Dependent Care FSA Tab

Use the Dependent Care FSA tab on the Benefits Enrollment screen or Life Events/New Hires screen to view your current dependent FSA contribution. You can also enter new annual contribution amounts on this tab. You must enter 0.00 in the New Contribution fields if you opt not to participate in dependent FSA plans.

Contents

Field Description
I do not want to enroll in a Dependent Flexible Spending Account

Select this check box to indicate that you do not want any deductions for a Dependent FSA. When you select this check box, the screen will populate the New Contribution amount fields with 0.00 which will eliminate the need to enter the amount manually.

Annual Limit

Field Description
New Contribution

This field displays the yearly limit for the Dependent FSA for your new contribution.

Current Contribution

This field displays the yearly limit for the Dependent FSA for the current year.

Annual Amount

Field Description
New Contribution

If you want to participate in the dependent FSA plan, or if you want to change your annual contribution amount, enter the annual amount in this field. You may enter an amount up to 4500 in this field. When you enter an amount in this field, the application automatically calculates and adjusts the New Contribution value for each pay period deduction frequency. Alternatively, you can enter amounts on the FSA Worksheet tab and click Use Estimate.

If you do not want to participate in dependent FSA plans, enter 0.00 in this field.

Current Contribution

This field displays your current annual dependent FSA contribution.

<Frequency> Amount

The label of this field is based on pay frequency ("Monthly," "Semi-Monthly," "Bi-Weekly," or "Weekly").

Field Description
New Contribution

If you want to participate in the dependent FSA plan, or if you want to change your annual contribution amount, enter your desired dependent FSA contribution per pay period deduction. Alternatively, you can enter amounts on the FSA Worksheet tab and click Use Estimate.

If you do not want to participate in dependent FSA plans, enter 0.00 in this field.

Current Contribution

This field displays your current dependent FSA contribution based per pay period deduction frequency.