Dependent FSA Worksheet

Access this worksheet from the Dependent FSA screen in the Benefits Enrollment process.  

When do I use the Dependent FSA Worksheet?

Use the Dependent FSA Worksheet when you must enter your estimated out-of-pocket expenses for day care and in-home care, au pair services, and any other relevant categories.

To estimate your FSA expenses:

1. In the appropriate category fields, enter your estimated out-of-pocket dependent care expenses. Your entries automatically total in the field at the bottom of the column.

2. To use the total amount of your estimates, click Use Estimate. Your total estimate figure carries over to the Dependent FSA table.

Or

To exit the worksheet without using your estimate, click Cancel to return to the Dependent FSA screen.

Amounts entered on the Dependent FSA worksheet are not saved to the database