Available to full-time permanent employees, including temporary faculty employed for
                        a one-academic year contract, and permanent part-time employees, including temporary
                        faculty employed for a one-academic year contract, who work 50% time. A flexible spending
                        account or dependent care assistance program governed by the IRS Code, allow employees
                        to have income withheld from their paychecks before taxes for eventual reimbursement
                        of certain health care and child care expenses.
                     
                     
                     
                     
                     
                      
                     
                     Important Plan Notes
                     
                     
                        
                        - FSA is an annual election (January 1 - December 31) and must be elected each year.
                           If you are a new employee electing the plan mid-year, the amount elected will be spread
                           out over the remaining pays of the calendar year.
 
                        
                        - Your entire election for Health Care FSA is available to you at the beginning of the
                           year to pay for qualifying expenses. The Day Care FSA funds are available to you as
                           you contribute to the plan.
 
                        
                        - While both plans are considered an FSA, the main difference between the Health Care
                           FSA and the Day Care FSA is how the plan is used.
                           
                           
                              
                              - The Health Care FSA is for all of your eligible dependents (you, your spouse, and your federal tax dependents) medical, dental, vision, or prescription expenses.
 
                              
                              - The Day Care FSA is for eligible dependents (age 12 and under) day care, summer camp, or elder care expenses. 
 
                              
                            
                        
                        - The State System offers a carryover for the Health Care FSA, which permits participants
                           to rollover a limited amount of unused Health Care FSA funds into the following calendar
                           year. (see Maximum Carryover amount listed below). Any remaining balances exceeding
                           the carryover limit will be forfeited. There is no carryover for the Day Care FSA.
Carryover and Run-Out Information 
                        
                     
                      
                     
                     FSA Options
                     
                      
                     
                     
                        
                        
                           
                           
                              
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                                  Health Care FSA  Provide tax savings for you, your spouse, and your federal tax dependents on your out-of-pocket medical, dental, vision, or prescription expenses not paid by
                                    insurance. Maximum Election for 2025 - $3,200 Maximum Carryover: 2024 into 2025 - $610 2025 into 2026 - $640 
                                 
                                 
                                    
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                                                - Copays for Prescriptions or Doctor Office Visits
 
                                                
                                                - Dental Care or Braces
 
                                                
                                                - Eyeglasses, Contact Lenses, or Laser Vision Correction
 
                                                
                                                - Eligible Over-the-Counter Items
 
                                                 
                                              
                                           
                                        
                                     
                                  | 
                              
                              
                                 
                                  Day Care FSA  A welcome money saver for today’s working parents. It allows you to set aside pre-tax
                                    money for eligible dependents (age 12 and under) day care expenses so you can work. Maximum Election for 2025 - $5,000 No Carryover to the next plan year. 
                                 
                                 
                                    
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                                                - Day Care
 
                                                
                                                - Summer Camp
 
                                                
                                                - Before/After School Programs
 
                                                
                                                - Elder Care
 
                                                 
                                              
                                           
                                        
                                     
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                        Open Enrollment - Enroll Now!
                         
                     
                     FSA Open Enrollment is October 13, 2025, through October 31, 2025.  If you would like a 2026 FSA, you are required to enroll annually. 
                     
                     It is important to understand the difference between FSA plan options; please review
                        the information above. Enrollment is completed through the self-service system, Fiori
                        at https://workplace.passhe.edu/. 
                     
                     
How to Enroll
                     
                     The FSA plan must be elected annually each year. FSA elections should be made through the Self-Service Workplace, FIORI during Fall Open Enrollment. Employees should elect coverage in annual (calendar
                        year) amounts which is divided by your pay frequency. 
                     
                     2026 Handbook Enroll Now  Self-Service Directions  
                     
                      
                     
                     Administered by Optum Financial
                     
                     https://www.myoptumfinancial.com/passhe 
Customer Service available 24 hours a day, 7 days a week
 1-833-325-9998
                     
                     
                        
                        
                           
                           
                              
                              
                                 
                                 
                                    
                                    
                                       
                                       
                                          
                                          
                                             
                                              
                                             
                                             Changing FSA/DC FSA Elections
                                             
                                             Within 60 days of a qualifying event, you must submit a Change in Status/Election Form and supporting documentation to your employer. Upon the approval of your election
                                                change request, your existing elections will be stopped or modified (as appropriate).
                                                Other events, such as change in child care expenses, may qualify to change your election
                                                amount.
                                             
                                              
                                             
                                             HSA Reminder
                                             
                                             A health savings account (HSA) is available to an eligible individual who has high
                                                deductible health coverage as long as the individual has no other impermissible health
                                                coverage. A general purpose FSA is impermissible and renders an individual ineligible to make
                                                   contributions to an HSA even when it’s their spouse enrolled in a general purpose FSA. The State System does
                                                not offer an HSA plan but if your spouse is enrolled in an HSA plan offered by their
                                                employer, this may impact your FSA enrollment.
                                             
                                              
                                             
                                             FSA Plan Documentation
                                             
                                             Flexible Benefits Plan Document
FSA Summary Plan Description - Dependent Care
FSA Summary Plan Description - Health Care