Flexible Spending Accounts
At the New Hampshire Local Government Center (LGC), we provide Flexible Spending Account (FSA) plans that can offer valuable tax savings for you.
Click on one of the links below to learn more about these FSA offerings:
HEALTHCARE FSA
DEPENDENT CARE REIMBURSEMENT ACCOUNT
BENNY™ PREPAID VISA® CARD
If you already have an FSA plan through your employer, use these handy links to access the following:
*You will need to have Adobe Acrobat Reader ® software installed on your computer in order to download these documents as PDFs. If you don't already have it installed, click on our hyperlink to install a free copy.
For more information about your Healthcare FSA or Dependent Care Reimbursement Account, please contact your employer directly. You can also call LGC at 800.527.5001 or e-mail: fsa@nhlgc.org.
HEALTHCARE FSA
Authorized by the Internal Revenue Service (IRS), a Healthcare Flexible Spending Account (FSA) allows you to pay for qualifying healthcare expenses with pre-tax dollars. Contributions to this account are directly deducted from your paycheck before federal income or Social Security taxes are withheld, and qualifying reimbursements are also not taxable to you.
Using pre-tax dollars to reimburse yourself for things like healthcare plan deductibles and medical expenses that your healthcare plan does not pay can mean significant savings for you!
How It Works
Once you have met the eligibility requirements established by your employer, you have the opportunity to enroll in the Healthcare FSA. You must re-enroll during the open enrollment period prior to each plan year in order to continue participating. Once you choose to enroll, you will need to:
- Estimate your expected out-of-pocket healthcare expenses for the coming plan year and review what expenses are eligible for reimbursement. You can view our online List of Eligible / Ineligible Expenses or obtain a detailed list from your employer.
- Decide how much you want to contribute to your account up to your employer's maximum contribution limit. The amount you elect to contribute is deducted from your paycheck in equal installments throughout the plan year and deposited in your Healthcare FSA.
- Once enrolled in a Healthcare FSA, you cannot change your payroll deduction amount until the next open enrollment period except when you experience a change in family or employment status like marriage, birth, death, divorce, taking a paid or unpaid leave of absence, termination or commencement of your or your spouse's employment, or a change in hours (such as from full-time to part-time).
- After you incur an eligible expense, you can seek reimbursement from your account.
Eligible & Ineligible Expenses
Your Healthcare FSA can only be used to reimburse qualifying healthcare expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer). A healthcare expense is incurred at the time the care or service is furnished and not when you are billed, charged for or pay for the service. The Plan Document, available from your employer, provides an overview of the Healthcare FSA and a detailed listing of eligible and ineligible expenses. You can also download our List of Eligible / Ineligible Expenses.
To qualify, the expenses must:
- Be incurred by you (the eligible employee), your spouse or your eligible dependents
- Not otherwise be reimbursed through a group health plan, other insurance or any other source
- Be considered medically necessary, e.g., for the purpose of treating a medical condition or illness
Receiving Reimbursement
When you incur an eligible healthcare expense, you can apply for a reimbursement from your account in one of two ways:
- Submit to LGC a Flexible Spending Account Reimbursement Form (obtained from your employer or downloaded here as a PDF) .
- Submit your claim securely online by linking to My FSA Account, which is password-protected. Simply follow the site's login instructions for entering required information and scanning, mailing or faxing related receipts.
You must provide copies of all related bills, receipts, explanation of benefits or other written statements. Each receipt must include the following:
- Name and address of the service provider
- Date service/expense was incurred
- Person for whom service/expense was provided
- Detailed description of the service/expense provided
- Amount charged for the service
Please note that cancelled checks are not acceptable as proof of your expense. Mail or fax this information to:
NH Local Government Center
Attn: FSA Reimbursement
PO Box 617
Concord, NH 03302
603.375.5967 (fax)
Incomplete forms may be delayed or returned.
Reimbursement is provided on a weekly basis, and the minimum check amount is $20 unless it is the last claim of the plan year. Healthcare FSA expenses will be reimbursed up to the annual election amount. Reimbursement requests are limited to expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer) and may be submitted for up to 90 days after the plan year (or grace period) ends.
If you leave employment during a plan year, you may have the right to elect to continue your Healthcare FSA contributions and have access to your Healthcare FSA balances for the remainder of that plan year, subject to the requirements and limitations set forth under federal COBRA law. Please see the Plan Document or contact either your employer or LGC for further information.
