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Limited Purpose FSA

Have an HSA? Here’s an FSA just for you.

The Limited-Purpose Flexible Spending Account (FSA) is designed specifically for team members who participate in the HSA Medical Plan and have contributions to an HSA. The FSA is administered by HealthEquity.

Eligible expenses

The Limited-Purpose FSA allows you to set aside pre-tax dollars to pay for eligible out-of-pocket vision and dental expenses. See IRS publication 502 for the full list of eligible expenses.

Plan your contribution amount carefully

In 2024, you may contribute up to $3,050 to the Limited-Purpose FSA per year. Once you make an election for the year, you cannot change it during the year unless you experience a Qualifying Life Event.

Your annual contribution will be deducted from your paycheck in equal installments on a pre-tax basis during the plan year. The full annual contribution amount will be available in your FSA immediately.

Up to $610 can be carried over from year to year. Any remaining balance over $610 that you don’t use by year-end will be forfeited, according to IRS rules.

Visit HealthEquity to view and access your carryover balance and to submit a claim.

Learn more about the Limited-Purpose Care FSA.

Carryover Balance Available

Up to $610 can be carried over from year to year. Any remaining balance over $610 that you don’t use by year-end will be forfeited, according to IRS rules.

Visit HealthEquity to view and access your carryover balance and to submit a claim.

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Contacts

HealthEquity

844-341-6998