Need funds in Flex or Dependent Care?
Enroll online, even if you want the same amount as last year
2022 FLEX CONTRIBUTIONS CAPS
Max out your contributions + Think Healthy flex dollars
Subtract Think Healthy flex dollars from your total
i.e., $2,850 - $150 = $2,700
PBA will add the flex dollars
Reminder: If your spouse has a flexible spending account, both can defer up to the maximum amount for Medical Only
Cares Act Update
- This year only -
No Limit On 2021 Carryover!
$50 carryover minimum still applies
This form details many items that are eligible to be taken from the FSA and contains a worksheet to help determine how much to withhold.
Fsafeds.com lets you search FSA eligibility and lists if items need additional documentation to be eligible. Click here for link directly to FSA eligible expenses search.
FSAstore.com is an online marketplace for FSA-eligible products.
Certain items may be considered eligible expenses if deemed Medically Necessary by a prescribing physician. Have your provider completed this form.
Complete this form to submit claims for unreimbursed medical/dental and dependent care expenses from your flexible spending account.
You can also submit claims online at www.pbaclaims.com or on the PBA Flex App. This is the recommended and fastest way to submit claims for reimbursement.