Dependent Care FSA

A Dependent Care Flexible Spending Account allows you to set aside pre-tax dollars to help pay for qualified dependent care expenses. The money in the account can be used for care of either a qualified child or adult, but must be needed for you or your spouse to work or attend school on a full-time basis. Funds allocated to a Dependent Care FSA must be used during the plan year or lost.

Benefits & Forms

Change of Status Form
Continual Reimbursement Packet
Day Care Receipt
Frequently Asked Questions
Direct Deposit Request Form
HIPAA Privacy Notice
Orthodontia and Dependent Care Expense Worksheet