the place to take action with Your Spending Account. A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. 0000050880 00000 n xYF+*FQvxJIa Traditional Health are Flexible Spending Account*); The Section 125 Flexible Spending Account plan is administered by United Health Care (UHC). Life and Accident Plans. 0000013089 00000 n Responsible Office(s) Employee Benefits. Open the email you received with the documents that need signing. Phone: (214) 653-7638 Fax: (214) 653-7608. how do i choose my seat on alaska airlines? If you retire or otherwise leave City employment, your FSA funds will terminate on the date of your departure. 0000005093 00000 n For dependent care, you must submit the expense through www.hsabank.com or by mail. Go to the Chrome Web Store and add the signNow extension to your browser. You must be enrolled in a high-deductible health plan to participate. This is an IRS rule. hb``0a``K0D800 @1CKxGC/C` |FE_,sUl/001 *^#v F )" ,/+Y2Pu 401 (k) Savings Plan. Create an account using your email or sign in via Google or Facebook. Flexible Spending Accounts. Apply to Administrative Assistant and more! It comes complete with a debit card. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008. When you elect this benefit, you will enjoy a tax savings because the money for these items is deducted before taxes. Then, you may request reimbursement from the account when eligible expenses are incurred. Dallas, TX 75234 1 972-243-6191 ClubCorp on facebook; ClubCorp on instagram . Withdrawals made for qualified expenses are also income tax-free. 0 zkeok:JWKmDAP#]5JGa:1Xptvoe"`lDX,RPF@\is T)0s_(,fI5"TYa-bYepFKdLH_b48 7T?CNO&>t".]0&? 65 0 obj <> endobj Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at AT&T. Learn about AT&T Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former AT&T employees. Your Spending Account P.O. VIEWS. In the United States, a flexible spending account (FSA), also known as a flexible spending Paper forms or an FSA debit card may be used to access the account funds. The PEBC HDP is an HSA-eligible plan. endobj Poll shows public support for police and fire, HB 512, OP&F hosts flag raising ceremony on Saturday Sept. 10, New app will help OP&F retirees manage Health Reimbursement Arrangement, Independent audit report shows OP&F is well run, Members Report Summer Newsletter now available, Thin Blue Line offers an ACA accredited plan that is stipend-eligible for OP&F retirees, OP&F letter to ORSC regarding HB 512 analysis, Aon rebranding to Alight Retiree Health Solutions, ORSC: OP&F outperformed own benchmarks and peers in 2021, Members Report Spring Newsletter Now Available. All rights reserved. Fax: 1-888-211-9900 Mail: Your Spending Account P.O. Here's what you'll learn: d How to access your account Unlike Medical Spending FSAs and Limited- Purpose FSAs, Dependent Care FSAs may only reimburse expenses up to the amount you have contributed to date. The maximum annual Limited-Purpose FSA election is $2,750. /YRxFI. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. If the expense will be considered for insurance reimbursement, try to wait until you receive the Explanation of Benefits (EOB) from the insurance company to be sure that the debit card transaction is for the correct out-of-pocket amount. 3) After selecting "Documents and Forms" you will be directed to a screen that looks similar to the image below. 0000038345 00000 n Decide on what kind of signature to create. A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. 0000010668 00000 n 2023 Employees Retirement System of Texas. If you have elected to contribute to an HSA in 2022, you may also enroll in a Limited-Purpose FSA, even though both accounts may reimburse dental and vision expenses. Select the document you want to sign and click. Search for the document you need to design on your device and upload it. Skip to Content Jobs Upload/Build Resume . 0000050612 00000 n 0000029339 00000 n 0000002565 00000 n <> Click here to view the 2023 Active Employee Benefitspresentation. Search CareerBuilder for Flexible Spending Account Plan Jobs in dallas,TX and browse our platform. 0000050534 00000 n Add the PDF you want to work with using your camera or cloud storage by clicking on the. You may be required to submit documentation of your expenditures. Details. 0000240494 00000 n You may also call 214-671-6947, Option 1. See how we can help you reduce benefit costs, while delivering the best possible benefits experience. If you have specific questions about your benefits, please contact the Human Resources Department at(214) 653-6579or(214) 653-6161. Argentina Australia Belgi (Nederlands) Belgique (Franais) Brasil Build loyalty and strengthen relationships with a powerful lineup of industry-leading benefits solutions. Pension Plans. You will have 90 days following your departure date to submit claims for expenses incurred before you left. The address for Your Spending Account (YSA), who handles the health care stipend reimbursements for OP&F retirees, has changed. 5y0eKL0A8+CN"Hs8vWb5x4\fG^xU"8Aj0'+jmh9C:ZL:P5#pD_W@`ain&b@$bu? W\[m{f-h9P6pqU+&]Usv8/ |_Y6~^bN#d5Z) fw%jmQ!l*z5wjb`Xxkn`q=g x_b2MDWwHrnFI*h;~'?v`y+gh17e Use professional pre-built templates to fill in and sign documents online faster. 