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Online Flexible Spending Account (FSA) Plan
Document Order Forms: |
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First,
choose the Plan or combination of Plans that
meet your needs from the following 7 options: |
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Health FSA
- $129 one-time setup fee |
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Health Flexible Spending
Accounts allow employees to set aside up to
$2,600 annually in pre-tax dollars to pay
out-of-pocket medical, dental, and vision
bills not covered by insurance. The Health FSA
plan can be standalone or offered in
conjunction with a Section 125 Premium Only
Plan or Dependent Care Assistance Plan. Up to
$500 in unused Health FSA funds may be carried
over to the next plan year, or you may choose
a 2.5 month grace period at the end of each
plan year to spend down unused FSA funds.
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Dependent Care
Assistance Plan (DCAP) FSA - $129 one-time
setup fee |
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Dependent Care Assistance
Plan (DCAP) Flexible Spending Accounts
allow employees to use pre-tax dollars
to pay dependent/adult care expenses.
This plan can be standalone or offered
in conjunction with a Section 125 Premium
Only Plan or Health FSA. Single employees
can set aside up to $2,500 and married
couples can set aside up to $5,000 annually.
Amounts in an FSA can not be carried forward
to the next Plan Year. If amounts are
not used they will be lost under the use-it-or-lose-it
clause.
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The Premium Only Plan (POP)
and Health FSA combination allows employees
to pretax insurance premium and establish
a Health Flexible Spending Account that
allows employees to use up to $2,600 pre-tax dollars
to pay medical bills not covered by their
insurance.
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The Premium Only Plan (POP)
and Dependent Care Expense Reimbursement Plan
combination allows employees to pretax insurance
premium and establish a Flexible Spending Account
to reimburse up to $5,000 in dependent care expenses incurred
as a result of employment.
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The Health FSA and Dependent Care
FSA
combination allows employees to establish a
Flexible Spending Account to reimburse $2,600
in medical
expenses not reimbursed through medical insurance;
and reimburse up to $5,000 in dependent care expenses incurred
as a result of employment.
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The full Cafeteria Plan
includes all three, Premium Only Plan
(POP), Health FSA, and the Dependent Care
Assistance Plans outlined above. This
option allows you to save $58 by combining
all 3 plans together in one document. |
For Small
Employers with less than 2 employees:
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The Section 105 HRA for
1 Employee or Spouse is an employer funded
program to reimburse insurance and medical
expense normally to very small companies,
or for family members in small Mom and
Pop buisnesses. For standard HRA Plans
go to CoreHRA.com |
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