Flexible Spending Accounts (FSA)

The Flexible Spending Accounts are an easy way for you to keep more of your take-home pay by using “pre-tax” dollars for eligible expenses. Simply present your FSA debit card for the purchase of eligible services and goods. Using the debit card allows you to directly tap into your Healthcare and Dependent Daycare FSA, meaning better cash flow for you and no waiting period for reimbursement.

Eligible Expenses¹ and Guidelines
$3,200 annual maximum Medical plan office visit copays, deductibles and coinsurance Certain over-the-counter (OTC) items Dental plan copays, deductibles and coinsurance Orthodontia expenses Vision care expenses including contacts, glasses, and LASIK surgery Expenses can be for you or anyone you claim as a dependent on your Federal tax return ² Your entire election is available immediately regardless of actual payroll deduction amounts You were able to carry over up to $610 from calendar year 2023 to 2024 You will be able to carry over up to $640 from calendar year 2024 to 2025 Expenses must be incurred by December 31 and submitted for reimbursement by April 30 of the following year	$5,000 annual maximum Used for dependent day care expenses while you and your spouse work, look for work or attend school full-time Dependents include children under age 13 or dependents that are physically or mentally unable to care for themselves Can only be reimbursed up to what you have had payroll deducted (pay as you go) Expenses must be incurred by March 15 of the following year and submitted for reimbursement by April 30 of the following year

Eligible Expenses¹ and Guidelines

Healthcare Flexible Spending Account

Dependent Daycare Flexible Spending Account

$3,200 annual maximum
Medical plan office visit copays, deductibles and coinsurance
Certain over-the-counter (OTC) items
Dental plan copays, deductibles and coinsurance
Orthodontia expenses
Vision care expenses including contacts, glasses, and LASIK surgery
Expenses can be for you or anyone you claim as a dependent on your Federal tax return ²
Your entire election is available immediately regardless of actual payroll deduction amounts
You were able to carry over up to $610 from calendar year 2023 to 2024
You will be able to carry over up to $640 from calendar year 2024 to 2025
Expenses must be incurred by December 31 and submitted for reimbursement by April 30 of the following year

$5,000 annual maximum
Used for dependent day care expenses while you and your spouse work, look for work or attend school full-time
Dependents include children under age 13 or dependents that are physically or mentally unable to care for themselves
Can only be reimbursed up to what you have had payroll deducted (pay as you go)
Expenses must be incurred by March 15 of the following year and submitted for reimbursement by April 30 of the following year

This is only an example of eligible expenses.
Visit irs.gov for definition of eligible tax dependent

How it Works

Estimate your expenses and make an annual election for the accounts that apply to you.
Your annual election is calculated on a per pay period basis and deducted from your paycheck and deposited into your personal account. Payroll deductions begin from the effective date of your election and continue through the end of the calendar year.
A debit card will be issued to new participants.
When you incur expenses throughout the year, present your debit card for payment.
Eligible expenses are only reimbursable if they occur on or after the date of benefit eligibility.

FSA Dependent Care Contribution Limits IRS Regulations

Filing Claims and the Reimbursement Process

Keep all receipts. IRS requires documentation for many expenses to confirm they are eligible under the plan.
Use your debit card at the time of service or submit your receipts with a completed reimbursement claim form. Some debit card transactions may still require a receipt.

For more information on FSAs, visit wexinc.com or call 866-451-3399.

Limited Purpose Flexible Spending Account (Limited Purpose FSA)

The Limited Purpose FSA is for team members who are enrolled in the Medical Savings Plan and contributing to a Health Savings Account (or whose spouse is contributing to an HSA) in which case the regular Flexible Spending Account is not allowed.

How it Works

Estimate your expenses and make an annual election for the accounts that apply to you.
Your annual election is calculated on a per pay period basis and deducted from your paycheck and deposited into your personal account. Payroll deductions begin from the effective date of your election and continue through the end of the calendar year.
A debit card will be issued to new participants.
When you incur expenses throughout the year, present your debit card for payment.
Eligible expenses are only reimbursable if they occur on or after the date of benefit eligibility.

Filing Claims and the Reimbursement Process

Keep all receipts. IRS requires documentation for many expenses to confirm they are eligible under the plan.
Use your debit card at the time of service or submit your receipts with a completed reimbursement claim form. Some debit card transactions may still require a receipt.

For more information on FSAs, including available balance, savings calculator, expense planning worksheets, reimbursement claim forms and IRS publications, visit wexinc.com or call 866-451-3399.

Eligible Expenses* and Guidelines
$3,200 annual maximum (medical expenses are not eligible for reimbursement) Dental plan copays, deductibles, and coinsurance Orthodontia expenses Vision care expenses including contacts, glasses, and LASIK surgery Expenses can be for you or anyone you claim as a dependent on your Federal tax return Your entire election is available immediately regardless of actual payroll deduction amounts You were able to carry over up to $610 from calendar year 2023 to 2024 You will be able to carry over up to $640 from calendar year 2024 to 2025 Expenses must be incurred by December 31 and submitted for reimbursement by April 30 of the following year

Eligible Expenses* and Guidelines

Limited Purpose FSA

$3,200 annual maximum (medical expenses are not eligible for reimbursement)
Dental plan copays, deductibles, and coinsurance
Orthodontia expenses
Vision care expenses including contacts, glasses, and LASIK surgery
Expenses can be for you or anyone you claim as a dependent on your Federal tax return
Your entire election is available immediately regardless of actual payroll deduction amounts
You were able to carry over up to $610 from calendar year 2023 to 2024
You will be able to carry over up to $640 from calendar year 2024 to 2025
Expenses must be incurred by December 31 and submitted for reimbursement by April 30 of the following year