The Flexible Spending Account (FSA) plan with Inspira allows you to set aside pre-tax dollars to cover qualified expenses you would normally pay out of your pocket with post-tax dollars. The plan is comprised of a health care spending account and a dependent care account. You pay no federal or state income taxes on the money you place in an FSA.

Please plan your FSA contributions carefully, as any funds not used by the end of the year will be forfeited. Re-enrollment is required each year. The chart on the following page shows the eligible expenses for each FSA: how much you can contribute to each FSA each year, and how you benefit by using an FSA.

How an FSA works:

• Choose a specific amount of money to contribute each pay period, pre-tax, to one or both accounts during the year.
• The amount is automatically deducted from your pay at the same level each pay period.
• As you incur eligible expenses, you may use your flexible spending debit card to pay at the point of service OR submit the appropriate paperwork to be reimbursed by the plan.

Important rules to keep in mind:

• The IRS has a strict “use it or lose it” rule. If you do not use the full amount in your FSA, you will lose any remaining funds.
• Once you enroll in the FSA, you cannot change your contribution amount during the year unless you experience a qualifying life event.
• You cannot transfer funds from one FSA to another.