7,514 Flexible Spending Account jobs available in Dallas, TX on Indeed.com. 447 Flex Spending Account jobs available in Dallas, TX on Indeed.com. 0000021304 00000 n Medical Spending/Limited Purpose reimbursement requests, as well as debit card transaction documentation, can be sent electronically, by fax, or by mail to HSA Bank. %%EOF 0000050266 00000 n After that, funds in excess of $570 will be lost so be sure to use them while you can. Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc Make a difference with your change - lead with ingenuity! kiL/o0[~A(V-+>%ieoUaooeyl \ << /Length 5 0 R /Filter /FlateDecode >> Claims are normally reimbursed within a week of HSA Bank receiving the claim. An HSA is a savings account that you can use to help cover qualified health care expenses. Flexible Spending. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. Spend it on your own terms. . 0000266869 00000 n The entire annual amount you elect may be used at any time during the plan year and is available January 1. Seed money is not offered to those who add coverage in the high-deductible plan as a result of a mid-year qualifying event. HlN1E+c'N^-TV3h/:L8cy hbbbd`b`` f The new address for YSA is: YSA will be sending official communication to members about the new address around during the first quarter of 2020. Short term detention pending investigation as a consequence wisconsin form, How Do I Sign Vermont Finance & Tax Accounting Document, Help Me With Sign Vermont Finance & Tax Accounting Document, How Can I Sign Vermont Finance & Tax Accounting Document, Can I Sign Vermont Finance & Tax Accounting Document, How To Sign Vermont Finance & Tax Accounting Document. Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. With an HCFSA, you use pre-tax dollars to pay for qualified out-of-pocket health care expenses. (512) 499-4200. &VkXHt9-@uO4,(+z(6 %% JOB DETAILS. That insurance company is PEBC (Public Employee Benefits Cooperative). View all FAQs Savings Calculators 0000029844 00000 n :g5]0h>*4^"m$Ma}Y_n"a5Bz9ZKCN+1]UWTg^YzClC:wF2v sgT3jhxK.r1vt;;m>.#|cw[ZPj}:{+r&pCsaZzL)[_}P? 42 0 obj <> endobj endstream endobj 124 0 obj <>/Filter/FlateDecode/Index[5 65]/Length 20/Size 70/Type/XRef/W[1 1 1]>>stream endstream endobj startxref The IRS also allows catch-up contributions of $1,000 if you are age 55 or older. "b!bULZX |fX3X6{. This guide will help you get started with Your Spending Account (YSA) a website you can use to manage your retiree Health Reimbursement Account (HRA) whenever and wherever it's most convenient for you. Your Spending Account! Your Spending Account is a trademark . HVnF|Wt8V`Hv^{PXfLOuuP@^,rOnEC'/\R@gg//hy<8 lN~N 0$xXOR~uJV:5y~DR s?gPo ;"U/|xu`VJ0|5wlrg8lU>?9x@7:H.>%e^q`{yu74u{~P@@' OLEB~(((N@K? FG U%KPc4WJ+ It will NOT hold Dependent Care funds. 0000001858 00000 n Dallas County. There are three variants; a typed, drawn or uploaded signature. Dallas County is a county located in the U.S. state of Texas. hZrG}} Ey{S6` `$,?5VI&8O|=#dIn6%=3}vLEY0HeCtbLu*- A Health Care FSA (HCFSA) is a pre-tax benefit account that's used to pay for eligible medical, dental, and vision care expenses that are not covered by your health care plan or elsewhere. TTY: 711 2a`bd r.#L^ HELPFUL HINTS If the receipt is handwritten, it must include the service provider's signature. 0000003548 00000 n Document Type. The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866)353-9839 (TTY:711). <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Create your signature, and apply it to the page. in interesting facts about sam houston. Ordinarily, these expenses are paid with after-tax money. Elevate your benefits and create more value for your customers. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. 0000021227 00000 n Dependent care reimbursement for costs paid to day care and elder care providers. 0000328120 00000 n HTK \* cJe17ioL}[8j ('96&|2"O+"q3vc$0n$v{&[zkT[R3jd3IC%I+I6;zN>*OfqQm~8M(0gngV>S(P4P Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place this form before your receipts and don't include a cover letter. hWn6wQd(eI%nWI3rq(Crn`f&bB(fbb l0\09NPL&1GA2ibt#RDK.V($;ER6``B?Cos[4#-`cng`d=ldKT-,l][`b]h|Y1&~W;F8K?8$MIL\/f`f,v[pjRI5[,fj Look through the document several times and make sure that all fields are completed with the correct information. 0000238976 00000 n .`9\Bs(|+p*l8=+)n'W=rj94 .E~u==&$b4lny^|l *DgN69pvhRk'[y|~^y,x1T`TM~7rn>:4ee&:.sX1&9EX!YT0rV)E^b,q$YcaSJT [0fURCQ"5Z :Walgreens, Albertsons, Walmart) have IIAS capability. All other questions that cannot be answered by either of All Rights Reserved. Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947, Option 1Fax: 214-659-7098. The health care FSA lets you set aside money on a pre-tax basisfor both you and your eligible dependentsto pay for eligible health, dental and vision expenses. 0000009380 00000 n An HSA will be opened with Optum Bank for all newly enrolled HSA participants. indicates you have dental insurance, proof HELPFUL HINTS If the receipt is handwritten, it must Your spending account is your checking account. New claims forms will also be sent that include updated information. 0. To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. The annual maximum contribution to a Dependent Care FSA is $5,000 (or. %PDF-1.3 xH&c$CNRKW3suU/gz_?];7}>xrkUeh]~e6kPU+Wqv88[w]=wg]]^~pQU:HK)\xwv};Co]qo_ h`3V}s"_G02(JH(gS^mHF*J6ic$QhneP_28|( 9RNRMU&iL\Tk+#zwV"