Page 15 - 2016 Open Enrollment
P. 15
Dependent Care FSA
The Dependent Care FSA lets you use pre-tax dollars towards qualiied dependent
care. The maximum amount you may contribute to the Dependent Care FSA is
$5,000 (or $2,500 if married and iling separately) per calendar year.


Dependent Care FSA Eligible Expenses
X Cost of child or adult day care *

X Nursery School
X Preschool (excluding kindergarten)

* Eligible Dependent: tax dependent child under age 13 or tax dependent spouse, parent, or child unable to
care for themselves


A complete list of eligible expenses can be found in IRS Publication 502 on
www.irs.gov.


Please note, if you are participating in the HSA, you can still participate in the
Dependent Care FSA.













































15
   10   11   12   13   14   15   16   17   18   19   20