Flexible Spending Account (FSA)

  • The Flexible Spending Account (FSA) is a way for you to save income taxes when paying for eligible Health Care OR Dependent Care expenses. The FSA is a use it or lose it plan and any unused funds are forfeited.

    • Health Care FSA
      Related expenses may include medical, prescription, vision and dental insurance co-pays, coinsurance, and deductibles not covered by insurance.  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. *Please note that PSA debit cards have a 5 year expiration cycle. If the employee has been previously enrolled in the FSA with a card that has not yet expired, they will not be sent a new card following their re-enrollment. Replacement cards are subject to a reissue fee.
      • 2024-calendar year Health Care FSA maximum contribution limit is $3,050.  
      • 2025-calendar year Health Care FSA maximum contribution limit is $3,300.  

    • Limited Purpose Flexible Spending Account (LFSA) - Non-Represented & SEIU Employee Groups ONLY
      Non-Represented and SEIU employees who have an Health Savings Account (HSA)— must be enrolled in Moda Plan 6 or Kaiser Plan 3 to have an HSA—are eligible to enroll in a Limited Purpose Flexible Spending Account (LFSA) similar to the traditional Health Care FSA.  An LFSA allows you to pay for eligible out-of-pocket preventive care for dental, orthodontic, and vision expenses.

      • 2024-calendar year Limited FSA maximum contribution limit is $3,050.  
      • 2025-calendar year Health Care FSA maximum contribution limit is $3,300.  

    • 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.  You can access account information online and set up recurring payments for reimbursement of dependent care expenses. 

      • 2024-calendar year Dependent Care FSA maximum contribution limit is $5,000.
      • 2025-calendar year Dependent Care FSA maximum contribution limit is $5,000.

    Additional FSA Information:

New Employees

  • How do I enroll the FSA?

    You must elect to participate in the FSA for the first time within 31-calendar days of your start date.  You will elect to participate in the FSA through your online benefits enrollment event in PeopleSoft Employee Self-Service (ESS). 

    New Employee Benefits Webpage: https://www.pps.net/Page/1635
    Once your employment information has been processed in the HR computer system, you will receive the Benefits Enrollment Notification to your PPS email account and personal email account (if on file), letting you know your online benefits enrollment event is ready for you to complete and submit in PeopleSoft ESS.  You may then follow the Online Benefits Enrollment Instructions to complete and submit you benefits enrollment.

Current Employees

  • How do I request reimbursement from my FSA?

Contact PacificSource Administrators

Plan Documents