Flexible Spending Account (FSA)

Flexible Spending Account (FSA) administration is transferring from PacificSource administrators to PNC bank effective January 1, 2026. For questions through 12/31/2025, please continue to reach out to PacificSource Administrators at 800-422-7038 or e-mail psacustomerservice@pacificsource.com.

Employees MUST re-enroll each year at Annual Open Enrollment for their Employee Group to continue participation in the FSA for the next plan year.

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.

Types of FSAs

Healthcare FSA

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.
- 2025-calendar year Health Care FSA maximum contribution limit is $3,300
- 2026-calendar year Health Care FSA maximum contribution limit is $3,400

Limited Purpose FSA

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.
- 2025-calendar year Health Care FSA maximum contribution limit is $3,300
- 2026-calendar year Health Care FSA maximum contribution limit is $3,400

Dependent Care FSA

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.
- OEBB 10/1/2025-9/30/2026 plan year Dependent Care FSA maximum contribution limit is $5,000
- Trust 1/1/2025 plan year Dependent Care FSA maximum is $5,000. 1/1/26 plan year Dependent Care FSA maximum contribution limit is $7,500.

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: /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.

Contact Pacific Source Administrators (PSA)

* please continue contacting PSA for any FSA inquiries through 12/31/2025

PacificSource Administrators is the Flexible Spending Account (FSA) administrator. They can provide you with additional information on the FSA and answer any FSA questions you may have.

Phone: 800-422-7038 (toll free) or 541-485-7488
Email: psacustomerservice@pacificsource.com
Fax: 866-446-6090 (claims ONLY)
Website: https://psa.pacificsource.com/PSA/
User Account Login: https://psa.consumer.pacificsource.com/

Plan Documents

OEBB - Non-Represented | SEIU

Health & Welfare Trust - ATU | DCU | PAT | PFSP

What Employee Group am I in?

Learn more

Contact Benefits

Learn more

PacificSource Administrators
Flexible Spending Account Administrator

Phone
800-422-7038 (toll free) or 541-485-7488

Email
psacustomerservice@pacificsource.com

Fax: 866-446-6090
(reimbursemnt claims ONLY)

Website
https://psa.pacificsource.com/PSA/

Request Reimbursement
https://psa.pacificsource.com/Request_Reimbursement/

User Account Login
https://psa.consumer.pacificsource.com/