Important Tax Considerations
Keep in mind the following tax considerations when deciding whether to participate in the Healthcare FSA program:
- Use-or-lose. IRS regulations stipulate a "use-or-lose" rule that requires employees to use all of their designated Healthcare FSA funds during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer), or forfeit remaining balances.
- Cannot claim the same expenses as deductions on your income taxes. You cannot receive reimbursement for a qualifying expense through your Healthcare FSA and also deduct the same expense on your federal income taxes. We strongly encourage you to speak with your tax advisor before enrolling in a Healthcare FSA for tax-related questions or concerns.
- Reimbursement accounts affect your Social Security earnings. Because you reduce your taxable income by setting aside money in a Healthcare FSA, your Social Security earnings for the year may be reduced. Over time, this may also lessen your overall Social Security benefits. However, the tax savings you will receive now should compensate for those reductions.
- Important HSA information. Employees who are enrolled in a Health Savings Account (HSA)
either through their employer or a spouse’s employer cannot participate in a traditional Healthcare FSA per IRS regulations. A limited purpose FSA may be available; please contact your employer for further information.
Information About Your Account
For your convenience:
- Updated account balances are provided with each reimbursement check.
- A statement of account balance and transaction history is provided 90 days prior to the end of each plan year, or request a statement anytime by calling LGC at 800.527.5001.
Your Healthcare FSA information is available to you 24 hours a day, 7 days a week, by linking to My FSA Account, which is password-protected. You may access transaction information, account balances and account history online.
Back to Top
DEPENDENT CARE REIMBURSEMENT ACCOUNT
Authorized by the Internal Revenue Service (IRS), a Dependent Care Reimbursement Account allows you to pay for qualifying dependent or elder care expenses with pre-tax dollars. Contributions to this account are directly deducted from your paycheck before federal income or Social Security taxes are withheld, and qualifying reimbursements are also not taxable to you.
Using pre-tax dollars to reimburse yourself for things like full-time daycare, after-school care and summer day camp expenses can mean significant savings for you!
How It Works
Once you have met the eligibility requirements established by your employer, you have the opportunity to enroll in the Dependent Care Reimbursement Account. You must re-enroll during the open enrollment period prior to each plan year in order to continue participating. Once you choose to enroll, you will need to:
- Estimate your expected dependent care expenses for the coming plan year and review what expenses are eligible for reimbursement.
- Decide how much you want to contribute to your account. You can elect up to the lesser of your employer's maximum contribution limit, or the maximum amounts described below:
- $5,000 per calendar year if you are married and file joint tax returns, or if you are single
- $2,500 per calendar year if you are married and file separately
- The lower of your or your spouse's earned income; if your spouse is a full-time student or is disabled, special rules apply.
NOTE: If your plan is on a July 1 - June 30 plan year, please be aware that calendar year, federal tax maximums still apply for dependent care expenses.
The amount you elect to contribute is deducted from your paycheck in equal installments throughout the plan year, and deposited in your Dependent Care Reimbursement Account.
Once enrolled in a Dependent Care Reimbursement Account, you cannot change your payroll deduction amount until the next open enrollment period except when you experience a change in family or employment status like marriage, birth, death, divorce, taking a paid or unpaid leave of absence, termination or commencement of your or your spouse's employment, or a change in hours (such as from full- to part-time). A more complete list of change-in-status events and other requirements for mid-year election changes are included in the Plan Document.
After you incur an eligible expense, you can seek reimbursement from your account.
Eligible & Ineligible Expenses
Your Dependent Care Reimbursement Account can only be used to reimburse qualifying dependent care expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer). A dependent care expense is incurred at the time the service is furnished and not when you are billed, charged for, or pay for the service.
To qualify, the expenses must:
- Be incurred for the care of your qualifying dependent or for related household services;
- Be paid, or payable to, a qualified provider; and
- Enable a single parent or both spouses to work or attend school on a full-time basis.
A qualifying dependent is:
- Someone who qualifies as an eligible dependent for tax purposes and is under the age of 13,
or
- A spouse or dependent physically or mentally incapable of self-care and who spends more than one-half of the calendar year in your household.
A qualifying provider is:
- An individual providing dependent care services inside or outside your home, as long as the individual is not a) someone you or your spouse may claim as a dependent for federal tax purposes, or b) your child who is under the age of 19.
