Medical FSA Election Subtask

Use this subtask to view and change annual open enrollment medical care Flexible Spending Account (FSA) elections made in Employee Self Service (ESS).

You can also assign FSA information to employees on the Manage Employee Dependent Care FSA Elections and Manage Employee Medical Care FSA Elections screens.

Contents

Field	Description
FSA Year	This non-editable field displays the FSA year in which the medical FSA election becomes effective for this employee. The value in this field defaults from the New FSA Year field on the Manage ESS Company Settings screen.
Start Date	This non-editable field displays the date on which the medical FSA election becomes effective for this employee. The value in this field defaults from the Start Date field on the Manage Medical Care FSA Plan Year screen for the FSA year.
Annual FSA Amount	This field displays the annual medical FSA amount for this employee. This amount cannot be greater than the Maximum Amount on the Manage Medical Care FSA Plan Year screen in Costpoint Benefits.
Confirmed	Select this check box to indicate that the medical FSA election has been confirmed by the ESS Administrator in this screen or by the employee in ESS.
Limited Purpose FSA	Select this check box to designate the FSA as limited purpose. When you select this check box, you may elect both a Medical FSA and HSA. You are reimbursed for only vision and dental expenses if you select this check box.