Flexible Spending Account (FSA)


The Flexible Spending Account (FSA) allows you to make pre-tax deductions from payroll and then use those pre-tax funds to pay for eligible expenses.

There are two different plans: 

  • The Health Care FSA Plan is used for eligible out-of-pocket healthcare costs.
  • The Dependent Day Care FSA Plan is used for eligible dependent care expenses for children under the age of 13 or dependent adults.  You and your spouse must both work or be a full-time student in order to participate.


Contact Forma:


Health Care FSA 

You are able to contribute up to $3,200 into your 2024 Health Care Flexible Spending Account (HCFSA)! This plan includes a grace period that provides an additional 2 1/2 months to incur claims, with a deadline of March 15th, 2025.  Claims must be submitted by March 30th of 2025.

Dependent Care FSA 

You are able to contribute up to $5,000 into your 2024 Dependent Care Flexible Spending Account (DCA)! This plan includes a grace period that provides an additional 2 1/2 months to incur claims, with a deadline of March 15th, 2025.  Claims must be submitted by March 30th of 2025.