The Flexible Spending Account (FSA) program is a benefit that enables you to SAVE MONEY by placing pre-tax dollars in an account for healthcare costs and/or dependent care expenses.

How FSA accounts work (Highmark is NOT the district's FSA provider, this is for educational purposes only)

Medical FSA

A Health FSA is so much more than Doctor and Prescription Co-Pays. It’s also for regular expenses associated with:

OTC medicine and drugs such as allergy, sinus, cold, and flu products
OTC supplies such as skincare products & sunscreen, bandages, contact lens solution & supplies, feminine care products, first aid supplies, pregnancy tests, and reading glasses
Prescriptive glasses and contact lenses (even prescriptive sunglasses)
Home medical devices such as blood pressure monitors, glucose tests & monitors breast pumps & accessories, and CPAP accessories
More Eligible Expenses

You must incur eligible expenses between January 1st and December 31st to be reimbursed from the amount you contribute to your Health Care FSA during your plan year. There is a $680 Roll-over feature. Up to $680 in unused funds can roll from one plan year to the next. Any funds in excess of $680 will be lost. Rollover funds will become available in April even if you do not re-enroll for the following year. Separation from service is the only circumstance that would prevent you from utilizing the rollover funds in the future.

All eligible expenses must be incurred by December 31st of the plan year.

To enroll, complete this Medical Flexible Spending Account Enrollment Form.

Maximum annual election for 2025- $3,400 maximum
Minimum annual election for 2025 - $200 minimum

Your annual election will be divided into 24 paychecks.

Dependent Care FSA

Expenses that are eligible for reimbursement include such items as childcare and eldercare services. The Dependent Care FSA can help you pay your eligible out-of-pocket dependent care costs. Expenses are limited to household services or the care of one or more qualifying individuals (i.e., a dependent child less than age 13 or a dependent adult), while you are at work.

Child & Dependent Care FSA-Eligible-Expenses

The Dependent Care Flexible Spending Account plan has a grace period of 75 days. This means that any funds from your previous years' account remaining after December 31st can be used for any qualifying purchase for up to 75 days in the following year.

Reimbursement Claim Forms must be submitted by March 31st.

To enroll, complete this Dependent Care Flexible Spending Account Enrollment Form.

Maximum 2025 annual election - $7,500 (if single or if married and filing jointly)
Maximum 2025 annual election - $5,000 (if married and filing separately)
Minimum 2025 annual election - $200

Your annual election will be divided into 24 paychecks.

BUFFALO

Local 409 Open Enrollment

HEALTH INSURANCE • FLEXIBLE SPENDING

Open Enrollment:

1. Health Insurance/Waiver

2. Flexible Spending Account