- A dependent care center (such as a summer camp, after-school, full-time, or adult daycare center or a nursery school) that is in compliance with state and local law.
You will be required to furnish the tax identification number (or Social Security number) of your provider in order to receive pre-tax treatment for their fees.
Examples of expenses ineligible for reimbursement through a Dependent Care Reimbursement Account include:
- Kindergarten expenses
- Cost of sending your child to an overnight camp
- Cost of transporting a qualifying person to or from your home to the care location
Receiving Reimbursement
When you incur an eligible dependent care expense, you can apply for a reimbursement from your account in one of two ways:
- Submit to LGC a Flexible Spending Account Reimbursement Form obtained from your employer or downloaded here.
- Submit your claim securely online using by linking to My FSA Account, which is password-protected. Simply follow the site's login instructions for entering required information and scanning, mailing or faxing related receipts.
You must provide an itemized bill or receipt that shows the date care was provided, the amount you are responsible for, and the name and taxpayer ID or Social Security number of the care provider. Please note that cancelled checks are not acceptable as proof of your expense. Mail or fax this information to:
NH Local Government Center
Attn: FSA Reimbursement
PO Box 617
Concord, NH 03302
603.375.5967 (fax)
Incomplete forms may be delayed or returned.
Reimbursement is provided on a weekly basis, and the minimum check amount is $20 unless it is the last claim of the plan year. Dependent care expenses will be reimbursed only up to your account balance at the time of your request. Any expenses claimed in excess of your account balance will be carried over and reimbursed when additional monies are credited to your account. Reimbursement requests are limited to expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer) and may be submitted for up to 90 days after the plan year (or grace period) ends.
Important Tax Considerations
Keep in mind the following tax considerations when deciding whether to participate in the Dependent Care Reimbursement Account program:
- Use-or-lose. IRS regulations stipulate a "use-or-lose" rule that requires employees to use all of their designated Dependent Care Reimbursement Account funds during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer), or forfeit remaining balances.
- The Child and Dependent Care Tax Credit. The Dependent Care Reimbursement Account is just one of the ways the IRS allows favorable tax treatment for expenses associated with dependent care. The IRS Code also allows the Child and Dependent Care Tax Credit. This credit allows for a percentage of eligible expenses to be applied as a tax credit toward your personal income tax responsibilities. The percentage eligible for the credit, between 20 and 35 percent, is based on your adjusted gross income (or combined adjusted gross income if you are married and file a joint return). The maximum 35 percent credit is reduced by 1 percent for each $2,000 of adjusted gross income over $15,000. For taxpayers with adjusted gross income over $43,000, the credit percentage is limited to 20 percent. The maximum dependent care expense eligible for the Child and Dependent Care Tax Credit is $3,000 for one qualifying dependent or $6,000 for two or more. These maximums are reduced by the amount of expense reimbursements received through your Dependent Care Reimbursement Account.
- Cannot claim the same expenses as deductions on your income taxes. You cannot claim the Child and Dependent Care Tax Credit for expenses that have been reimbursed on a pre-tax basis through your Dependent Care Reimbursement Account. We strongly encourage you to speak with your tax advisor before enrolling in a Dependent Care Reimbursement Account for tax-related questions or concerns.
- Reimbursement accounts affect your Social Security earnings. Because you reduce your taxable income by setting aside money in a Dependent Care Reimbursement Account, your Social Security earnings for the year may be reduced. Over time, this may also lessen your overall Social Security benefits. However, the tax savings you will receive now should compensate for those reductions.
Information About Your Account
For your convenience:
- Updated account balances are provided with each reimbursement check.
- A statement of account balance and transaction history is provided 90 days prior to the end of each plan year, or you may request a statement anytime by calling LGC at 800.527.5001.
Your Dependent Care Reimbursement Account information is available to you 24 hours a day, 7 days a week by linking to My FSA Account, which is password-protected! You may access transaction information, account balances and account history.
BENNY PREPAID VISA CARD
If your employer has made the SmartFlex
debit card option available to you, download the
Benny Prepaid Visa Card Brochure and
Debit Card Frequently Asked Questions handout to learn
more about it. For plans that allow the purchase of over-the-counter items, the debit card works only at retail establishments that have implemented an Inventory Information Approval System (IIAS). Check this IIAS Participating Merchants List link regularly to view and download the most current listing of certified IIAS merchants.
Back to Top
