• Flexible Spending Account (FSA)

    News!

    • 5/20/21 - OEBB members (Non-Represented and SEIU) will be eligible for a maximum of $8667 in the current plan year ending 9/30/21 and may re-enroll at the annual open enrollment to reach 2021 calendar year maximum of $10,500.
    • 3/11/21 - The Dependent Care FSA limit has temporarily been increased from $5,000 to $10,500 for the 2021 calendar year.
    • Effective 01/01/2021, the Consolidated Appropriations Act of 2021 allowed temporary relief for Health Care and Dependent Care Flexible Spending Accounts. A temporary carryover provision is effective for the 2020 and 2021 plan years. See 2021 Summary of Material Modifications at the bottom of this page.
    • Effective 01/01/2020, the 2020 Cares Act expanded items that are eligible for reimbursement through the Health Care Flexible Spending Account. See 2020 Summary of Material Modifications at the bottom of this page. 

     

    What is a Flexible Spending Account?

    The Flexible Spending Account (FSA) is a way for you to save income taxes when paying for eligible Health Care or Dependent Care expenses. Normally, the FSA is a use it or lose it plan and any unused funds are forfeited. Employees must re-enroll each year at open enrollment to continue participation for the next plan year.

    • Health Care FSA related expenses may include medical, prescription, vision and dental insurance co-pays, coinsurance, and deductibles not covered by insurance. The 2021 Health Care FSA contribution limits are a minimum of $240 up to a maximum of $2,750 per plan year. The first time you enroll in a Health Care FSA, you will receive a FSA debit card, which allows you to pay directly from your FSA account without having to wait to be reimbursed. Review the IRS Rules regarding undocumented FSA debit charges.
    • A Dependent Care FSA may be used for a qualifying dependent under the age of 13 or an eligible dependent who is physically or mentally incapable of self care. The 2021 Dependent Care FSA contribution limits are a minimum of $240 up to a maximum of $5,000 per plan year. You can access account information online and set up recurring payments for reimbursement of dependent care expenses.   
    • Additional information on eligible expenses

     

    How do I enroll or make a change to my FSA?

    FSA enrollments are made by submitting an enrollment/change form (linked below). Elections must be made within 30 calendar days of hire or a qualifying event. New employees will receive an e-mail when their online enrollment is ready and can enroll for the first time through Employee Self Service. See Online Enrollment Instructions for more information.

    If you need to make a mid-year plan change to your existing FSA please submit an enrollment form to benefits@pps.net within 30 days of the event. Refer to pages 24-30 of the Summary Plan Description for an overview of allowable plan change reasons.

     

    Enrollment/Change Forms:

    Visit our New Employee Benefits web page for assistance understanding whether you are in the OEBB or Trust benefits group. 

     

    Where do I get more information?

    PacificSource Administrators is the Flexible Spending Account administrator.

    You may access your account information or submit claims at www.pacificsource.com/psa

    Phone number: 541-485-7488 or toll free 1-800-422-7038

    FAX: 866-446-6090 (claims only)

     

    Plan Documents

    OEBB:

    Trust:

     

    Visit our New Employee Benefits web page for assistance understanding whether you are in the OEBB or Trust benefits group.