Health Care FSA

2020 Plan Year Information

Flexible Spending Accounts

Flexible Spending Accounts (FSAs) allow you to set aside before-tax money to use for certain eligible expenses not covered by your health plans or to pay for certain dependent day care expenses. Using an FSA can save you from 20% to 40% depending on your tax bracket.

The Firm offers three types of FSAs: a Health Care FSA, a Limited Purpose FSA* and a Dependent Day Care FSA. The Health Care and Dependent Day Care FSAs are administered by UnitedHealthcare (UHC). The Limited Purpose FSA is administered by Your Savings Account.

*The Limited Purpose FSA is only available to employees enrolled in Medical Plan Option C and can only be used for eligible dental and vision expenses.

Health Care FSA Eligibility

All U.S. benefits eligible employees, with the exception of employees enrolled in Option C coverage under the Medical Plan, are eligible to set aside money in a Health Care FSA on a before-tax basis to pay for eligible health-related expenses.

Health Care FSA
Who Can Enroll?

All employees not enrolled in Medical Plan Option C, even those who are not enrolled in any other Firm benefits

How Much Can I Contribute? (determined by the IRS each year)

2019 & 2020

  • Between $100 and $2,750
What Can the FSA Money Be Used For?
  • Medical
  • Prescription drugs
  • Dental
  • Vision
What Are the Deadlines?

2019

  • Incur expenses by December 31, 2019.
  • Submit expenses by April 30, 2020.

2020

  • Incur expenses by December 31, 2020.
  • Submit expenses by April 30, 2021.
    Effective in 2020, you may roll over up to $500 of your remaining 2020 Health Care FSA balance to the following Plan year as long as you remain enrolled in a Health Care FSA for 2021 and are not enrolled in Medical Plan Option C.

How to Pay with FSA Funds

Medical Plan Options A and B:

    If you are enrolled in Medical Plan Option A or Option B for medical coverage, there are two ways to pay for eligible out-of-pocket medical expenses from your Health Care FSA administered by UnitedHealthcare (UHC):

    1. If you participate in the Firm’s Medical, Dental or Vision Plans, you may elect automatic reimbursement for your eligible out-of-pocket health care expenses for in-network services. Elect this feature on the Benefit Center website when you make your elections. Note: Automatic reimbursement is not available for out-of-network services, HMSA or Kaiser HMO participants or for expenses relating to your domestic partner.
    2. To submit expenses for out-of-network services, complete an FSA Claim Form (available on the Benefit Center website) and attach an itemized bill or receipt, or the Explanation of Benefits from your medical, dental or vision Plan administrator.
    Beginning in 2020, you may elect to roll over up to $500 of your unused Health Care FSA balance to the following year. If you enroll in Medical Plan Option C in a subsequent year, your rollover amount will be forfeited.

Medical Plan Option C:

    To pay for eligible Limited Purpose FSA expenses, use the Smart YSA debit card to pay at the time of service or purchase. Eligible expenses will automatically be debited from the correct account—either the HSA or the Limited Purpose FSA—depending on which account the purchase is eligible for.