FSA and DCA Benefits

Flexible Spending and Dependent Care Accounts

Flexible Spending Account – Benefited employees may set aside pre-tax dollars each year to pay for eligible medical expenses (includes unreimbursed dental and vision expenses also).

Dependent Care Account – Benefited employees may set aside pre-tax dollars each year to pay for child care or other eligible dependent care.

NOTE:  both the FSA and DCA programs are administered by HealthEquity. The FSA and DCA programs are administered on a calendar year.  Employees can elect an FSA or DCA at the time of hire or during the CPC annual Open Enrollment period (Sept/Oct).

Forms and Resources

FSA and DCA

FSA and DCA Participation Election Form

Size: 196.58 KB
Hits: 954
Date modified: 09 - 07 - 2022

FSA and DCA Enrollment Form

The enrollment forms for flexible spending and dependent care accounts.
Size: 561.17 KB
Hits: 1440
Date modified: 12 - 20 - 2021

FSA and DCA Account Information

The information packet and forms for FSA/DCA reimbursement.
Size: 230.11 KB
Hits: 3664
Date modified: 09 - 07 - 2022