Flexible Spending Accounts (FSAs)
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Health & Dependent Care Savings
FSAs allow you to set aside pre-tax dollars to pay for eligible health and dependent care expenses. Each year, you must elect the annual amount you want to contribute to one or both accounts. Your contributions will be deducted pre-tax from your paycheck which can help reduce your taxable income.
FSA Options
Health Care FSA
The Health Care FSA will reimburse you for eligible health care expenses that you, your spouse, and your children incur during the plan year. When you incur an eligible expense, you can use your forma debit card and/or submit documentation for reimbursement.
Limited Purpose FSA
The Limited Purpose FSA works in combination with an HDHP to help you save money to pay for eligible dental and vision expenses only.
Note: The Limited Purpose FSA is available to Team Members who are enrolled in a qualifying medical plan (the Health Saver).
Dependent Care FSA
The Dependent Care FSA lets you use pre-tax dollars to pay eligible daycare expenses for children age 12 and under, or elder dependents who are unable to care for themselves. Care can be provided through live-in care, babysitters, or licensed daycare centers.
Commuter FSA
The commuter benefits program allows employees, who commute to and from work, to set aside pre-tax funds to pay for work-related transit and parking expenses. Contribute up to $325 a month to pay for parking expenses and/or public transportation.
FSA Plan Comparison
Stretch your dollar even further with a FSA. See the details below for the 2026 FSA IRS limits as well as service deadlines.
*$3,750 if married and filing separately
**Refer to IRS Publications 502 and 503 for a complete list of eligible expenses.
Rules to Keep in Mind
FSAs offer significant tax advantages, but are subject to IRS regulations:
- All expenses for the Health Care and Dependent Care FSAs must be incurred during the plan year: January 1 through December 31.
- The IRS has a strict “Use-It or Lose-It” rule for FSAs. At the end of the calendar year, you may roll over up to $680 of unused Health Care FSA funds. Any remaining funds above this amount will be forfeited.
- Once you enroll in the FSA, you can only change your contribution amount if you experience a qualified life event.
- Each account functions separately. You cannot transfer funds from one FSA to another.
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Your Rights
This website highlights some of your benefit plans. Your actual rights and benefits are governed by the official plan documents. If any discrepancy exists between this communication and the official plan documents, the plan documents will prevail. The company reserves the right to change any benefit plan without notice. Benefits are not a guarantee of employment.
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