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Dependent Care Flex

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Dependent Care FSA CANNOT be used for any medical expenses.

Click HERE to see the IRS publication on eligibility.

Annual maximum contribution per household $5,000 or $2,5001 if married but filing taxes separately.  Can be used for:

  • Child care (age 12 and under)
  • Disabled dependent care

Other restrictions

  • $120/year minimum for both types of FSA
  • $2.26/month fee for one or both types of FSA
  • $1/month fee for debit card

1Funds available only as contributed starting the 2nd paycheck of January.

Monthly Care Expenses  
Infant expenses $_________
Preschool expenses $_________
Before/after school care $_________
School vacations $_________
Total monthly expenses $_________
  x12
Total estimated 2016 care $_________